2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.

Although gout is the most common inflammatory arthritis, it is still frequently misdiagnosed. New data on imaging and clinical diagnosis have become available since the first EULAR recommendations for the diagnosis of gout in 2006. This prompted a systematic review and update of the 2006 recommendat...

Descripción completa

Detalles Bibliográficos
Autores: Richette, Pascal, Doherty, Michael, Pascual, Eliseo, Barskova, Victoria, Becce, Fabio, Castaneda, Johann, Coyfish, Malcolm, Guillo, Sylvie, Jansen, Tim, Janssens, Hein, Liote, Frederic, Mallen, Christian D, Nuki, George, Perez-Ruiz, Fernando, Pimentao, Jose, Punzi, Leonardo, Pywell, Anthony, So, Alexander K, Tausche, Anne-Kathrin, Uhlig, Till, Zavada, Jakub, Zhang, Weiya, Tubach, Florence, Bardin, Thomas
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p3670
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones3670
Access Level:acceso abierto
Palabra clave:epidemiology, gout, health services research
id ES_7f2e13f249fe8f6871b9ec6ea33ce1f0
oai_identifier_str oai:isabial.fundanetsuite.com:p3670
network_acronym_str ES
network_name_str España
repository_id_str
spelling 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.Richette, PascalDoherty, MichaelPascual, EliseoBarskova, VictoriaBecce, FabioCastaneda, JohannCoyfish, MalcolmGuillo, SylvieJansen, TimJanssens, HeinLiote, FredericMallen, Christian DNuki, GeorgePerez-Ruiz, FernandoPimentao, JosePunzi, LeonardoPywell, AnthonySo, Alexander KTausche, Anne-KathrinUhlig, TillZavada, JakubZhang, WeiyaTubach, FlorenceBardin, Thomasepidemiology, gout, health services researchAlthough gout is the most common inflammatory arthritis, it is still frequently misdiagnosed. New data on imaging and clinical diagnosis have become available since the first EULAR recommendations for the diagnosis of gout in 2006. This prompted a systematic review and update of the 2006 recommendations. A systematic review of the literature concerning all aspects of gout diagnosis was performed. Recommendations were formulated using a Delphi consensus approach. Eight key recommendations were generated. A search for crystals in synovial fluid or tophus aspirates is recommended in every person with suspected gout, because demonstration of monosodium urate (MSU) crystals allows a definite diagnosis of gout. There was consensus that a number of suggestive clinical features support a clinical diagnosis of gout. These are monoarticular involvement of a foot or ankle joint (especially the first metatarsophalangeal joint); previous episodes of similar acute arthritis; rapid onset of severe pain and swelling; erythema; male gender and associated cardiovascular diseases and hyperuricaemia. When crystal identification is not possible, it is recommended that any atypical presentation should be investigated by imaging, in particular with ultrasound to seek features suggestive of MSU crystal deposition (double contour sign and tophi). There was consensus that a diagnosis of gout should not be based on the presence of hyperuricaemia alone. There was also a strong recommendation that all people with gout should be systematically assessed for presence of associated comorbidities and risk factors for cardiovascular disease, as well as for risk factors for chronic hyperuricaemia. Eight updated, evidence-based, expert consensus recommendations for the diagnosis of gout are proposed.ELSEVIER2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones3670ANNALS OF THE RHEUMATIC DISEASESISSN: 00034967ISSNe: 14682060reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Inglésinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p36702026-06-12T10:20:37Z
dc.title.none.fl_str_mv 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.
title 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.
spellingShingle 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.
Richette, Pascal
epidemiology, gout, health services research
title_short 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.
title_full 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.
title_fullStr 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.
title_full_unstemmed 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.
title_sort 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout.
dc.creator.none.fl_str_mv Richette, Pascal
Doherty, Michael
Pascual, Eliseo
Barskova, Victoria
Becce, Fabio
Castaneda, Johann
Coyfish, Malcolm
Guillo, Sylvie
Jansen, Tim
Janssens, Hein
Liote, Frederic
Mallen, Christian D
Nuki, George
Perez-Ruiz, Fernando
Pimentao, Jose
Punzi, Leonardo
Pywell, Anthony
So, Alexander K
Tausche, Anne-Kathrin
Uhlig, Till
Zavada, Jakub
Zhang, Weiya
Tubach, Florence
Bardin, Thomas
author Richette, Pascal
author_facet Richette, Pascal
Doherty, Michael
Pascual, Eliseo
Barskova, Victoria
Becce, Fabio
Castaneda, Johann
Coyfish, Malcolm
Guillo, Sylvie
Jansen, Tim
Janssens, Hein
Liote, Frederic
Mallen, Christian D
Nuki, George
Perez-Ruiz, Fernando
Pimentao, Jose
Punzi, Leonardo
Pywell, Anthony
So, Alexander K
Tausche, Anne-Kathrin
Uhlig, Till
Zavada, Jakub
Zhang, Weiya
Tubach, Florence
Bardin, Thomas
author_role author
author2 Doherty, Michael
Pascual, Eliseo
Barskova, Victoria
Becce, Fabio
Castaneda, Johann
Coyfish, Malcolm
Guillo, Sylvie
Jansen, Tim
Janssens, Hein
Liote, Frederic
Mallen, Christian D
Nuki, George
Perez-Ruiz, Fernando
Pimentao, Jose
Punzi, Leonardo
Pywell, Anthony
So, Alexander K
Tausche, Anne-Kathrin
Uhlig, Till
Zavada, Jakub
Zhang, Weiya
Tubach, Florence
Bardin, Thomas
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv epidemiology, gout, health services research
topic epidemiology, gout, health services research
description Although gout is the most common inflammatory arthritis, it is still frequently misdiagnosed. New data on imaging and clinical diagnosis have become available since the first EULAR recommendations for the diagnosis of gout in 2006. This prompted a systematic review and update of the 2006 recommendations. A systematic review of the literature concerning all aspects of gout diagnosis was performed. Recommendations were formulated using a Delphi consensus approach. Eight key recommendations were generated. A search for crystals in synovial fluid or tophus aspirates is recommended in every person with suspected gout, because demonstration of monosodium urate (MSU) crystals allows a definite diagnosis of gout. There was consensus that a number of suggestive clinical features support a clinical diagnosis of gout. These are monoarticular involvement of a foot or ankle joint (especially the first metatarsophalangeal joint); previous episodes of similar acute arthritis; rapid onset of severe pain and swelling; erythema; male gender and associated cardiovascular diseases and hyperuricaemia. When crystal identification is not possible, it is recommended that any atypical presentation should be investigated by imaging, in particular with ultrasound to seek features suggestive of MSU crystal deposition (double contour sign and tophi). There was consensus that a diagnosis of gout should not be based on the presence of hyperuricaemia alone. There was also a strong recommendation that all people with gout should be systematically assessed for presence of associated comorbidities and risk factors for cardiovascular disease, as well as for risk factors for chronic hyperuricaemia. Eight updated, evidence-based, expert consensus recommendations for the diagnosis of gout are proposed.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones3670
url https://isabial.portalinvestigacion.com/publicaciones3670
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv ANNALS OF THE RHEUMATIC DISEASES
ISSN: 00034967
ISSNe: 14682060
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869411805091069952
score 15,812455

Similares en LA Referencia