Rheumatology

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ACP guideline for management of gout sparks controversy

KEY POINT

The American College of Physicians (ACP) published a clinical practice guideline on management of acute and recurrent gout that focuses on a treat-to-avoid symptoms approach rather than a treat-to-target serum urate level strategy. The guideline recommends use of corticosteroids, NSAIDs, or low-dose colchicine for acute gout and avoidance of long-term urate-lowering therapy for the majority of patients after a first attack or for those with infrequent attacks.

SOURCES

Qaseem A, et al. Management of acute and recurrent gout: A clinical practice guideline from the American College of Physicians. Ann Intern Med. 2016;[Epub ahead of print].

McLean, RM. The long and winding road to clinical guidelines on the diagnosis and management of gout. Ann Intern Med. 2016;[Epub ahead of print].

Neogi T, et al. To treat or not to treat (to target) in gout. Ann Intern Med. 2016;[Epub ahead of print].