medical decision support medical decision support
Sign In

Primary Gout Risk Factors for Musculoskeletal Disability

Purpose: To identify a patient with primary gout who is at risk for musculoskeletal disability based on the report of Alvarez-Nemegyei et al.

Description

A patient with primary gout may develop musculoskeletal disability associated with the arthritis. Alvarez-Nemegyei et al identified risk factors which can help identify a patient who is more likely to be come disabled. The authors are from Instituto Mexicano del Seguro Social and Hospital General "Agustin O'Horan" FUNSALUD Capitulo Peninsular-Secretaria de Salud in Merida, Yucatan, Mexico.


 

Risk factors for musculoskeletal disability:

(1) presence of tophi (relative risk 4.3)

(2) presence of ischemic heart disease (relative risk 8.3)

(3) low formal education (relative risk 2.7)

(4) presence of hypertriglyceridemia (relative risk 3.4)

 

Other risk factors:

(1) chronic use of glucocorticosteroids (relative risk 1.7)

(2) daily use of NSAIDS (relative risk 1.6)

 

One way to use this information is to construct a score:

Parameter

Finding

Points

tophi

absent

0

 

present

3

ischemic heart disease

absent

0

 

present

5

formal education

low

2

 

intermediate or high

0

hypertriglyceridemia

absent

0

 

present

2

chronic use of glucocorticoids

no

0

 

yes

1

daily use of NSAIDS

no

0

 

yes

1

 

total risk score =

= SUM(points for all 6 parameters)

 


To read more or access our algorithms and calculators, please log in or register.

Specialty

Objective

ICD-10