Evidence map›Paper›PMID 37137562›Full record

ArticleBMJ open2023

Hyperuricaemia: prevalence and association with mortality in an elderly Finnish population.

Janis Timsans, Jenni Emilia Kauppi, Anne Mirjam Kerola, Tiina Maarit Lehto, Hannu Kautiainen, Markku Jaakko Kauppi

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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 3 institutions in 1 country.

Janis TimsansDepartment of Rheumatology, Päijät-Häme Central Hospital, Lahti, Finland janis.timsans@gmail.com.ORCID 0000-0002-0858-0412
Jenni Emilia KauppiUnit of Physiatry and Rehabilitation Medicine, Päijät-Häme Central Hospital, Lahti, Finland.
Anne Mirjam KerolaUniversity of Helsinki, Helsinki, Finland.
Tiina Maarit LehtoDepartment of Clinical Chemistry, Fimlab Laboratoriot Oy, Lahti, Finland.
Hannu KautiainenUniversity of Helsinki, Helsinki, Finland.
Markku Jaakko KauppiDepartment of Rheumatology, Päijät-Häme Central Hospital, Lahti, Finland.
University of Helsinki · FIFimlab (Finland) · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo establish the prevalence of hyperuricaemia in an elderly Finnish cohort and to assess its association with comorbidities and mortality.

designProspective cohort study.

settingGood Ageing in Lahti Region study, Finland 2002-2012 (mortality data analysed until 2018).

participants2673 participants (mean age 64 years; 47% men). PRIMARY AND SECONDARY OUTCOME MEASURES: Prevalence of hyperuricaemia in the study population was detected. Associations between hyperuricaemia and mortality were assessed using multivariable adjusted Cox proportional hazards models.

methodsData from a prospective, population-based study of elderly people (52-76 years) in the Lahti region, Finland, were used. Information on serum uric acid (SUA) levels as well as several other laboratory variables, comorbidities, lifestyle habits and socioeconomic factors was collected, and the association between SUA level and mortality in a 15-year follow-up period was analysed.

resultsOf 2673 elderly Finnish persons included in the study 1197 (48%) were hyperuricaemic. Hyperuricaemia was extremely prevalent in men (60%). There was an association between elevated SUA and mortality which remained after adjustment for potential confounding factors (age, gender, education, smoking status, body mass index, hypertension and dyslipidaemia). The adjusted HR for all-cause mortality among clearly hyperuricaemic individuals with SUA≥420 µmol/L compared with normouricaemic individuals (SUA<360 µmol/L) was 1.32 (95% CI 1.05 to 1.60) in women and 1.29 (95% CI 1.05 to 1.60) in men. In slightly hyperuricaemic individuals (SUA 360-420 µmol/L) the corresponding HRs were 1.03 (95% CI 0.78 to 1.35) and 1.11 (95% CI 0.89 to 1.39).

conclusionsHyperuricaemia is very prevalent in the elderly Finnish population and is independently associated with increased mortality.

Indexed as

HyperuricemiaAgedFemaleFinlandHumansMaleMiddle AgedPrevalenceProspective StudiesRisk FactorsUric AcidUric Acidcardiac epidemiologyepidemiologyrheumatology

Identifiers

PMID37137562
PMCPMC10163549
OpenAlexW4368360971

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LicenceCC BY-NC
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Registered trials

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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.