tailieunhanh - Guidelines for Management of Gout - Part 1: Systematic Nonpharmacologic and Pharmacologic Therapeutic Approaches to Hyperuricemia

The ACR considers adherence to these guidelines and recommendations to be voluntary, with the ultimate determination regarding their application to be made by the physician in light of each patient’s individual circumstances. Guidelines and recommendations are intended to promote beneficial or desirable outcomes but cannot guarantee any specific outcome. | Arthritis Care Research Vol. 64 No. 10 October 2012 pp 1431-1446 DOI 2012 American College of Rheumatology SPECIAL ARTICLE 2012 American College of Rheumatology Guidelines for Management of Gout. Part 1 Systematic Nonpharmacologic and Pharmacologic Therapeutic Approaches to Hyperuricemia DINESH KHANNA 1 JOHN D. FITZGERALD 2 PUJA P. KHANNA 1 SANGMEE BAE 2 MANJIT K. SINGH 3 TUHINA NEOGI 4 mIcHAEL H. PILLINGER 5 JoAn MERILL 6 SUSAN LEE 7 SHRADDHA PRAKASH 2 MARIAN KALDAS 2 MANEESH GOGIA 2 FERNANDO PEREZ-RUIZ 8 WILL TAYLOR 9 FREDERIC LIOTE 10 HYON CHOI 4 JASVINDER A. SINGH 11 NICOLA DALBETH 12 SANFORD KAPLAN 13 VANDANA NiYYAR 14 DANIELLE JONES 14 STEVEN A. YAROWS 15 BLAKE ROESSLER 1 GAIL KERR 16 CHARLES KING 17 GERALD LEVY 18 DANIEL E. FURST 2 N. LAWRENCE EDWARDS 19 BRIAN MANDELL 20 H. RALPH SCHUMACHER 21 MARK ROBBINS 22 NEIL WENGER 2 AND ROBERT TERKELTAUB7 Guidelines and recommendations developed and or endorsed by the American College of Rheumatology ACR are intended to provide guidance for particular patterns of practice and not to dictate the care of a particular patient. The ACR considers adherence to these guidelines and recommendations to be voluntary with the ultimate determination regarding their application to be made by the physician in light of each patient s individual circumstances. Guidelines and recommendations are intended to promote beneficial or desirable outcomes but cannot guarantee any specific outcome. Guidelines and recommendations developed or endorsed by the ACR are subject to periodic revision as warranted by the evolution of medical knowledge technology and practice. The American College of Rheumatology is an independent professional medical and scientific society which does not guarantee warrant or endorse any commercial product or service. Introduction Gout is a disorder that manifests as a spectrum of clinical and pathologic features built on a foundation of an excess body burden of uric acid manifested in part by .