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Published on: February 8, 2019
Gout
1Warwick Medical School, University of Warwick, Coventry, UK.
Insights
This systematic review evaluates treatments for acute gout and xanthine oxidase inhibitors for gout prevention. It found 21 studies on colchicine, corticosteroids, and NSAIDs, assessing their effectiveness and safety.
Area of Science:
- Rheumatology
- Pharmacology
- Evidence-Based Medicine
Background:
- Gout is a common condition affecting 5% of men and 1% of women.
- Up to 80% of gout patients experience recurrent attacks within three years.
Purpose of the Study:
- To systematically review the effects of treatments for acute gout.
- To evaluate the efficacy of xanthine oxidase inhibitors in preventing recurrent gout episodes.
Main Methods:
- Systematic review of studies up to September 2013.
- Searches conducted in Medline, Embase, and The Cochrane Library.
- Inclusion of harms alerts from regulatory agencies like the FDA and MHRA.
Main Results:
- Twenty-one studies met the inclusion criteria for the review.
- GRADE evaluation was performed to assess the quality of evidence for interventions.
Conclusions:
- The review presents data on the effectiveness and safety of key gout interventions.
- Interventions discussed include colchicine, corticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs), and xanthine oxidase inhibitors.
Introduction:
Gout affects about 5% of men and 1% of women, with up to 80% of people experiencing a recurrent attack within 3 years.
Methods And Outcomes:
We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments for acute gout? What are the effects of xanthine oxidase inhibitors to prevent gout in people with prior acute episodes? We searched: Medline, Embase, The Cochrane Library, and other important databases up to September 2013 (Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
Results:
We found 21 studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
Conclusions:
In this systematic review, we present information relating to the effectiveness and safety of the following interventions: colchicine, corticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs), and xanthine oxidase inhibitors.
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