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An evidence-based review on urate-lowering treatments: implications for optimal treatment of chronic hyperuricemia.

Vasc Health Risk Manag · 2017 · PMC5308472 · PMID 28223818

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an increasing trendno p-value reported
Recent epidemiological evidence has shown an increasing trend in the prevalence of hyperuricemia and gout in the Western world: a number of population-based studies estimate a prevalence of up to 21% for hyperuricemia and 1%–4% for gout.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.