Evidence map›Paper›PMID 30223875›Full record

Observational studyArthritis research & therapy2018

Monosodium urate burden assessed with dual-energy computed tomography predicts the risk of flares in gout: a 12-month observational study : MSU burden and risk of gout flare.

Tristan Pascart, Agathe Grandjean, Benoist Capon, Julie Legrand, Nasser Namane, Vincent Ducoulombier, Marguerite Motte, Marie Vandecandelaere, Hélène Luraschi, Catherine Godart and 3 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05698680 (Pragmatic, Randomized, Multicenter, Double-blind, Controlled, Clinical Trial of Prednisolone Versus Colchicine for Acute Gout in Primary Care), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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.

NCT05698680 phase4terminatednot on this mapstarted 2023, after this paper: background citation

Pragmatic, Randomized, Multicenter, Double-blind, Controlled, Clinical Trial of Prednisolone Versus Colchicine for Acute Gout in Primary Care

TypeinterventionalSponsorUniversity Medicine GreifswaldRan2023 to 2026Enrolled186ConditionsAcute GoutArmsPrednisolone 30 mg Tablet, Colchicine 0.5 mg Oral Tablet
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Gout and NLRP3 Inflammasome Biology.Arthritis & rheumatology (Hoboken, N.J.) · 2025
    Review
  7. Advanced imaging techniques in crystal arthritis.Therapeutic advances in musculoskeletal disease · 2025
    Review
  8. Imaging of gout: an atlas.Rheumatology advances in practice · 2025
    Review
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. What Has Dual Energy CT Taught Us About Gout?Current rheumatology reports · 2021
    Review
  20. Observational
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

13 authors.

Tristan PascartDepartment of Rheumatology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France. tristan.pascart@hotmail.fr.ORCID 0000-0002-8395-826X
Agathe GrandjeanDepartment of Rheumatology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Benoist CaponDepartment of Radiology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Julie LegrandDepartment of Radiology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Nasser NamaneDepartment of Radiology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Vincent DucoulombierDepartment of Rheumatology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Marguerite MotteDepartment of Rheumatology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Marie VandecandelaereDepartment of Rheumatology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Hélène LuraschiDepartment of Rheumatology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Catherine GodartDepartment of Rheumatology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Eric HouvenagelDepartment of Rheumatology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Laurène NorberciakDepartment of Medical Research, Biostatistics, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.
Jean-François BudzikDepartment of Radiology, Lille Catholic Hospitals, University of Lille, 59160, Lomme, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPredicting the risk of flares in patients with gout is a challenge and the link between urate burden and the risk of gout flare is unclear. The objective of this study was to determine if the extent of monosodium urate (MSU) burden measured with dual-energy computed tomography (DECT) and ultrasonography (US) is predictive of the risk of gout flares.

methodsThis prospective observational study recruited patients with gout to undergo MSU burden assessment with DECT (volume of deposits) and US (double contour sign) scans of the knees and feet. Patients attended follow-up visits at 3, 6 and 12 months. Patients having presented with at least one flare at 6 months were compared to those who did not flare. Odds ratios (ORs) (95% confidence interval) for the risk of flare were calculated.

resultsOverall, 64/78 patients included attended at least one follow-up visit. In bivariate analysis, the number of joints with the double contour sign was not associated with the risk of flare (p = 0.67). Multivariate analysis retained a unique variable: DECT MSU volume of the feet. For each 1 cm

conclusionsThis is the first study showing that the extent of MSU burden measured with DECT but not US is predictive of the risk of flares.

Indexed as

Cost of IllnessSymptom Flare UpAbsorptiometry, PhotonAgedAged, 80 and overFemaleFollow-Up StudiesGoutHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesRisk FactorsTime FactorsTomography, X-Ray ComputedUric AcidDual-energy computed tomographyFlaresGoutUltrasonography

Identifiers

PMID30223875
PMCPMC6142357

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Registered trials

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.