Table 1

Increasing prevalence of gout: epidemiological data from New Zealand, the USA, the UK and China

Study

Survey date

Study population

Case definition

Prevalence


New Zealand

Lennane and colleagues [4]

1958

Random community sample

Personal interview and examination

European 3/1,000, Maori 27/1,000

Prior and Rose [5]

1966

Random community sample

Personal interview and examination

European 9/1,000, Maori 60/1,000

Klemp and colleagues [6]

1992

Random community sample

Personal interview and examination; 1977 ARA criteria

European 29/1,000, Maori 64/1,000

USA

Wallace and colleagues [7]

1990

Medical claims database

Claims with gout diagnosis or urate-lowering drugs

2.9/1,000

1999

5.2/1,000

Lawrence and colleagues [8,9]

1969

National Health Interview Surveys

Self-reported gout

4.8/1,000

1976

7.8/1,000

1980

8.3/1,000

1983 to 1985

9.9/1,000

1988

8.5/1,000

1992

8.4/1,000

UK

Currie [10]

1975

GP records

GP diagnosis

2.6/1,000

Steven [11]

1987

GP records (Scotland)

Specialist review of clinical records

3.4/1,000

Harris and colleagues [12]

1993

GP records (England)

GP diagnosis

9.5/1,000

Mikuls and colleagues [13]

1999

UK-GPRD

GP diagnosis

14/1,000

Annemans and colleagues [14]

2000 to 2005

IMS Disease Analyzer

GP diagnosis

14/1,000

Elliot and colleagues [15]

2001

RCGP Weekly Returns Service

GP diagnosis

4.3/1,000

2003

4.9/1,000

2005

4.8/1,000

2007

4.7/1,000

China

Nan and colleagues [16]

2002

Random community sample

Self-report, confirmed in medical records

3.6/1,000

Miao and colleagues [17]

2004

Random community sample

Questionnaire, physical examination

5.3/1,000

1977 ARA criteria

Taiwan

Chou and colleagues [18]

Not stated

Random community sample

Questionnaire, physical examination. Hyperuricaemia/synovial fluid analysis

Rural 1.6/1,000. suburban 6.7/1,000, urban 6.7/1,000

Chang and colleagues [19]

1993 to 1995

Random community sample

Personal interview, 1977 ARA criteria

Aborigine 91/1,000, non-Aborigine 3/1,000

Lin and colleagues [20]

1993 to 1996

Nutrition and Health Survey

Personal interview, physical examination

34/1,000


ARA, American Rheumatism Association; GP, general practitioner; RCGP, Royal College of General Practitioners; UK-GPRD, UK General Practice Research Database.

Roddy and Doherty Arthritis Research & Therapy 2010 12:223   doi:10.1186/ar3199