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Gout is associated with more comorbidities, poorer health-related quality of life and higher healthcare utilisation in US veterans.
Ann Rheum Dis. 2008 Sep; 67(9):1310-6.AR

Abstract

OBJECTIVE

To better understand the impact of gout on functional status, health-related quality of life (HRQoL), mortality and healthcare utilisation in US veterans.

METHODS

All veterans seen in Veterans Integrated Service Network-13 from 1 October 1996 to 31 March 1998 received mailed surveys asking about demographic characteristics; performance of activities of daily living and HRQoL by Short Form-36 (SF-36) for Veterans. Administrative data included demographics; inpatient/outpatient healthcare utilisation; ICD-9 codes for gout, medical comorbidities and arthritis excluding gout-"arthritic comorbidity" and 1-year mortality. Multivariable estimates compared results between veterans with/without gout using least means squared.

SUBJECTS

with gout were significantly older, retired, not married, current non-smokers, with more comorbidities. Multivariable-adjusted bodily pain was somewhat worse (49.7 vs 47.1, p<0.01) and mental health (66.7 vs 68.6, p<0.01) domain scores somewhat better in patients with gout, both differences significant but not clinically meaningful (less than threshold of 5-10 points); other SF-36 domain and summary scores and functional limitations were similar. Medical or arthritic comorbidities predicted clinically/statistically lower adjusted scores in all SF-36 domains and physical domains (physical component summary), respectively. Patients with gout had significantly more annual primary care visits (3.5 vs 2.7, p<0.001) and admissions to hospital (18.3% vs 15.1%, p<0.01), fewer mental health visits (10.1% vs 13.7%, p<0.01) and similar mortality (2.6% vs 2.2%, p = 0.23).

CONCLUSIONS

Gout is independently associated with higher medical and arthritic comorbidity, primary care and inpatient utilisation. Poorer HRQoL, functional limitation and higher mortality noted in univariate analyses in patients with gout were attributable to higher comorbidity and sociodemographic characteristics.

Authors+Show Affiliations

Minneapolis VA Medical Center, Rheumatology (111R), One Veteran's Drive, Minneapolis, MN 55417, USA. Jasvinder.Singh@va.govNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

18178692

Citation

Singh, J A., and V Strand. "Gout Is Associated With More Comorbidities, Poorer Health-related Quality of Life and Higher Healthcare Utilisation in US Veterans." Annals of the Rheumatic Diseases, vol. 67, no. 9, 2008, pp. 1310-6.
Singh JA, Strand V. Gout is associated with more comorbidities, poorer health-related quality of life and higher healthcare utilisation in US veterans. Ann Rheum Dis. 2008;67(9):1310-6.
Singh, J. A., & Strand, V. (2008). Gout is associated with more comorbidities, poorer health-related quality of life and higher healthcare utilisation in US veterans. Annals of the Rheumatic Diseases, 67(9), 1310-6. https://doi.org/10.1136/ard.2007.081604
Singh JA, Strand V. Gout Is Associated With More Comorbidities, Poorer Health-related Quality of Life and Higher Healthcare Utilisation in US Veterans. Ann Rheum Dis. 2008;67(9):1310-6. PubMed PMID: 18178692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gout is associated with more comorbidities, poorer health-related quality of life and higher healthcare utilisation in US veterans. AU - Singh,J A, AU - Strand,V, Y1 - 2008/01/04/ PY - 2008/1/8/pubmed PY - 2008/10/29/medline PY - 2008/1/8/entrez SP - 1310 EP - 6 JF - Annals of the rheumatic diseases JO - Ann Rheum Dis VL - 67 IS - 9 N2 - OBJECTIVE: To better understand the impact of gout on functional status, health-related quality of life (HRQoL), mortality and healthcare utilisation in US veterans. METHODS: All veterans seen in Veterans Integrated Service Network-13 from 1 October 1996 to 31 March 1998 received mailed surveys asking about demographic characteristics; performance of activities of daily living and HRQoL by Short Form-36 (SF-36) for Veterans. Administrative data included demographics; inpatient/outpatient healthcare utilisation; ICD-9 codes for gout, medical comorbidities and arthritis excluding gout-"arthritic comorbidity" and 1-year mortality. Multivariable estimates compared results between veterans with/without gout using least means squared. SUBJECTS: with gout were significantly older, retired, not married, current non-smokers, with more comorbidities. Multivariable-adjusted bodily pain was somewhat worse (49.7 vs 47.1, p<0.01) and mental health (66.7 vs 68.6, p<0.01) domain scores somewhat better in patients with gout, both differences significant but not clinically meaningful (less than threshold of 5-10 points); other SF-36 domain and summary scores and functional limitations were similar. Medical or arthritic comorbidities predicted clinically/statistically lower adjusted scores in all SF-36 domains and physical domains (physical component summary), respectively. Patients with gout had significantly more annual primary care visits (3.5 vs 2.7, p<0.001) and admissions to hospital (18.3% vs 15.1%, p<0.01), fewer mental health visits (10.1% vs 13.7%, p<0.01) and similar mortality (2.6% vs 2.2%, p = 0.23). CONCLUSIONS: Gout is independently associated with higher medical and arthritic comorbidity, primary care and inpatient utilisation. Poorer HRQoL, functional limitation and higher mortality noted in univariate analyses in patients with gout were attributable to higher comorbidity and sociodemographic characteristics. SN - 1468-2060 UR - https://www.unboundmedicine.com/medline/citation/18178692/Gout_is_associated_with_more_comorbidities_poorer_health_related_quality_of_life_and_higher_healthcare_utilisation_in_US_veterans_ L2 - https://ard.bmj.com/lookup/pmidlookup?view=long&amp;pmid=18178692 DB - PRIME DP - Unbound Medicine ER -