Management of Gout

A Systematic Review in Support of an American College of Physicians Clinical Practice Guideline

Published in: Annals of Internal Medicine, 2016

Posted on RAND.org on November 30, 2016

by Paul G. Shekelle, Sydne Newberry, John D. Fitzgerald, Aneesa Motala, Claire E. O'Hanlon, Abdul Ahad Tariq, Adeyemi Okunogbe, Dan Han, Roberta M. Shanman

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Background

Gout is a common type of inflammatory arthritis in patients seen by primary care physicians.

Purpose

To review evidence about treatment of acute gout attacks, management of hyperuricemia to prevent attacks, and discontinuation of medications for chronic gout in adults.

Data Sources

Multiple electronic databases from January 2010 to March 2016, reference mining, and pharmaceutical manufacturers.

Study Selection

Studies of drugs approved by the U.S. Food and Drug Administration and commonly prescribed by primary care physicians, randomized trials for effectiveness, and trials and observational studies for adverse events.

Data Extraction

Data extraction was performed by one reviewer and checked by a second reviewer. Study quality was assessed by 2 independent reviewers. Strength-of-evidence assessment was done by group discussion.

Data Synthesis

High-strength evidence from 28 trials (only 3 of which were placebo-controlled) shows that colchicine, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroids reduce pain in patients with acute gout. Moderate-strength evidence suggests that low-dose colchicine is as effective as high-dose colchicine and causes fewer gastrointestinal adverse events. Moderate-strength evidence suggests that urate-lowering therapy (allopurinol or febuxostat) reduces long-term risk for acute gout attacks after 1 year or more. High-strength evidence shows that prophylaxis with daily colchicine or NSAIDs reduces the risk for acute gout attacks by at least half in patients starting urate-lowering therapy, and moderate-strength evidence indicates that duration of prophylaxis should be longer than 8 weeks. Although lower urate levels reduce risk for recurrent acute attacks, treatment to a specific target level has not been tested.

Limitation

Few studies of acute gout treatments, no placebo-controlled trials of management of hyperuricemia lasting longer than 6 months, and few studies in primary care populations.

Conclusion

Colchicine, NSAIDs, and corticosteroids relieve pain in adults with acute gout. Urate-lowering therapy decreases serum urate levels and reduces risk for acute gout attacks.

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