Rheumatology Medical News about gout;seasonality

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The seasonality and trends in the incidence and prevalence of gout in England and Wales 1994-2007
Annals of Rheumatic Diseases, 12/10/08

Elliot AJ et al. - Study shows that the incidence of gout is seasonal. This has implications for the management of patients who currently suffer gout, and for those patients who are at risk from future attacks.

Methods

Aim was to examine seasonality and long-term trends in the incidence and prevalence of gout
New cases and acute attacks of gout per 10,000 population were calculated for age groups 0-44, 45-64, 65-74 and ≥75 yrs
Long-term trends assessed by regression analysis
Seasonality indices calculated using 4-weekly data; relative risk during the summer estimated
Annual prevalence estimated from the consulting and from prescribing data

Results

Annual incidence rate of new gout cases was stable from 1998-2007; acute attacks decreased on average 4%/yr
New gout cases and acute attacks during the ‘summer’ period
There was an increased risk of gout diagnosis during summer months
Annual prevalence of gout was 0.46%; highest rates in males ≥75 yrs
Estimated prevalence was 0.37%

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