Table 3:
RA disease characteristics by serum urate and gout status at VARA enrollment*
| Baseline Serum Urate (sUA) | Baseline Gout Status | ||||||
|---|---|---|---|---|---|---|---|
| sUA ≤ 6.8 mg/dl | sUA > 6.8 to ≤ 8.0 mg/dl | sUA > 8.0 mg/dl | p-value | Non-gout | Gout | p-value | |
| Disease Activity / Severity | |||||||
| Dis. duration, years, mean (SD) | 12 (11) | 13 (12) | 12 (11) | 0.253 | 12 (11) | 11 (12) | 0.293 |
| Anti-CCP positive, % | 77 | 82 | 77 | 0.235 | 78 | 72 | 0.178 |
| Subcutaneous nodules, % | 29 | 36 | 35 | 0.063 | 30 | 24 | 0.235 |
| Radiographic changes, % | 54 | 55 | 54 | 0.957 | 54 | 51 | 0.515 |
| MD-HAQ, mean (SD) | 0.9 (0.6) | 0.8 (0.6) | 0.9 (0.6) | 0.134 | 0.9 (0.6) | 1.0 (0.6) | 0.099 |
| ESR, mm/hr, mean (SD) | 26 (23) | 25 (20) | 29 (25) | 0.254 | 26 (23) | 27 (23) | 0.758 |
| hsCRP, mg/dl, mean (SD) | 1.2 (2.0) | 1.2 (1.7) | 1.1 (1.6) | 0.384 | 1.2 (1.9) | 1.5 (2.5) | 0.055 |
| DAS28 category, % | 0.773 | 0.777 | |||||
| Remission (< 2.6) | 23 | 24 | 22 | 23 | 24 | ||
| Low (≥2.6 to ≤3.2) | 15 | 16 | 13 | 15 | 15 | ||
| Moderate (>3.2 to ≤5.1) | 39 | 41 | 45 | 40 | 43 | ||
| High (>5.1) | 23 | 19 | 21 | 22 | 17 | ||
| Treatments* | |||||||
| Methotrexate, % | 54 | 61 | 51 | 0.121 | 54 | 63 | 0.126 |
| Leflunomide, % | 12 | 10 | 6 | 0.072 | 12 | 7 | 0.191 |
| Sulfasalazine, % | 16 | 11 | 12 | 0.111 | 14 | 25 | 0.007 |
| Hydroxychloroquine, % | 35 | 39 | 36 | 0.630 | 36 | 30 | 0.291 |
| Prednisone, % | 42 | 46 | 42 | 0.549 | 42 | 49 | 0.208 |
| Biologic therapy, % | 29 | 30 | 37 | 0.172 | 29 | 24 | 0.313 |
| NSAID, % | 36 | 29 | 31 | 0.057 | 35 | 22 | 0.011 |
| Colchicine, % | 7 | 11 | 15 | 0.002 | 6 | 58 | <0.001 |
| Allopurinol, % | 7 | 10 | 22 | <0.001 | 5 | 85 | <0.001 |
| Febuxostat, % | 0.1 | 0.5 | 2.5 | 0.002 | 0.1 | 4.7 | <0.001 |
| Any urate lowering therapy, % | 7 | 10 | 23 | <0.001 | 5 | 85 | <0.001 |
Medications reflect baseline use with exception of gout-related medications (colchicine, allopurinol, febuxostat or other urate lowering medications) that reflect ever use during observation; VARA = Veterans Affairs Rheumatoid Arthritis registry; SD = standard deviation; CCP = cyclic citrullinated peptide; MD-HAQ = Multidimensional Health Assessment Questionnaire; ESR = erythrocyte sedimentation rate; hsCRP = high sensitivity C-reactive protein; DAS28 = 28-joint Disease Activity Score; NSAID = non-steroidal anti-inflammatory drug