Evidence map›Paper›PMID 40771143›Full record

Trial reportArthritis care & research2026

Improvements in Health-Related Quality of Life With Treat-to-Target Urate-Lowering Therapy in Gout: A Post Hoc Analysis of a Randomized Multicenter Trial.

Austin Barry, Bryant R England, Harlan Sayles, Lindsay N Helget, Maria Androsenko, Hongsheng Wu, Kaleb Michaud, Bridget Kramer, Jeff A Newcomb, Mary T Brophy and 7 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Arthritis care & research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Review
  2. Review
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

17 authors.

Austin BarryVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.ORCID 0000-0002-2353-8378
Bryant R EnglandVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.ORCID 0000-0002-9649-3588
Harlan SaylesUniversity of Nebraska Medical Center, Omaha.
Lindsay N HelgetVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.ORCID 0000-0001-7716-209X
Maria AndrosenkoVA Boston Cooperative Studies Program Coordinating Center, Boston, Massachusetts.
Hongsheng WuVA Boston Cooperative Studies Program Coordinating Center and Wentworth Institute of Technology, Boston, Massachusetts.
Kaleb MichaudVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, and Forward Databank, Wichita, Kansas.
Bridget KramerVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.
Jeff A NewcombVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.
Mary T BrophyVA Boston Cooperative Studies Program Coordinating Center and VA Boston Health Care System, Boston University, Boston, Massachusetts.
Anne Davis-KarimVA Cooperative Studies Program Clinical Research Pharmacy Coordinating Center, Albuquerque, New Mexico.
Ryan FergusonVA Boston Cooperative Studies Program Coordinating Center, Boston, Massachusetts.
Michael H PillingerVA New York Harbor Health Care System and NYU Grossman School of Medicine, New York, New York.ORCID 0000-0003-3168-1542
Tuhina NeogiBoston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.ORCID 0000-0002-9515-1711
Paul M PalevskyVA Pittsburgh Health Care System and University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
James R O'DellVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.
Ted R MikulsVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.ORCID 0000-0002-0897-2272

Funding

NIH HHS 1UL1NIH HHS 1UL1 TR001445NIH HHS AR070892NIH HHS AR072571NIH HHS GM115458NIH HHS K24NIH HHS P30NIH HHS U54Rheumatology Research FoundationU.S. Department of Defense PR200793U.S. Department of Veterans Affairs CX002203U.S. Department of Veterans Affairs CX002358U.S. Department of Veterans Affairs I01U.S. Department of Veterans Affairs IK2U.S. Department of Veterans Affairs Merit grant BX003635
6 · The paper itself

Abstract

objectiveAlthough treat-to-target urate-lowering therapy (ULT) is endorsed as best practice in gout management, limited data exist on its impact on health-related quality of life (HRQoL). We assessed the impact of treat-to-target ULT on HRQoL among participants receiving protocolized gout care, identifying factors associated with HRQoL and HRQoL change.

methodsThis was a post hoc analysis of a 72-week randomized trial, pooling data from allopurinol and febuxostat treatment arms. The Veterans RAND-12 Item Health Survey and EuroQol 5-Dimension 3-Level (EQ-5D-3L) were administered at baseline and at 24, 48, and 72 weeks. HRQoL changes over follow-up were examined using paired t-tests. Factors associated with baseline HRQoL were evaluated using multivariable linear regression. General estimating equations were used to identify determinants of HRQoL change over follow-up.

resultsParticipants (N = 878) in this analysis were 98.9% male, had a mean age of 62.4 years, and 67.4% self-reported White race. HRQoL scores overall, and particularly the domains of physical function, mobility and pain, improved significantly over 72 weeks (P < 0.001) with improvements noted by 24 weeks. Poorer enrollment HRQoL was associated with younger age, non-White race, tophi (for EQ-5D-3L), higher serum urate level, and greater comorbidity. Baseline factors associated with HRQoL improvements over 72 weeks of ULT included lower C-reactive protein level and lower comorbidity scores with similar changes observed by ULT assignment.

conclusionTreat-to-target ULT in gout is accompanied by HRQoL improvements evident by 24 weeks and sustained through 72 weeks. HRQoL gains with treat-to-target ULT are most prominent in the domains of physical function, mobility, and pain and are greatest in those with lower baseline levels of inflammation and comorbidity.

Indexed as

AllopurinolFebuxostatGoutGout SuppressantsQuality of LifeUric AcidAgedFemaleHumansMaleMiddle AgedTreatment OutcomeAllopurinolFebuxostatGout SuppressantsUric Acid

Identifiers

PMID40771143
PMCPMC12919703

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.