Gout & crystal arthritis

Short‐Term Risk of Cardiovascular Events in People Newly Diagnosed With Gout

Arthritis RheumatolPublished Self-controlled case series analysis and cohort study

Main finding · Cardiovascular events (SCCS)Result — go to the resultAdjusted incidence rate ratio 1.55 95% CI 1.33–1.83

Authors' conclusion

Individuals had a short-term increased risk of cardiovascular events in the 30 days following the first consultation at which gout was diagnosed.

Study context

Population
Individuals with a new diagnosis of gout in primary or secondary care, UK, January 1, 1997 to December 31, 2020SCCS 4,398
Exposure
30 days after first gout diagnosis vs baseline (SCCS) and vs days 31 to 730 after diagnosis (cohort)
Outcome
Cardiovascular events: composite of fatal and nonfatal MI, ischemic or hemorrhagic stroke, and transient ischemic attack
Methodological detailslinked primary care, hospitalization and mortality records (CPRD-GOLD)
  • Linked primary care, hospitalization and mortality records (CPRD-GOLD)

Main finding

Cardiovascular events (SCCS) · 30 days after first gout diagnosis

Adjusted incidence rate ratio

1.55

95% CI 1.33–1.83

30 days after diagnosisvs Baseline
adjusted IRR 1.55 (95% CI 1.33–1.83)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeDays 31 to 730Rate difference (events per 1,000 person-years) (95% CI)
Cardiovascular event incidence (cohort study)Days 31 to 730vs 30 days after diagnosis21.6 (95% CI 20.8–22.4) events per 1,000 person-years−9.6 (−14.0 to −5.1)
  • Cardiovascular event incidence (cohort study): 30 days after diagnosis 31.2 (95% CI 27.1–35.9) events per 1,000 person-years
  • Cardiovascular event incidence (cohort study): 76,440 patients (72.9% male, mean age 63.2 years)

Original publication

Short‐Term Risk of Cardiovascular Events in People Newly Diagnosed With Gout. Arthritis Rheumatol. Published 17 October 2024. doi:10.1002/art.42986

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