Gout in Native Hawaiian Patients in Hawai'i: Clinical Characteristics and Disparities.
Arthritis Care Res (Hoboken)
; 76(5): 712-719, 2024 05.
Article
em En
| MEDLINE
| ID: mdl-38163751
ABSTRACT
OBJECTIVE:
The purpose of this study was to investigate differences in clinical characteristics and health care use of Native Hawaiian and White patients with gout.METHODS:
We performed a retrospective chart review of Native Hawaiian and White patients with gout treated from 2011 to 2017 within a large health care system in Hawai'i. We compared demographic characteristics, clinical outcomes, and risk factors for gout. We used multivariable logistic regression to identify predictive factors of emergency department visits.RESULTS:
We identified 270 Native Hawaiian patients with gout and 239 White patients with gout. The Native Hawaiian patients were younger on average (54.0 vs 64.0 years; P < 0.0001) and had an earlier onset of disease (50.0 vs 57.0 years; P < 0.0001). Native Hawaiian patients with gout had higher mean (7.58 vs 6.87 mg/dL; P < 0.0001) and maximum (10.30 vs 9.50 mg/dL; P < 0.0001) serum urate levels compared to White patients with gout. Native Hawaiian patients with gout also had a greater number of tophi (median 2.00 vs 1.00; P < 0.0001). Native Hawaiians patients with gout were 2.7 times more likely to have frequent (≥1) emergency department visits than White patients with gout. Native Hawaiian patients with gout were less likely to have a therapeutic serum urate ≤6.0 mg/dL and had lower rates of rheumatology specialty care.CONCLUSION:
Native Hawaiian patients have a higher disease burden of gout, with earlier disease onset and more tophi. Native Hawaiian patients with gout are more likely to use emergency services for gout and have lower rates of rheumatology specialty care compared to White patients. Future studies are needed to promote culturally appropriate preventive care and management of gout in Native Hawaiians.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Problema de saúde:
1_desigualdade_iniquidade
/
2_cobertura_universal
Assunto principal:
Havaiano Nativo ou Outro Ilhéu do Pacífico
/
Gota
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Arthritis Care Res (Hoboken)
/
Arthritis care & research (2010 : Online)
Assunto da revista:
REUMATOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article