Diagnosis of acute gout: A clinical practice guideline from the American College of Physicians

59Citations
Citations of this article
132Readers
Mendeley users who have this article in their library.

Abstract

Description: The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the diagnosis of gout. Methods: This guideline is based on a systematic review of published studies on gout diagnosis, identified using several databases, from database inception to February 2016. Evaluated outcomes included the accuracy of the test results; intermediate outcomes (results of laboratory and radiographic tests, such as serum urate and synovial fluid crystal analysis and radiographic or ultrasonography changes); clinical decision making (additional testing and pharmacologic or dietary management); shortterm clinical (patient-centered) outcomes, such as pain and joint swelling and tenderness; and adverse effects of the tests. This guideline grades the evidence and recommendations by using the ACP grading system, which is based on the GRADE (Grading of Recommendations Assessment, Development and Evaluation) method. Target Audience and Patient Population: The target audience for this guideline includes all clinicians, and the target patient population includes adults with joint inflammation suspected to be gout. Recommendation: ACP recommends that clinicians use synovial fluid analysis when clinical judgment indicates that diagnostic testing is necessary in patients with possible acute gout. (Grade: weak recommendation, low-quality evidence)

Cite

CITATION STYLE

APA

Qaseem, A., McLean, R. M., Starkey, M., Forciea, M. A., Denberg, T. D., Barry, M. J., … Wilt, T. J. (2017). Diagnosis of acute gout: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(1), 52–57. https://doi.org/10.7326/M16-0569

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free