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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(12
): e0145193
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Effect of Urate-Lowering Therapy on All-Cause and Cardiovascular Mortality in
Hyperuricemic Patients without Gout: A Case-Matched Cohort Study
#MMPMID26683302
Chen JH
; Lan JL
; Cheng CF
; Liang WM
; Lin HY
; Tsay GJ
; Yeh WT
; Pan WH
PLoS One
2015[]; 10
(12
): e0145193
PMID26683302
show ga
OBJECTIVES: An increased risk of mortality in patients with hyperuricemia has
been reported. We examined (1) the risk of all-cause and cardiovascular disease
(CVD) mortality in untreated hyperuricemic patients who did not receive
urate-lowering therapy (ULT), and (2) the impact of ULT on mortality risk in
patients with hyperuricemia. METHODS: In this retrospective case-matched cohort
study during a mean follow-up of 6.4 years, 40,118 Taiwanese individuals aged ?17
years who had never used ULT and who had never had gout were examined. The
mortality rate was compared between 3,088 hyperuricemic patients who did not
receive ULT and reference subjects (no hyperuricemia, no gout, no ULT) matched
for age and sex (1:3 hyperuricemic patients/reference subjects), and between
1,024 hyperuricemic patients who received ULT and 1,024 hyperuricemic patients
who did not receive ULT (matched 1:1 based on their propensity score and the
index date of ULT prescription). Cox proportional hazard modeling was used to
estimate the respective risk of all-cause and CVD (ICD-9 code 390-459) mortality.
RESULTS: After adjustment, hyperuricemic patients who did not receive ULT had
increased risks of all-cause (hazard ratio, 1.24; 95% confidence interval,
0.97-1.59) and CVD (2.13; 1.34-3.39) mortality relative to the matched reference
subjects. Hyperuricemic patients treated with ULT had a lower risk of all-cause
death (0.60; 0.41-0.88) relative to hyperuricemic patients who did not receive
ULT. CONCLUSION: Under-treatment of hyperuricemia has serious negative
consequences. Hyperuricemic patients who received ULT had potentially better
survival than patients who did not.