| アブストラクト | OBJECTIVE: Previous studies demonstrated that the risk of venous thromboembolism (VTE) is increased in patients with gout, but not whether there was a temporal association between gout flare and VTE. This study was undertaken to evaluate potential temporal associations between gout flare and VTE. METHODS: Data were obtained from electronic primary-care records from the UK's Clinical Practice Research Datalink, which links data from hospitalization and mortality registers. Using self-controlled case series analysis adjusted for season and age, we evaluated the temporal association between gout flare and VTE. The 90 days after primary-care consultation or hospitalization for gout flare was designated the exposed period. This was divided into three 30-day intervals. The baseline period was up to 2 years before the start of and up to 2 years after the end of the exposed period. The association between gout flare and VTE was measured using adjusted incidence rate ratios (IRRs) with 95% confidence intervals (95% CIs). RESULTS: In total, 314 patients met the inclusion criteria (age >/=18 years, incident gout, no presence of VTE or use of a primary-care anticoagulant prescription before the start of the pre-exposure period). Among the 314 patients, VTE incidence was significantly higher in the exposed period than in the baseline period (adjusted IRR 1.83, 95% CI 1.30-2.59). The adjusted IRR of VTE during the first 30 days after gout flare was 2.31 (95% CI 1.39-3.82) relative to the baseline period. No increase in the adjusted IRRs was observed in days 31-60 (adjusted IRR 1.49, 95% CI 0.79-2.81) and days 61-90 (adjusted IRR 1.67, 95% CI 0.91-3.06) relative to baseline. Results were consistent across sensitivity analyses. CONCLUSION: Among patients with gout, there was a transient increase in the rate of VTE within 30 days after primary-care consultation or hospitalization for gout flare. |
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| ジャーナル名 | Arthritis & rheumatology (Hoboken, N.J.) |
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| 投稿日 | 2023/2/23 |
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| 投稿者 | Cipolletta, Edoardo; Tata, Laila J; Nakafero, Georgina; Avery, Anthony J; Mamas, Mamas A; Abhishek, Abhishek |
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| 組織名 | Academic Rheumatology, University of Nottingham, Nottingham, UK, and Rheumatology;Unit, Department of Clinical and Molecular Sciences, Polytechnic University of;Marche, Ancona, Italy.;Division of Epidemiology and Public Health, University of Nottingham, Nottingham,;UK.;Academic Rheumatology, University of Nottingham, Nottingham, UK.;Centre for Academic Primary Care, School of Medicine, University of Nottingham,;Nottingham, UK.;Keele Cardiovascular Research Group, Keele University, Keele, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/36808284/ |
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