Gout in Native Hawaiian Patients in Hawaiʻi: Clinical Characteristics and Disparities
Authors' conclusion
Native Hawaiian patients have a higher disease burden of gout, with earlier disease onset and more tophi. Native Hawaiian patients with gout are more likely to use emergency services for gout and have lower rates of rheumatology specialty care compared to White patients.
Study context
- Population
- Native Hawaiian and White patients with gout treated 2011–2017 within a large health care system in Hawai'i
- Participants
- 270 vs 239
- Exposure
- Native Hawaiian vs White patients with gout
- Native Hawaiiann = 270
- Whiten = 239reference
Methodological detailsretrospective chart review, multivariable logistic regression
- Retrospective chart review
- Multivariable logistic regression
Main finding
As reported in the abstract
- Age (Native Hawaiian vs White): 54.0 vs 64.0 years; P < 0.0001
- Age at disease onset (Native Hawaiian vs White): 50.0 vs 57.0 years; P < 0.0001
- Mean serum urate (Native Hawaiian vs White): 7.58 vs 6.87 mg/dL; P < 0.0001
- Maximum serum urate (Native Hawaiian vs White): 10.30 vs 9.50 mg/dL; P < 0.0001
- Number of tophi (Native Hawaiian vs White): median 2.00 vs 1.00; P < 0.0001
- Native Hawaiian 2.7 times more likely to have frequent (≥1) ED visits than White
- Native Hawaiian less likely to have therapeutic serum urate ≤6.0 mg/dL and had lower rates of rheumatology specialty care
Observational data: associations, not effects.
Original publication
Gout in Native Hawaiian Patients in Hawaiʻi: Clinical Characteristics and Disparities. Arthritis Care Res (Hoboken). Published 7 February 2024. doi:10.
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