POS1168 TREAT TO TARGET OF GOUT: AN EVIDENCE-BASED CONSENSUS ON CLINICAL PRACTICE GUIDELINES

医学 痛风 指南 德尔菲法 循证医学 循证实践 梅德林 科学证据 人口 家庭医学 德尔菲 重症监护医学 替代医学 物理疗法 内科学 病理 哲学 法学 操作系统 认识论 统计 环境卫生 计算机科学 数学 政治学
作者
Yasser El Miedany,Mohammed Hassan Abu-Zaid,M. Elgaafary,N. Ali,M. Mansour,W. Hassan,M. A. Mortada,M. Eissa,S. A. A. Tabra,N. Fouad,R. Ali,B. M Medhat,Y. Adel Abdelsalam Hussein,R. M. Ghaleb,E. Nourhan Elameen,Sally Saber,S. Moussa
出处
期刊:Annals of the Rheumatic Diseases [BMJ]
卷期号:81 (Suppl 1): 912.2-912
标识
DOI:10.1136/annrheumdis-2022-eular.3477
摘要

Background New therapies, management approaches and evidence regarding the management of gout have become available over the past years. This triggered the need for updated recommendations for the management of gout. Objectives to develop an up-to-date consensus evidence-based clinical practice guideline for the management of gout including recommendations for management of acute gout flares, optimum usage of urate lowering therapy for chronic gout as well as patient education and lifestyle guidance. Methods An extensive systematic literature review was performed, and evidence-based recommendations were extrapolated, based on 16-key questions identified according to population, intervention, comparator, and outcomes (PICO) approach. For each item, the level of evidence was determined using the Oxford Centre for Evidence-based Medicine (CEBM) system. These were evaluated by a panel of 17-experts via online surveys over a 2-round Delphi process. Results At the end of round 2, a total of 30-recommendation items, categorized into 10 domains to were obtained. Agreement with the recommendations (rank 7-9) ranged from 90-100%. Consensus was reached (i.e.≥75%of respondents strongly agreed or agreed) on the wording, the grade of recommendation and level of evidence of all the 30 clinical standards identified by the scientific committee. The guideline emphasized that all gouty patients should be screened for comorbidities. Based on this, an algorithm for treat to target management approach tailored to the individual patient’s needs and associated comorbidities has been outlined. Conclusion This work provides updated evidence-based recommendations for the prevention and treatment of acute as well as chronic gouty arthritis. It provides an approach for physicians and patients making decisions on the management of gout. It will also facilitate improvement and uniformity of care. Disclosure of Interests None declared
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
青蕉学者完成签到,获得积分10
刚刚
4秒前
dqq完成签到,获得积分10
5秒前
JamesPei应助默默的巧荷采纳,获得10
5秒前
6秒前
6秒前
奋斗的蜗牛完成签到,获得积分10
6秒前
香蕉觅云应助猪猪hero采纳,获得10
7秒前
幸福冰珍完成签到,获得积分20
7秒前
7秒前
cclin发布了新的文献求助10
8秒前
付清完成签到,获得积分10
8秒前
8秒前
8秒前
研友_xnEOX8完成签到,获得积分10
8秒前
8秒前
9秒前
9秒前
榕小蜂发布了新的文献求助10
10秒前
10秒前
Svaff发布了新的文献求助10
10秒前
受伤幻桃发布了新的文献求助10
10秒前
敏感的文龙完成签到,获得积分10
11秒前
轨迹发布了新的文献求助10
11秒前
11秒前
qian发布了新的文献求助10
12秒前
13秒前
lilongcheng发布了新的文献求助10
14秒前
含蓄海白发布了新的文献求助10
14秒前
小古发布了新的文献求助10
14秒前
鲸鱼发布了新的文献求助10
14秒前
含蓄绿兰发布了新的文献求助10
14秒前
星禾吾发布了新的文献求助10
15秒前
yhw完成签到,获得积分10
15秒前
16秒前
17秒前
17秒前
我是老大应助debuffv采纳,获得10
17秒前
丘比特应助小鱼游游游采纳,获得10
17秒前
18秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 360
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3971277
求助须知:如何正确求助?哪些是违规求助? 3516009
关于积分的说明 11180382
捐赠科研通 3251075
什么是DOI,文献DOI怎么找? 1795664
邀请新用户注册赠送积分活动 875988
科研通“疑难数据库(出版商)”最低求助积分说明 805209