Crystal deposition measured with dual-energy computed tomography: association with mortality and cardiovascular risks in gout
Por:
Marty-Ane, A, Norberciak, L, Andres, M, Houvenagel, E, Ducoulombier, V, Legrand, J, Budzik, J and Pascart, T
Publicada:
1 oct 2021
Ahead of Print:
1 feb 2021
Resumen:
Objectives. To determine whether the volume of monosodium urate (MSU) crystal deposition measured with dual-energy CT (DECT) is predictive of short-term mortality and development of cardiovascular comorbidities and diabetes mellitus.
Methods. Patients with a diagnosis of gout having had baseline DECT scans of their knees and feet to measure the volume of MSU crystal deposition were included to undergo a follow-up visit. Risk factors for mortality and a composite variable (onset of any cardio-metabolic event) were examined using multivariable Cox models.
Results. A total of 128 patients aged 66.1 (14.0) years with gout durations of 11.4 (10.4) years were included; most were naive of urate lowering therapy (61.7%), with a follow-up visit at 24 (12, 36) months. Baseline serum urate (SU) level was 7.44 (2.29) mg/dl and DECT volume of MSU crystals was 0.2 (0, 0.9) cm(3). A total of 14 patients died during follow-up, 6/14 from a cardiovascular cause, and 17 patients presented a new cardio-metabolic comorbidity. Factors associated with mortality risk were baseline DECT volume of MSU crystals [hazard ratio (HR) 1.02, 95% CI: 1.002, 1.03] and baseline SU level (HR 1.04, 95% CI: 1.003, 1.06). DECT volume of MSU crystals was the only factor associated with the onset of cardio-metabolic comorbidities with a HR of 1.014 (95% CI: 1.001, 1.03).
Conclusions. Volume of MSU crystals measured with DECT is a biomarker for the risk of developing new cardio-metabolic diseases and for all-cause mortality.
Filiaciones:
Marty-Ane, A:
Lille Catholic Univ, Lille Catholic Hosp, Rheumatol Dept, Lille, France
Norberciak, L:
Lille Catholic Hosp, Res Dept, Biostat, Lille, France
:
Alicante Gen Univ Hosp ISABIAL, Rheumatol Dept, Alicante, Spain
Miguel Hernandez Univ, Clin Med Dept, Alicante, Spain
Houvenagel, E:
Lille Catholic Univ, Lille Catholic Hosp, Rheumatol Dept, Lille, France
Ducoulombier, V:
Lille Catholic Univ, Lille Catholic Hosp, Rheumatol Dept, Lille, France
Legrand, J:
Lille Catholic Univ, Lille Catholic Hosp, Dept Musculoskeletal Imaging, Lille, France
Budzik, J:
Lille Catholic Univ, Lille Catholic Hosp, Dept Musculoskeletal Imaging, Lille, France
Lille Univ, MABLab, ULR 4490, Lille, France
Pascart, T:
Lille Catholic Univ, Lille Catholic Hosp, Rheumatol Dept, Lille, France
Lille Univ, MABLab, ULR 4490, Lille, France
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