Gout & crystal arthritis

Patient-Reported Outcomes in Calcium Pyrophosphate Deposition Disease Compared to Gout and Osteoarthritis

J RheumatolPublished Cross-sectional study

Authors' conclusion

Patients with CPPD may experience pain comparable to that in gout and OA and reported substantial unmet treatment needs.

Study context

Population
Patients with CPPD recruited from Brigham and Women's Hospital, 2018–2022 (mean age 71.9 years; 51% female)
Participants
47 patients
Exposure
CPPD vs gout and osteoarthritis (OA)
  • CPPDn = 47
Methodological detailssingle-centre, comparison with published gout and OA cohort studies
  • Single-centre
  • Comparison with published gout and OA cohort studies

Further findings

Mean

OutcomeCPPDGoutOAP value
Pain VAS during a flareCPPD vs Gout · similar6.8 (SD 1.9)6.7 (SD 2.6)— not stated in the abstractP = 0.78
RAPID-3 scoresCPPD vs Gout · lower in CPPD8.1 (SD 5.6)12.1 (SD 6.2)6.8 (SD 6.1)P < 0.01
RAPID-3 scoresCPPD vs OA · similarP = 0.30

— not stated in the abstract

Unmet treatment need · CPPD vs Gout · significantly greater in CPPD
P = 0.04

WOMAC stiffness and function

Significantly worse WOMAC stiffness in CPPD than mild OA
Significantly better WOMAC function in CPPD than severe OA

CPPD manifestations

≥1 episode of acute CPP crystal arthritis
68%
Chronic CPP inflammatory arthritis
40%
OA with CPPD
62%

Original publication

Patient-Reported Outcomes in Calcium Pyrophosphate Deposition Disease Compared to Gout and Osteoarthritis. J Rheumatol. Published 15 April 2023. doi:10.3899/jrheum.2023-0031

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