甲状腺功能障碍患者发生痛风的风险增加:一项全国性的回顾性队列研究
Ju-Yeun Lee1,2,3, So-Yeon Park4, Seo Young Sohn5
1Department of Ophthalmology, Myongji Hospital, Hanyang University College of Medicine, Goyang, South Korea.
Rheumatology international
|August 18, 2023
概括
甲状腺功能障碍会增加患痛风的风险,特别是在男性和50岁以下的人群中. 持续的痛风查对于甲状腺功能增高患者至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 类风湿病学 类风湿病学
- 流行病学 流行病学
背景情况:
- 甲状腺功能障碍与血清尿酸升高有关.
- 甲状腺功能障碍和痛风发病率之间的关联需要进一步调查.
研究的目的:
- 纵向评估诊断为甲状腺功能障碍症的患者中痛风的风险.
- 为了确定甲状腺功能高的人群中的特定的人口群体,他们面临高风险的痛风.
主要方法:
- 全国范围的回顾性队列研究使用韩国国家健康索赔数据库.
- 包括76,494名甲状腺过高患者和76,542名匹配对照.
- 考克斯比例危险回归分析以确定痛风风险.
主要成果:
- 甲状腺功能障碍与发生痛风的风险增加显著相关 (aHR,1.12;95% CI,1.07-1.18).
- 这种风险在50岁以下的个人和男性中尤为明显.
- 在女性或50岁以上的人群中没有观察到显著增加的风险.
结论:
- 甲状腺功能障碍是发生痛风的独立危险因素.
- 年轻的患者和患有甲状腺功能障碍的男性需要更密切地监测痛风的发展.
- 推所有甲状腺功能增高患者进行常规痛风查.
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