4.5 Article

Risk of Incident Diabetes in Patients With Gout A Cohort Study

期刊

ARTHRITIS & RHEUMATOLOGY
卷 67, 期 1, 页码 273-280

出版社

WILEY
DOI: 10.1002/art.38918

关键词

-

资金

  1. NIH [K23-AR-059677, K24-AR-055989, P60-AR-047782, R01-AR-056215]
  2. Pfizer
  3. Pharmaceutical Research and Manufacturers of America Foundation
  4. Amgen
  5. Lilly
  6. Consortium of Rheumatology Researchers of North America
  7. Novartis
  8. Bristol-Myers Squibb

向作者/读者索取更多资源

Objective. Patients with hyperuricemia or gout often have metabolic syndrome. Few prospective studies have examined the risk of incident diabetes mellitus (DM) in patients with gout, and there are no data to indicate whether the risk of DM in gout differs by sex. Therefore, this cohort study was undertaken to examine the overall and sex-specific incidence rates of DM in patients with gout. Methods. Using data from a US commercial insurance plan (2003-2012), the overall and sex-specific incidence rates of DM in patients with gout (ages >= 40 years) were compared to those in patients with osteoarthritis (OA). Incident DM was defined as a diagnosis of DM and at least one dispensing of an antidiabetic drug. The sex-specific effect of gout on DM risk was also examined. Results. The primary study cohorts consisted of 54,075 patients with gout and 162,225 patients with OA, matched for age, sex, and index date. In both cohorts, the mean age of the patients was 56.2 years, and 84.8% were men. Over a mean followup of 1.9 years, the incidence rate of DM was 1.91 per 100 person-years in patients with gout and 1.12 per 100 person-years in patients with OA. Multivariable Cox models adjusted for age, comorbidities, medications, and health care utilization factors revealed that gout was associated with an increased risk of DM (hazard ratio 1.45, 95% confidence interval [95% CI] 1.37-1.54) in both sexes. The impact of gout on the risk of incident DM was greater in women (hazard ratio 1.78, 95% CI 1.51-2.09) than in men (hazard ratio 1.41, 95% CI 1.33-1.50), with a significant interaction between gout and sex in relation to the risk of incident DM (P = 0.0009). Conclusion. Gout was associated with an increased risk of developing DM compared to that in patients with OA after adjustment for potential confounders. In addition, the risk of incident DM associated with gout was higher among women than among men.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Rheumatology

Development of a Medicare Claims-Based Model to Predict Persistent High-Dose Opioid Use After Total Knee Replacement

Chandrasekar Gopalakrishnan, Rishi J. Desai, Jessica M. Franklin, Yinzhu Jin, Joyce Lii, Daniel H. Solomon, Jeffrey N. Katz, Yvonne C. Lee, Patricia D. Franklin, Seoyoung C. Kim

Summary: This study aimed to develop a claims-based model for predicting persistent high-dose opioid use among patients who underwent total knee replacement (TKR). The study utilized Medicare claims data and employed group-based trajectory modeling to identify different patterns of opioid use. The findings revealed that approximately 10.6% of older patients became persistent high-dose opioid users after TKR.

ARTHRITIS CARE & RESEARCH (2022)

Article Rheumatology

Risk of venous thromboembolism associated with tofacitinib in patients with rheumatoid arthritis: a population-based cohort study

Rishi J. Desai, Ajinkya Pawar, Farzin Khosrow-Khavar, Michael E. Weinblatt, Seoyoung C. Kim

Summary: There was no significant difference in the risk of venous thromboembolism between patients with rheumatoid arthritis treated with tofacitinib and those treated with TNFα inhibitors.

RHEUMATOLOGY (2022)

Article Rheumatology

Association Between Inflammation, Incident Heart Failure, and Heart Failure Subtypes in Patients With Rheumatoid Arthritis

Sicong Huang, Tianrun Cai, Brittany N. Weber, Zeling He, Kumar P. Dahal, Chuan Hong, Jue Hou, Thany Seyok, Andrew Cagan, Marcelo F. DiCarli, Jacob Joseph, Seoyoung C. Kim, Daniel H. Solomon, Tianxi Cai, Katherine P. Liao

Summary: This study found that elevated inflammation early in the diagnosis of rheumatoid arthritis (RA) was associated with heart failure, specifically heart failure with preserved ejection fraction (HFpEF). The association was not observed with heart failure with reduced ejection fraction (HFrEF). This finding suggests a window of opportunity for prevention of HFpEF in RA patients.

ARTHRITIS CARE & RESEARCH (2023)

Article Cardiac & Cardiovascular Systems

Association of SGLT2 inhibitors with cardiovascular, kidney, and safety outcomes among patients with diabetic kidney disease: a meta-analysis

Arnaud D. Kaze, Min Zhuo, Seoyoung C. Kim, Elisabetta Patorno, Julie M. Paik

Summary: The study showed that the use of SGLT2i in patients with DKD is associated with reduced risks of MACE, kidney outcomes, HHF, and death. There is limited data on the associations between SGLT2i and safety outcomes, indicating the need for further research.

CARDIOVASCULAR DIABETOLOGY (2022)

Article Pharmacology & Pharmacy

Combined Conventional Synthetic Disease Modifying Therapy vs. Infliximab for Rheumatoid Arthritis: Emulating a Randomized Trial in Observational Data

Andrei Barbulescu, Johan Askling, Saedis Saevarsdottir, Seoyoung C. Kim, Thomas Frisell

Summary: This study emulated a pragmatic trial using observational data and compared it with the results of a well-known trial. The findings showed that using a prespecified protocol in clinical registry data can replicate the results of the trial, favoring infliximab over SSZ + HCQ combination therapy at 9 months.

CLINICAL PHARMACOLOGY & THERAPEUTICS (2022)

Article Cardiac & Cardiovascular Systems

Risk of Hospitalization for Heart Failure in Patients With Hyperkalemia Treated With Sodium Zirconium Cyclosilicate Versus Patiromer

Min Zhuo, Seoyoung C. Kim, Elisabetta Patorno, Julie M. Paik

Summary: This study aimed to investigate whether there is a difference in the risk of hospitalization for heart failure (HHF) between the initiation of sodium zirconium cyclosilicate (SZC) and patiromer for the treatment of hyperkalemia. The results from the matched analysis showed that the use of SZC was associated with a numerically higher risk of HHF compared to patiromer, but this difference did not reach statistical significance.

JOURNAL OF CARDIAC FAILURE (2022)

Article Medicine, General & Internal

Comparative Risk of Alzheimer Disease and Related Dementia Among Medicare Beneficiaries With Rheumatoid Arthritis Treated With Targeted Disease-Modifying Antirheumatic Agents

Rishi J. Desai, Vijay R. Varma, Tobias Gerhard, Jodi Segal, Mufaddal Mahesri, Kristyn Chin, Daniel B. Horton, Seoyoung C. Kim, Sebastian Schneeweiss, Madhav Thambisetty

Summary: This cohort study did not find any association of risk of ADRD in patients treated with tofacitinib, tocilizumab, or TNF inhibitors compared with abatacept.

JAMA NETWORK OPEN (2022)

Article Oncology

Predictors of Treatment Change Among Patients with Rheumatoid Arthritis Treated with TNF Inhibitors as First-Line Biologic Agent in the USA: A Cohort Study from Longitudinal Electronic Health Records

Yinzhu Jin, Joan E. Landon, Whitney Krueger, Alexander Liede, Rishi J. Desai, Seoyoung C. Kim

Summary: This study used nationwide electronic health record (EHR) data in the USA to identify predictors of treatment changes among rheumatoid arthritis (RA) patients initiating a tumor necrosis factor inhibitor (TNFi). The study found that female patients and those who used glucocorticoids were more likely to experience TNFi cycling or switching. Conversely, inflammatory bowel disease, psoriasis, recent methotrexate use, and vitamin D intake were negatively associated with treatment changes.

BIODRUGS (2022)

Article Rheumatology

Using Data-Driven Approaches to Classify and Predict Health Care Spending in Patients With Gout Using Urate-Lowering Therapy

Julie C. C. Lauffenburger, Zhigang Lu, Mufaddal Mahesri, Erin Kim, Angela Tong, Seoyoung C. C. Kim

Summary: This study used data-driven approach to classify and predict spending patterns in patients with gout. The study identified three distinct spending patterns: minimal spending, moderate spending, and high spending, and found that clinical predictors could help predict the spending groups. These findings are important for selecting appropriate interventions.

ARTHRITIS CARE & RESEARCH (2023)

Article Public, Environmental & Occupational Health

Validation of serostatus of rheumatoid arthritis using ICD-10 codes in administrative claims data

Hemin Lee, Jeffrey A. Sparks, Su Been Lee, Kazuki Yoshida, Joan E. Landon, Seoyoung C. Kim

Summary: This study aims to determine the accuracy of ICD-10 diagnosis codes for rheumatoid arthritis (RA) serostatus using a US claims database (Optum Clinformatics Data Mart) and compare the results to a previous study. The results showed that the PPVs for seropositive and seronegative RA in the Optum database were lower than those in MarketScan, but improved when more restricted definitions of M05 and M06 were used.

PHARMACOEPIDEMIOLOGY AND DRUG SAFETY (2023)

Article Rheumatology

Risk of malignant melanoma and non-melanoma skin cancer in rheumatoid arthritis patients initiating methotrexate versus hydroxychloroquine: a cohort study

H. Lee, S. K. Chen, N. Gautam, S. M. Vine, M. He, R. J. Desai, M. E. Weinblatt, R. J. Glynn, S. C. Kim

Summary: The objective of this study was to investigate the incidence rate of skin cancer associated with methotrexate and hydroxychloroquine in older adults with rheumatoid arthritis (RA). The results showed that there was no significant difference in the risk of skin cancer between methotrexate and hydroxychloroquine users. However, methotrexate initiators had a higher risk of basal cell carcinoma (BCC) but a lower risk of squamous cell carcinoma (SCC) compared to hydroxychloroquine initiators.

CLINICAL AND EXPERIMENTAL RHEUMATOLOGY (2023)

Letter Allergy

Trends in pharmacologic treatment of chronic idiopathic urticaria from 2016 to 2020

Lily Li, Joan E. Landon, Seoyoung C. Kim

ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY (2022)

Article Rheumatology

Giant cell arteritis treatment patterns and rates of serious infections

S. K. Tedeschi, Y. Jin, S. Vine, H. Lee, A. Pethoe-Schramm, V Yau, S. C. Kim

Summary: In these two U.S. GCA cohorts, high-dose glucocorticoids were the most common initial treatment. Over 25% of Medicare patients and 7% of MarketScan patients developed serious infections during follow-up. Older age and higher frailty score were associated with higher risk of serious infections.

CLINICAL AND EXPERIMENTAL RHEUMATOLOGY (2022)

Article Gastroenterology & Hepatology

Decreased risk of treatment failure with vedolizumab and thiopurines combined compared with vedolizumab monotherapy in Crohn's disease

Julien Kirchgesner, Rishi J. Desai, Maria C. Schneeweiss, Laurent Beaugerie, Sebastian Schneeweiss, Seoyoung C. Kim

Summary: Combination therapy with vedolizumab and thiopurines is associated with a lower risk of treatment failure compared to vedolizumab monotherapy in patients with CD, but the effect is less pronounced in UC.
Article Urology & Nephrology

Medication Burden and Prescribing Patterns in Patients on Hemodialysis in the USA, 2013-2017

Julie M. Paik, Min Zhuo, Cassandra York, Theodore Tsacogianis, Seoyoung C. Kim, Rishi J. Desai

Summary: A study on patients with ESRD on hemodialysis in the USA found a slight reduction in overall medication burden over time, accompanied by a decrease in prescribing of several classes of harmful medications, particularly non-benzodiazepine hypnotics, benzodiazepines, and opioids.

AMERICAN JOURNAL OF NEPHROLOGY (2022)

暂无数据