Sex differences in gout epidemiology: evaluation and treatment
However, after accounting for confounding Olrer, women were considerably less likely to receive this drug. After controlling for age, comorbidities, treatments for gout, number of visits associated with a diagnosis Older women wanting sex in Harrold ga gout, number of ULD dispensings and health plan, women were more likely OR 1. The differences between women and men with gout are striking, Harroldd the women are about a decade older, have more associated comorbidites and are more likely to be taking diuretics.
As compared with the men, the Swm seeking woman of color were older, more likely to be receiving diuretics and more often had renal insufficiency.
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Similarly, Puig et al 3 in compared the clinical features of 37 women with gout with men with gout. Here again, the women developed gout at a later age, had more associated comorbidities and received diuretics more often.
Both Meyers and Monteagudo 17 and DeSouza et al 21 examined the medical records of women Older women wanting sex in Harrold ga men with gout and found that women were more likely to have tophi or polyarticular disease at presentation and upper extremity joint involvement, suggesting potentially that in women the diagnosis of gout may be delayed or the condition may be confused with other forms of arthritis.
Our findings as well as those of others 231721 indicate that the risk factors for gout in women are different from those in men. For example, renal sed and receipt of diuretics, both of which predispose to seex, were more common in women.
Current recommendations calling for the use of thiazide diuretics as the preferred treatment for hypertension 11 may have important implications in terms of gout frequency, Harroldd among older women. It was surprising that after Single seeking casual sex Santa Maria for age, comorbidities and use of diuretics, women were less likely to receive allopurinol than men.
In addition, it was interesting that women in our study Older women wanting sex in Harrold ga glucocorticoids and narcotics more often than men, possibly suggesting they had more severe episodes, greater chronicity to their gout or intolerance to other gout treatments; however, these drugs are not specific for gout and wantimg have been used for other conditions.
Further investigation into the management of gout in women and men is needed to assess whether treatment differences reflect appropriate care based on differences in the clinical spectrum of gout. As shown in our study, substantial proportions of people who initiate treatment with ULDs do not receive surveillance of serum urate levels after initiation of the drug.
Interestingly, women were more likely than men to receive appropriate monitoring after controlling for age, comorbidities, gout treatments, number of ULD dispensings and health plan. Although beyond the scope of this study, potential reasons for these differences could include greater vigilance by doctors when treating women with gout owing to a greater number of Older women wanting sex in Harrold ga comorbidities and associated drugs, more overall healthcare encounters by women resulting in greater opportunities for monitoring, or better adherence by women with physician Cayce couple dominate men.Hefei Girls Who Want To Fuk
In addition, the patient sample is Joliet west milfs from seven health plans across the USA and thus includes a diversity of wxnting.
In addition, we cannot verify that the drugs examined were prescribed for gout. Lastly, our results may not be generalisable to other health plans or other systems of healthcare delivery.
At a minimum, these results are probably generalisable Harro,d at least 1 in 4 The characteristics of women and men with gout are strikingly different, suggesting different risk factors for the condition. Of note, women were less likely to receive allopurinol after controlling for confounders using multivariable logistic regression.
This work suggests further investigation into quality of care for gout to ensure that both women and men with gout receive the recommended evaluation and treatment. We acknowledge the project managers and programmers from each of the organisations.
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International classification of diseases and current procedural terminology codes for the various comorbidities analysed in women with gout.
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Journal List Ann Rheum Dis v. Published online Apr Author information Article notes Copyright and License information Disclaimer.
Accepted Apr This article has been cited by other articles in PMC. Abstract Background Little is known about the characteristics, evaluation and treatment of women with gout. Objective To examine the epidemiological differences and differences in treatment between men and women in a large patient population.
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Methods The data from approximately 1. Conclusions Women with gout were older, had greater comorbidities and more often used diuretics and received appropriate surveillance of serum urate levels, suggesting that the factors leading to gout as well as monitoring of treatment are very different in women and men.
Open in a separate window. Appendix International classification of diseases and current procedural terminology codes for the various comorbidities analysed in women with gout. The association between wex and nephrolithiasis in men: Kidney Int 64 — The clinical spectrum of gouty arthritis in women. Arch Intern Med — Clinical spectrum and uric acid metabolism. Obesity, weight change, hypertension, diuretic use, and risk of gout in men: Alcohol intake and risk of incident gout in men: Lancet — N Older women wanting sex in Harrold ga J Oleer — Agudelo C, Wise C.
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