BMC Rheumatology (Aug 2021)

Longitudinal development of incident gout from low-normal baseline serum urate concentrations: individual participant data analysis

  • Philip C. Robinson,
  • Christopher Frampton,
  • Amanda Phipps-Green,
  • Tuhina Neogi,
  • Lisa Stamp,
  • William Taylor,
  • Tony R. Merriman,
  • Nicola Dalbeth

DOI
https://doi.org/10.1186/s41927-021-00204-4
Journal volume & issue
Vol. 5, no. 1
pp. 1 – 8

Abstract

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Abstract Introduction Elevated serum urate (SU) concentration is the central risk factor for the development of gout. The aim of this study was to examine the incidence of gout in people with low and normal SU levels ( 7.00 mg/dL was 12.2%. In an adjusted Cox proportional hazards model, compared to the referent baseline SU 7.00 mg/dL (HR 18.62). Conclusion A baseline SU of 5.50 mg/dL or more is a risk factor for development of gout over 15 years. However, incident gout does occur over time in a small proportion of people with lower baseline SU levels.

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