Gout — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 59 of 2019

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting gout or death from gout with the circumstances of a person's relevant service:

1. (1)
   having a haematological disorder from the specified list of haematological disorders at the time of the clinical onset of gout;

   Note: specified list of haematological disorders is defined in the Schedule 1 - Dictionary.

2. (2)
   being treated with a drug from a class of drugs from the specified list of antihypertensive drugs for a continuous period of at least seven days, before the clinical onset of gout, where the last dose of the drug was taken within the three months before the clinical onset of gout;

   Note: specified list of antihypertensive drugs is defined in the Schedule 1 - Dictionary.

3. (3)
   being treated with daily doses of low-dose aspirin (≤ 325 milligrams) for two consecutive days, before the clinical onset of gout, where the last dose of the drug was taken within the 48 hours before the clinical onset of gout;
4. (4)
   being treated with a drug or a drug from a class of drugs from the Specified List 1 of drugs within the 48 hours before the clinical onset of gout;

   Note: Specified List 1 of drugs is defined in the Schedule 1 - Dictionary.

5. (5)
   undergoing chemotherapy for a malignant neoplasm within the seven days before the clinical onset of gout;
6. (6)
   being overweight at the time of the clinical onset of gout;

   Note: being overweight is defined in the Schedule 1 - Dictionary.

7. (7)
   consuming an average of at least 120 grams per week of alcohol, for at least the three months before the clinical onset of gout;

   Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.

8. (8)
   consuming at least 70 grams of alcohol within the 48 hours before the clinical onset of gout;

   Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.

9. (9)
   consuming an average of at least 750 grams per week of meat or offal, for at least the three months before the clinical onset of gout;
10. (10)
    consuming at least 300 grams of meat or offal within the 48 hours before the clinical onset of gout;
11. (11)
    consuming an average of at least 120 grams per week of seafood, for at least the three months before the clinical onset of gout;

    Note: seafood is defined in the Schedule 1 - Dictionary.

12. (12)
    consuming at least 120 grams of seafood within the 48 hours before the clinical onset of gout;

    Note: seafood is defined in the Schedule 1 - Dictionary.

13. (13)
    consuming an average of at least 400 millilitres per day of: (a) fruit juice; or (b) non-diet soft drink or other manufactured drink sweetened with fructose or sucrose; alone or in any combination, for at least the three months before the clinical onset of gout;
14. (14)
    fasting for a continuous period of at least 24 hours within the 48 hours before the clinical onset of gout;
15. (15)
    being dehydrated for a continuous period of at least 24 hours within the 48 hours before the clinical onset of gout;

    Note: being dehydrated is defined in the Schedule 1 - Dictionary.

16. (16)
    being postmenopausal at the time of the clinical onset of gout;
17. (17)
    having a solid organ transplant, stem cell transplant or bone marrow transplant before the clinical onset of gout;
18. (18)
    having surgery within the 48 hours before the clinical onset of gout;
19. (19)
    having lead nephropathy before the clinical onset of gout;
20. (20)
    having psoriasis or psoriatic arthritis at the time of the clinical onset of gout;
21. (21)
    having chronic kidney disease at the time of the clinical onset of gout;

    Note: chronic kidney disease is defined in the Schedule 1 - Dictionary.

22. (22)
    having hypertension before the clinical onset of gout;
23. (23)
    having dyslipidaemia before the clinical onset of gout;

    Note: dyslipidaemia is defined in the Schedule 1 - Dictionary.

24. (24)
    undergoing total parenteral nutrition within the 48 hours before the clinical onset of gout;
25. (25)
    having trauma to the affected joint or tissue within the 48 hours before the clinical onset of gout;
26. (26)
    having a haematological disorder from the specified list of haematological disorders at the time of the clinical worsening of gout;

    Note: specified list of haematological disorders is defined in the Schedule 1 - Dictionary.

27. (27)
    being treated with a drug from a class of drugs from the specified list of antihypertensive drugs for a continuous period of at least seven days, before the clinical worsening of gout, where the last dose of the drug was taken within the three months before the clinical worsening of gout;

    Note: specified list of antihypertensive drugs is defined in the Schedule 1 - Dictionary.

28. (28)
    being treated with daily doses of low-dose aspirin (≤ 325 milligrams) for two consecutive days, before the clinical worsening of gout, where the last dose of the drug was taken within the 48 hours before the clinical worsening of gout;
29. (29)
    being treated with a drug or a drug from a class of drugs from the Specified List 2 of drugs at the time of the clinical worsening of gout;

    Note: Specified List 2 of drugs is defined in the Schedule 1 - Dictionary.

30. (30)
    undergoing chemotherapy for a malignant neoplasm within the seven days before the clinical worsening of gout;
31. (31)
    being overweight at the time of the clinical worsening of gout;

    Note: being overweight is defined in the Schedule 1 - Dictionary.

32. (32)
    consuming an average of at least 120 grams per week of alcohol, for at least the three months before the clinical worsening of gout;

    Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.

33. (33)
    consuming at least 70 grams of alcohol within the 48 hours before the clinical worsening of gout;

    Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.

34. (34)
    consuming an average of at least 750 grams per week of meat or offal, for at least the three months before the clinical worsening of gout;
35. (35)
    consuming at least 300 grams of meat or offal within the 48 hours before the clinical worsening of gout;
36. (36)
    consuming an average of at least 120 grams per week of seafood, for at least the three months before the clinical worsening of gout;

    Note: seafood is defined in the Schedule 1 - Dictionary.

37. (37)
    consuming at least 120 grams of seafood within the 48 hours before the clinical worsening of gout;

    Note: seafood is defined in the Schedule 1 - Dictionary.

38. (38)
    consuming an average of at least 400 millilitres per day of: (a) fruit juice; or (b) non-diet soft drink or other manufactured drink sweetened with fructose or sucrose; alone or in any combination, for at least the three months before the clinical worsening of gout;
39. (39)
    fasting for a continuous period of at least 24 hours within the 48 hours before the clinical worsening of gout;
40. (40)
    being dehydrated for a continuous period of at least 24 hours within the 48 hours before the clinical worsening of gout;

    Note: being dehydrated is defined in the Schedule 1 - Dictionary.

41. (41)
    being postmenopausal at the time of the clinical worsening of gout;
42. (42)
    having a solid organ transplant, stem cell transplant or bone marrow transplant before the clinical worsening of gout;
43. (43)
    having surgery within the 48 hours before the clinical worsening of gout;
44. (44)
    having lead nephropathy before the clinical worsening of gout;
45. (45)
    having psoriasis or psoriatic arthritis at the time of the clinical worsening of gout;
46. (46)
    having chronic kidney disease at the time of the clinical worsening of gout;

    Note: chronic kidney disease is defined in the Schedule 1 - Dictionary.

47. (47)
    having hypertension before the clinical worsening of gout;
48. (48)
    having dyslipidaemia before the clinical worsening of gout;

    Note: dyslipidaemia is defined in the Schedule 1 - Dictionary.

49. (49)
    undergoing total parenteral nutrition within the 48 hours before the clinical worsening of gout;
50. (50)
    having trauma to the affected joint or tissue within the 48 hours before the clinical worsening of gout;
51. (51)
    inability to obtain appropriate clinical management for gout;

Aggravation-only factors: the factors in subsections 9(26) to 9(51) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.