Evidence map›Paper›PMID 29976236›Full record

SynthesisArthritis research & therapy2018

Obesity, hypertension and diuretic use as risk factors for incident gout: a systematic review and meta-analysis of cohort studies.

Peter L Evans, James A Prior, John Belcher, Christian D Mallen, Charles A Hay, Edward Roddy

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Urate-lowering effects of losartan: a meta-analysis of randomised controlled trials and target trial emulation.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Losartan, uric acid, and cardiometabolic disease: beyond blood pressure control.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  5. Review
  6. Shift work, genetic risk, and incident gout: a prospective cohort study in the UK Biobank.Archives of public health = Archives belges de sante publique · 2026
    Article
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  10. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Peter L EvansResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
James A PriorResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK. j.a.prior@keele.ac.uk.
John BelcherResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Christian D MallenResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Charles A HayResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Edward RoddyResearch Institute for Primary Care and Health Sciences, Keele University, Staffordshire, ST5 5BG, UK.
Keele University · GB

Funding

Department of Health RP_2014-04-026
6 · The paper itself

Abstract

backgroundGout treatment remains suboptimal. Identifying populations at risk of developing gout may provide opportunities for prevention. Our aim was to assess the risk of incident gout associated with obesity, hypertension and diuretic use.

methodsWe conducted a systematic review and meta-analysis of prospective and retrospective cohort studies in adults (age ≥ 18 years) from primary care or the general population, exposed to obesity, hypertension or diuretic use and with incident gout as their outcome.

resultsA total of 9923 articles were identified: 14 met the inclusion criteria, 11 of which contained data suitable for pooling in the meta-analysis. Four articles were identified for obesity, 10 for hypertension and six for diuretic use, with four, nine and three articles included respectively for each meta-analysis. Gout was 2.24 times more likely to occur in individuals with body mass index ≥ 30 kg/m

conclusionsObesity, hypertension and diuretic use are risk factors for incident gout, each more than doubling the risk compared to those without these risk factors. Patients with these risk factors should be recognised by clinicians as being at greater risk of developing gout and provided with appropriate management and treatment options.

Indexed as

AdultBody Mass IndexCohort StudiesDiureticsFemaleGoutHumansHypertensionIncidenceMaleMiddle AgedObesityRisk AssessmentRisk FactorsDiureticsGoutMeta-analysisRheumatologySystematic review

Identifiers

PMID29976236
PMCPMC6034249
OpenAlexW2845910114

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.