Prevalence and correlates of gout in a large cohort of patients with chronic kidney disease: the German Chronic Kidney Disease (GCKD) study
Jing J, Kielstein JT, Schultheiss UT, Sitter T, Titze SI, Schaeffner ES, Mcadams-Demarco M, Kronenberg F, Eckardt KU, Köttgen A (2015)
Publication Type: Journal article
Publication year: 2015
Journal
Publisher: Oxford University Press (OUP): Policy B
Book Volume: 30
Pages Range: 613-21
Journal Issue: 4
DOI: 10.1093/ndt/gfu352
Abstract
Reduced kidney function is a risk factor for hyperuricaemia and gout, but limited information on the burden of gout is available from studies of patients with chronic kidney disease (CKD). We therefore examined the prevalence and correlates of gout in the large prospective observational German Chronic Kidney Disease (GCKD) study.Data from 5085 CKD patients aged 18-74 years with an estimated glomerular filtration rate (eGFR) of 30-<60 mL/min/1.73 m(2) or eGFR >=60 and overt proteinuria at recruitment and non-missing values for self-reported gout, medications and urate measurements from a central laboratory were evaluated.The overall prevalence of gout was 24.3%, and increased from 16.0% in those with eGFR >=60 mL/min/1.73 m(2) to 35.6% in those with eGFR <30. Of those with self-reported gout, 30.7% of individuals were not currently taking any gout medication and among gout patients on urate lowering therapy, 47.2% still showed hyperuricaemia. Factors associated with gout were serum urate, lower eGFR, advanced age, male sex, higher body mass index and waist-to-hip ratio, higher triglyceride and C-reactive protein (CRP) concentrations, alcohol intake and diuretics use. While lower eGFR categories showed significant associations with gout in multivariable-adjusted models (prevalence ratio 1.46 for eGFR <30 compared with eGFR >=60, 95% confidence interval 1.21-1.77), associations between gout and higher urinary albumin-to-creatinine ratio in this CKD population were not significant.Self-reported gout is common among patients with CKD and lower GFR is strongly associated with gout. Pharmacological management of gout in patients with CKD is suboptimal. Prospective follow-up will show whether gout and hyperuricaemia increase the risk of CKD progression and cardiovascular events in the GCKD study.
Authors with CRIS profile
Involved external institutions
Albert-Ludwigs-Universität Freiburg
Germany (DE)
Charité - Universitätsmedizin Berlin
Germany (DE)
Ludwig-Maximilians-Universität (LMU)
Germany (DE)
Johns Hopkins University (JHU)
United States (USA) (US)
Medizinische Hochschule Hannover (MHH) / Hannover Medical School
Germany (DE)
Medizinische Universität Innsbruck
Austria (AT)
Germany (DE)
Charité - Universitätsmedizin Berlin
Germany (DE)
Ludwig-Maximilians-Universität (LMU)
Germany (DE)
Johns Hopkins University (JHU)
United States (USA) (US)
Medizinische Hochschule Hannover (MHH) / Hannover Medical School
Germany (DE)
Medizinische Universität Innsbruck
Austria (AT)
How to cite
APA:
Jing, J., Kielstein, J.T., Schultheiss, U.T., Sitter, T., Titze, S.I., Schaeffner, E.S.,... Köttgen, A. (2015). Prevalence and correlates of gout in a large cohort of patients with chronic kidney disease: the German Chronic Kidney Disease (GCKD) study. Nephrology Dialysis Transplantation, 30(4), 613-21. https://dx.doi.org/10.1093/ndt/gfu352
MLA:
Jing, Jiaojiao, et al. "Prevalence and correlates of gout in a large cohort of patients with chronic kidney disease: the German Chronic Kidney Disease (GCKD) study." Nephrology Dialysis Transplantation 30.4 (2015): 613-21.
BibTeX: Download