Gout & crystal arthritis

Longitudinal analysis of serum urate in prediabetic phase

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Among individuals with prediabetes, several baseline variables were significant predictors of increased SU levels over time.

Study context

Population
Individuals with prediabetes (initial haemoglobin A1c (HbA1c) 5.7%–6.4%) with at least one serum urate (SU) test before and after diagnosis, academic health system, 2007–20226,832 SU observations
Participants
1,521 individuals
Outcome
Longitudinal SU trends during follow-up (multivariable mixed-effects model; censored at diabetes onset)
Methodological detailselectronic health records, multivariable mixed-effects model, single academic health system
  • Electronic health records
  • Multivariable mixed-effects model
  • Single academic health system

Main finding

As reported in the abstract

Longitudinal SU trends

Baseline median SU

6.3 mg/dl

Median follow-up

7.4 years

Observational data: associations, not effects.

Further findings

SU by BMI subgroup

BMI ≥30 kg/m² had higher SU levels than lower BMI

Original publication

Longitudinal analysis of serum urate in prediabetic phase. Rheumatology (Oxford). Published 14 August 2024. doi:10.1093/rheumatology/keae439

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