ysical component summary scores (PCS of the SF-36) for patients with tophi, history of gout attacks and high sUA levels (>9 mg/dL) HRQoL.12 However, no adjustment was made for comorbidities or other factors which could contribute to HRQoL. Lee and colleagues reported after adjusting for age, gender, and comorbidities, the number of joints involved during an attack and the frequency of attacks had