Severe tophaceous gout and disability: changes in the past 15 years.
Epidemiologic data from recent decades show a significant increase in the prevalence and incidence of gout worldwide, in addition to changes in its clinical expression. Our objective was to compare the frequency of the severity of gout and disability in two patient groups at our clinic during different periods. We included and compared data of two groups: group A (1995-2000), patients from previous report, and group B (2010-2014), the baseline data of current patients participating in a cohort (GRESGO). This evaluation included data of socioeconomic and educational levels, demographics, associated diseases, previous treatment, clinical and biochemical data, and disability evaluated using the Health Assessment Questionnaire (HAQ). We included data of 564 gout patients. Participants were 35.7 ± 12.7 years old at onset and had 12.0 ± 9.2-years disease duration at their first evaluation in our department. Group B patients were younger, had higher educational and socioeconomic levels, and had more severe disease. However, this group had less frequency of some associated diseases and significantly higher HAQ scores. With increased HAQ score, a higher number of acute flares and tender, limited-to-motion, and swollen joints were seen. The spectrum of gout has changed over the past decade. A higher percentage of our patients had a severe form of disease, were younger, had earlier disease onset, and had more disability reflected in higher HAQ scores. In our current patient group, the variable most associated with disability was limited-to-motion joints; however, the number of acute flares and tender and swollen joints was also higher in patients with greater disability.
['López López|Carlos Omar|CO|', 'Lugo|Everardo Fuentes|EF|', 'Alvarez-Hernández|Everardo|E|', 'Peláez-Ballestas|Ingris|I|', 'Burgos-Vargas|Rubén|R|', 'Vázquez-Mellado|Janitzia|J|']
D000293:Adolescent D000328:Adult D015331:Cohort Studies D004185:Disability Evaluation D006233:Disabled Persons D005260:Female D006073:Gout D006801:Humans D007596:Joints D008297:Male D008800:Mexico D008875:Middle Aged D012189:Retrospective Studies D012219:Rheumatology D011795:Surveys and Questionnaires D055815:Young Adult
Tophaceous gout Gout Disability HAQ