{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T03:11:53Z","timestamp":1778901113555,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T00:00:00Z","timestamp":1695081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the relationship between the specific ultrasonic manifestations of lower limb joints and impaired kidney function in gouty arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional study, 408 patients with gouty arthritis were divided into two groups based on the status of renal function: normal group (<jats:italic>n<\/jats:italic>\u2009=\u2009240) and renal impairment (<jats:italic>n<\/jats:italic>\u2009=\u2009168) group. All patients underwent ultrasound examination of the bilateral knee, ankle, and first metatarsophalangeal joints to detect ultrasound features of double\u2010contour sign (DC) and tophus. Multiple logistic regression analysis was conducted to assess the association between kidney dysfunction and ultrasound features. A number of potential clinical confounders were adjusted in the model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Univariable conditional logistic regression produces several significant risk factors of impaired kidney function which were the highest and current lever of serum urate acid, course of disease, frequency of attack, hyperlipidemia, hypertension, diabetes, coronary heart disease, presence of multiple tophus, and DC (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). After correcting the course of disease and other risk factors, tophus was still an independent risk factor of impaired kidney function and the multivariable adjusted odds ratios (95% CI) was 1.789 (1.005\u20133.185, <jats:italic>P<\/jats:italic>\u2009=\u20090.05), however, the association was not significant in DC (OR\u2009=\u20091.098, 95% CI: 0.668\u20131.803, <jats:italic>P<\/jats:italic>\u2009=\u20090.71).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The ultrasound feature of tophus was associated with kidney dysfunction in patients with gout, independent of clinical risk factors, which may be helpful in guiding clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.23561","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T13:48:55Z","timestamp":1695131335000},"page":"1553-1559","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Association between specific ultrasound features of joints and impaired kidney function among gout patients"],"prefix":"10.1002","volume":"51","author":[{"given":"Di","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhibin","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pengli","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xia","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7948-9247","authenticated-orcid":false,"given":"Weijing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing 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