Table 4.

Unadjusted comparisons of patient characteristics for new allopurinol users stratified by SUA goal versus not at SUA goal. All values are n (%) unless specified otherwise.

Patient CharacteristicsTotal, n = 9581aSUA at Goal, < 6 mg/dl, n = 3078SUA Not at Goal, ≥ 6 mg/dl, n = 6503p*
Male vs female7218 (75.3)2149 (69.8)5069 (77.9)< 0.0001*
Patient age groups, yrs< 0.0001*
  < 553462 (36.1)782 (25.4)2680 (41.2)
  55–643923 (40.9)1086 (35.3)2837 (43.6)
  ≥ 652196 (22.9)1209 (39.3)987 (15.2)
Race/ethnicity< 0.0001*
  White4762 (49.7)1622 (52.7)3140 (48.3)
  African American1246 (13.0)442 (14.4)804 (12.4)
  Hispanic1471 (15.4)406 (13.2)1065 (16.4)
  Asian/Pacific Islander78 (0.8)12 (0.4)66 (1.0)
  Other2024 (21.1)596 (19.4)1428 (22.0)
Comorbidities
  Hypertension7743 (80.8)2505 (81.4)5238 (80.5)0.78
  Myocardial infarction823 (8.6)219 (7.1)604 (9.3)0.77
  Congestive heart failure1055 (11.0)254 (8.3)801 (12.3)0.0003*
  Diabetes2850 (29.7)858 (27.9)1992 (30.6)0.07
Other covariates
  Baseline GFR, ml/min, mean ± SD60.5 ± 18.061.6 ± 15.955.2 ± 18.8< 0.0001*
  Diuretic use4798 (50.1)1584 (51.5)3214 (49.4)0.25
  Use of baseline antiinflammatory5357 (55.9)1272 (41.3)4085 (62.8)< 0.0001*
  Rheumatologist as initial prescriber757 (7.9)412 (13.4)345 (5.3)< 0.0001*
  Allopurinol adherence, PDC ≥ 804767 (49.8)2001 (65)2766 (42.5)0.004*
Starting allopurinol total dose, mg/day
  ≤ 1005070 (52.9)699 (22.7)4371 (67.2)< 0.0001*
  > 100 to < 3001995 (20.8)1217 (39.5)778 (12.0)< 0.0001*
  ≥ 3002516 (26.3)1162 (37.8)1354 (20.8)< 0.0001*
Allopurinol dose adjustment
  Dose escalation2992 (31.2)1797 (58.3)1195 (18.4)< 0.002*
  • a SUA was evaluated for patients who had a baseline and followup SUA level anytime during observation (n = 9581). The last SUA level was taken for each patient during followup period.

  • * p value was set at < 0.05 for statistical significance. SUA: serum urate; GFR: glomerular filtration rate; PDC: proportion of days covered.