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Definition of gout The study specified gout as a condition that had been either diagnosed or managed at least twice using ICD-10 codes (M10), as described previously ( Definition of cardiovascular disease We included only the participants who had been hospitalized for at least two days or who had died owing to any of the following diseases: stroke (ICD-10 codes I60I69), ischemic heart disease (I20I25), or heart failure (I50)

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