Increasing prevalence of gout and hyperuricemia over 10 years among older adults in a managed care population.
Increasing prevalence of gout and hyperuricemia over 10 years among older adults in a managed care population.
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发表时间：
2004-08
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通讯作者：
K. Wallace;A. Riedel;N. Joseph‐Ridge;R. Wortmann
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作者：
K. Wallace;A. Riedel;N. Joseph‐Ridge;R. Wortmann
目的确定在管理护理人群中痛风和/或临床显著高尿酸血症的患病率是否在10年内增加。方法利用行政索赔数据库进行描述性分析，以确定痛风和/或高尿酸血症患病率的10年趋势。对每一年(1990-1999年)的患病率进行了横断面计算，并以每1000名参与者的患病率表示/比较。结果痛风和/或高尿酸血症在总人口中的患病率在10年内每1000人中增加约2例。在75岁年龄组中，比率从1990年的每1000人21人增加到1999年的每1000人41人。在65-74岁年龄组，流行率从1990-92年的每1000人21至24人增加到1997-99年的每1000人31人以上。在较年轻年龄组的患病率(65岁)中，男女比例缩小至痛风和/或高尿酸血症(3：1比率)。
OBJECTIVE To determine whether the prevalence of gout and/or clinically significant hyperuricemia increased in a managed care population over 10 years. METHODS The study was a descriptive analysis utilizing an administrative claims database to ascertain 10-year trends in prevalence of gout and/or hyperuricemia. Prevalence rates were calculated cross-sectionally for each year (1990-99) and expressed/compared as rates per 1000 enrollees. RESULTS The prevalence of gout and/or hyperuricemia in the overall population increased by about 2 cases per 1000 enrollees over 10 years. In the > 75 year age group, rates increased from 21 per 1000 persons in 1990 to 41 per 1000 in 1999. In the 65-74 year age group, prevalence increased from between 21 and 24 per 1000 persons in the years 1990-92 to over 31 per 1000 during the years 1997-99. Prevalence rates in younger age groups ( 65), the gender gap narrowed to 1 woman to every 3 men with gout and/or hyperuricemia (3:1 ratio).