Original Investigation

Treat-to-Target Urate-Lowering Treatment and Cardiovascular Outcomes in Patients With Gout

JAMA Internal Medicine 10.1001/jamainternmed.2025.7453

January 26, 2026 at 11:00 AM EST

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In patients with gout prescribed urate-lowering treatment, is achieving a serum urate level lower than 6 mg/dL associated with lower risk of cardiovascular events within 5 years?In this cohort study of 109 504 patients with gout, those who achieved serum urate levels lower than 6 mg/dL with urate-lowering treatment had a considerably lower risk of cardiovascular events than those who did not achieve this urate level.Treating gout to target serum urate level (ie, <6 mg/dL) was associated with a reduced risk of cardiovascular events.

Corresponding Author: Abhishek Abhishek, PhD, Academic Rheumatology, University of Nottingham, Clinical Sciences Building, Nottingham City Hospital, Nottingham NG5 1PB, United Kingdom (abhishek.abhishek@nottingham.ac.uk).

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