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Gout in the Hmong in the United States

TitleGout in the Hmong in the United States
Publication TypeJournal Article
Year of Publication2010
AuthorsWahedduddin, S, Singh, JA, Culhane-Pera, KA, Gertner, E
JournalJ Clin RheumatolJ Clin Rheumatol
Date PublishedSep
ISBN Number1536-7355 (Electronic)<br/>1076-1608 (Linking)
Accession Number20808166
KeywordsAged, Allopurinol/therapeutic use, Asian Americans/ ethnology, European Continental Ancestry Group/ethnology, Female, Gout Suppressants/therapeutic use, Gout/drug therapy/ epidemiology/ ethnology, Humans, Male, Middle Aged, Prevalence, Retrospective Studies, Risk Factors, Severity of Illness Index, United States/epidemiology
AbstractOBJECTIVE: To compare characteristics of gout in Hmong patients versus whites, and examine if Hmong ethnicity is associated with risk of tophaceous gout. METHODS: A retrospective chart review of Hmong and White patients with gout in a large health care system (Health Partners) in St. Paul, Minnesota, from January 2001 to March 2008, to compare clinical characteristics and risk factors for gout. Multivariable-adjusted hierarchical logistic regressions examined the association of Hmong ethnicity with risk of tophaceous gout, adjusting for age, sex, hypertension, diuretic use, and kidney function. RESULTS: The analytic dataset consisted of 89 Hmong patients and 84 White controls, all of whom had ethnicity confirmed, an International Classification of Diseases, ninth revision code for gout and had at least 2 physician-documented diagnoses of gout. The Hmong group was younger (58.3 vs. 66.3 years, P = 0.04), had an earlier onset of symptoms (37.4 vs. 55.0 years, P
Ethno Med: