2020 American College of Rheumatology Guideline for the Management of Gout
FitzGerald JD, Dalbeth N, Mikuls T, Brignardello‐Petersen R, Guyatt G, Abeles AM, Gelber AC, Harrold LR, Khanna D, King C, Levy G, Libbey C, Mount D, Pillinger MH, Rosenthal A, Singh JA, Sims JE, Smith BJ, Wenger NS, Bae SS, Danve A, Khanna PP, Kim SC, Lenert A, Poon S, Qasim A, Sehra ST, Sharma TSK, Toprover M, Turgunbaev M, Zeng L, Zhang MA, Turner AS, Neogi T. 2020 American College of Rheumatology Guideline for the Management of Gout. Arthritis & Rheumatology 2020, 72: 879-895. PMID: 32390306, DOI: 10.1002/art.41247.Peer-Reviewed Original ResearchConceptsUrate-lowering therapyManagement of goutGout flaresFirst-line urate-lowering therapyInitiation of ULTSevere chronic kidney diseaseFrequent gout flaresLower starting doseSerum urate measurementsChronic kidney diseaseNonsteroidal antiinflammatory drugsTarget management strategyConsensus processRheumatology guidelinesSU targetDose titrationRecommendations AssessmentStarting doseProphylaxis therapyRadiographic damageGRADE methodologyTophaceous goutKidney diseasePatient preferencesAntiinflammatory drugs2020 American College of Rheumatology Guideline for the Management of Gout
FitzGerald JD, Dalbeth N, Mikuls T, Brignardello‐Petersen R, Guyatt G, Abeles AM, Gelber AC, Harrold LR, Khanna D, King C, Levy G, Libbey C, Mount D, Pillinger MH, Rosenthal A, Singh JA, Sims JE, Smith BJ, Wenger NS, Bae SS, Danve A, Khanna PP, Kim SC, Lenert A, Poon S, Qasim A, Sehra ST, Sharma TSK, Toprover M, Turgunbaev M, Zeng L, Zhang MA, Turner AS, Neogi T. 2020 American College of Rheumatology Guideline for the Management of Gout. Arthritis Care & Research 2020, 72: 744-760. PMID: 32391934, PMCID: PMC10563586, DOI: 10.1002/acr.24180.Peer-Reviewed Original ResearchConceptsUrate-lowering therapyManagement of goutGout flaresFirst-line urate-lowering therapyInitiation of ULTSevere chronic kidney diseaseFrequent gout flaresLower starting doseSerum urate measurementsChronic kidney diseaseNonsteroidal antiinflammatory drugsTarget management strategyConsensus processRheumatology guidelinesSU targetDose titrationRecommendations AssessmentStarting doseProphylaxis therapyRadiographic damageGRADE methodologyTophaceous goutKidney diseasePatient preferencesAntiinflammatory drugs