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  1. Gout is on the increase in New Zealand.

    Article - En anglais

    Objective

    To determine the current prevalence of hyperuricaemia and gout in New Zealand Maori and Europeans for comparison with previous studies.

    Methods-342 Maori and 315 European men and women aged 15 years and older were studied by personal interview and a musculoskeletal system examination.

    The 1977 ARA criteria for gout in a survey setting were used and serum uric acid was determined by a uricase method.

    The data were compared with those of previous New Zealand studies.

    Results

    Gout was significantly more common in Maori (6.4%) than Europeans (2.9%) (delta=3.6%, 95% confidence interval 0.4 to 6.8) and in Maori men (13.9%) than in European men (5.8%) (delta=8.1%, 95% CI 1.0 to 15.2).

    Hyperuricaemia was significantly more common in Maori men (27.1%) than in European men (9.4%) (delta=17.7%, 95% CI 8.3 to 27.1) and in Maori women (26.6%) than in European women (10.5%) (A=16.1%, 95% CI 8.5 to 23.7).

    At least 14% of hyperuricaemic individuals were receiving diuretics, of whom 78% were women.

    Comparison with previous studies shows that the prevalence of gout has increased in both Maori and Europeans, particularly in men.

    In Maori men the prevalence of gout has risen from 4.5-10.4% previously to 13.9%, and in European men from 0.7% - 2.0% previously to 5.8%. Clinical differences included a stronger family history, earlier age at onset, and a higher frequency of tophi and polyarticular gout in Maori than Europeans. (...)

    Mots-clés Pascal : Goutte(pathologie), Evaluation, Prévalence, Epidémiologie, Nouvelle Zélande, Océanie, Homme, Exploration clinique, Analyse biochimique, Questionnaire, Urique acide, Métabolisme pathologie, Hyperuricémie, Système ostéoarticulaire pathologie, Arthropathie

    Mots-clés Pascal anglais : Gout, Evaluation, Prevalence, Epidemiology, New Zealand, Oceania, Human, Clinical investigation, Biochemical analysis, Questionnaire, Uric acid, Metabolic diseases, Hyperuricemia, Diseases of the osteoarticular system, Arthropathy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0178494

    Code Inist : 002B15I. Création : 21/05/1997.