Gout & crystal arthritis

Impact of Clinical Association Between Gout and Dementia: A Nationwide Population‐Based Cohort Study in Korea

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Main finding · Overall dementiaResult — go to the resultHazard ratio 0.79 95% CI 0.62–1.00

Authors' conclusion

Gout decreased the risk of incident Alzheimer's disease-type dementia, especially in elderly patients.

Study context

Population
Gout patients and age- and sex-matched controls from the NHIS-National Sample Cohort database, Koreamatched cohort
Participants
5,052 vs 25,260
Exposure
Gout vs age- and sex-matched controls
  • Goutn = 5,052
  • Controlsn = 25,260reference
Outcome
Incidence and risk of dementia
Methodological detailsnationwide, population-based, age- and sex-matched, NHIS-National Sample Cohort database
  • Nationwide
  • Population-based
  • Age- and sex-matched
  • NHIS-National Sample Cohort database

Main finding

Overall dementia

Hazard ratio

0.79

95% CI 0.62–1.00

Events by group

Gout

81

events

Controls

558

events

Goutvs Controls
HR 0.79 (95% CI 0.62–1.00)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Alzheimer's diseaseAdjusted for age, sex, household income and comorbidities0.73 (0.54–0.98)
Overall dementia (subgroup: elderly male)0.71 (0.52–0.97)
Alzheimer's disease (subgroup: elderly male)0.67 (0.46–0.97)
Vascular dementia (subgroup: nonelderly male)Age- and sex-adjusted2.31 (1.02–5.25)

Original publication

Impact of Clinical Association Between Gout and Dementia: A Nationwide Population‐Based Cohort Study in Korea. Arthritis Care Res (Hoboken). Published 18 December 2022. doi:10.1002/acr.24959

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