Trends in the manifestations of 9754 gout patients in a Chinese clinical center: A 10-year observational study
Gao, Qianhui1,7; Cheng, Xiaoyu1,7; Merriman, Tony R.4,5,6; Wang, Can1,7; Cui, Lingling1,7; Zhang, Hui6; Sun, Wenyan6; Wang, Jing2,3; Wang, Feiyue2,3; Li, Changgui1,6,7
刊名JOINT BONE SPINE
2021-12-01
卷号88期号:6页码:6
关键词Gout Early-onset Risk factors
ISSN号1297-319X
DOI10.1016/j.jbspin.2020.09.010
通讯作者Lu, Jie(13127006046@163.com)
英文摘要Objective: The prevalence of gout is increasing but studies of its clinical features in large samples are lacking. This study aimed to clarify changes in the clinical manifestations of gout in China over the last decade and investigate the clinical features and risk factors of early-onset gout. Methods: Clinical manifestations were compared between 9754 gout patients who first presented at our clinic with gout in 2008-2012 (earlier group) or 2013-2018 (later group). Gout onset <= 30 years old was defined as early-onset and > 30 years as late-onset. Clinical features and risk factors were compared between the groups. Results: The gout-onset age was 4.14 years younger and the percentage of early-onset gout (3827 patients) was higher in the later 2013-2018 group (5979 patients). The disease duration was significantly shorter (5.72 +/- 0.09 vs. 6.01 +/- 0.11 years P < 0,05) and the ratio of patients with tophi was correspondingly lower in the later group (22.0% vs. 20.0%, P < 0,05). More patients were obese (32.6% vs. 37.7%, P < 0.001) and serum urate levels (465.0 +/- 1.9 mu mol/L vs. 485.5 +/- 1.5 mu mol/L) were significantly higher in the later group. As the age of gout-onset became younger, we did the multivariate logistic regression and identified a positive family history, male sex, obesity, elevated serum urate, and sugar-sweetened soft drinks as independent predictors of early-onset gout. Conclusion: The manifestations of gout in China have changed over the last decade, associated with trend towards younger onset. (C) 2020 Socie acute accent te acute accent franc , aise de rhumatologie. Published by Elsevier Masson SAS.
资助项目National Key Research and Development Program[2016YFC0903400] ; National Natural Science Foundation of China[31900413] ; National Natural Science Foundation of China[81520108007] ; National Natural Science Foundation of China[81770869]
WOS关键词URIC-ACID ; YOUNGER AGE ; HYPERURICEMIA ; OBESITY ; ONSET ; RISK ; PREVALENCE
WOS研究方向Rheumatology
语种英语
出版者ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER
WOS记录号WOS:000722025600001
资助机构National Key Research and Development Program ; National Natural Science Foundation of China
内容类型期刊论文
源URL[http://ir.ia.ac.cn/handle/173211/46542]  
专题自动化研究所_复杂系统管理与控制国家重点实验室_先进控制与自动化团队
通讯作者Lu, Jie
作者单位1.Qingdao Univ, Affiliated Hosp, Dept Endocrinol & Metab, Shandong Prov Key Lab Metab Dis, Qingdao 266003, Peoples R China
2.Chinese Acad Sci, Inst Automat, State Key Lab Management & Control Complex Syst, Beijing 100190, Peoples R China
3.Qingdao Acad Intelligent Ind, Inst Smart Healthcare Syst, Qingdao 266109, Peoples R China
4.Univ Alabama Birmingham, Div Clin Immunol & Rheumatol, Birmingham, AL 35294 USA
5.Univ Otago, Dept Biochem, Dunedin, New Zealand
6.Qingdao Univ, Inst Metab Dis, Qingdao 266003, Peoples R China
7.Qingdao Univ, Affiliated Hosp, Dept Endocrinol & Metab, Qingdao Key Lab Gout, Qingdao 266003, Peoples R China
推荐引用方式
GB/T 7714
Gao, Qianhui,Cheng, Xiaoyu,Merriman, Tony R.,et al. Trends in the manifestations of 9754 gout patients in a Chinese clinical center: A 10-year observational study[J]. JOINT BONE SPINE,2021,88(6):6.
APA Gao, Qianhui.,Cheng, Xiaoyu.,Merriman, Tony R..,Wang, Can.,Cui, Lingling.,...&Lu, Jie.(2021).Trends in the manifestations of 9754 gout patients in a Chinese clinical center: A 10-year observational study.JOINT BONE SPINE,88(6),6.
MLA Gao, Qianhui,et al."Trends in the manifestations of 9754 gout patients in a Chinese clinical center: A 10-year observational study".JOINT BONE SPINE 88.6(2021):6.
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