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Gout is associated with more comorbidities, poorer health related quality of life and higher health care utilization in US veterans
Annals of Rheumatic Diseases, 04/30/08

Singh JA et al. - Gout is independently associated with higher medical and arthritic comorbidity, primary care and inpatient utilization. Poorer health-related quality of life (HRQoL), functional limitation and higher mortality in gout patients were attributable to higher comorbidity and socio-demographic characteristics.

• Impact of gout on functional status, HRQoL, mortality and health care utilization in U.S. veterans was studied
• All veterans received mailed surveys querying demographic characteristics
• Administrative data included demographics; in/out-patient health care utilization; ICD-9 codes for gout; medical comorbidities; and arthritis excluding gout: "arthritic comorbidity"; and one-year mortality

• Subjects with gout were significantly older, retired, not married, current non-smokers; with more comorbidities
• Bodily pain was somewhat worse and mental health domain scores somewhat better in gout pts
• 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/PCS, respectively
• Gout pts had more annual primary care visits and hospitalizations; fewer mental health visits; and similar mortality

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