Gout and the risk of age-related macular degeneration in the elderly

PloS One
Jasvinder A Singh, John D Cleveland

Abstract

To assess whether gout is associated with incident age-related macular degeneration (AMD). We used the 5% Medicare claims data from 2006-12 for all beneficiaries who were enrolled in Medicare fee-for-service (Parts A, B) and not enrolled in a Medicare Advantage Plan, and resided in the U.S. People were censored at the occurrence of new diagnosis of AMD, death or the end of study (12/31/2012), whichever occurred first. We used multivariable-adjusted Cox regression analyses to assess the association of gout with incident AMD, adjusted for demographics, comorbidity, and use of medications for cardiovascular disease and gout. Hazard ratios and 95% confidence intervals were calculated. In this observational cohort study, of the 1,684,314 eligible people, 116,097 developed incident AMD (6.9%). Incidence rates of AMD per 1,000 person-years were 20.1 for people with gout and 11.7 for people without gout. In multivariable-adjusted analyses, a diagnosis of gout was significantly associated with a higher risk of incident AMD with a hazard ratio of 1.39 (95% CI, 1.35, 1.43). This association was confirmed in sensitivity analyses that substituted Charlson-Romano comorbidity index continuous score with either a categorical Charlson-Romano co...Continue Reading

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Citations

Apr 14, 2020·Open Access Rheumatology : Research and Reviews·Marwa Yahia MahgoubShaza Abdul Basset
Jul 6, 2020·Seminars in Arthritis and Rheumatism·Jasvinder A Singh, Angelo Gaffo
May 1, 2021·International Journal of Molecular Sciences·Chia-Chun TsengShun-Jen Chang

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