“Don’t get old” and other stories . . .

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g1422 (Published 12 February 2014) Cite this as: BMJ 2014;348:g1422

Gout is becoming more common in the UK according to a new study (Annals of the Rheumatic Diseases 2014, doi:10.1136/annrheumdis-2013-204463). The authors use the Clinical Practice Research Dataset (CPRD) to examine its prevalence, incidence, geographical distribution, and treatment from 1997 to 2012. They think it unlikely that the rise from 1.5% to 2.5% in prevalence is due to high living, because recent studies indicate that gout is more prevalent in low income groups. And they criticise GPs for prescribing too few uric acid lowering drugs and patients for not taking them when prescribed. But Minerva doesn’t think a CPRD based study can support conclusions about the appropriateness of individual treatment decisions in such a variable condition.

“Independent lines of evidence converge to suggest a central role of the gut microbial community in Crohn’s disease” say the authors of a French study (Gut 2014, doi:10.1136/gutjnl-2012-303786) that describes a bacterial protein signature that may be specific to the disease. Minerva …

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