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(CalEPA, 1997)

We employed the same case definition used in other large cohort studies whereby gout was defined by yes to the question Have you been told by a doctor to have gout?.[38 39] Furthermore, our interviewers were trained to enquire if the joint pain and swelling from gout was attributed to reported hyperuricemia by their physicians in order to increase the accuracy of self-reported physician-diagnosed gout

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