Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1136/annrheumdis-2013-203325 http://repositorio.unifesp.br/handle/11600/37345 |
Resumo: | We aimed to develop evidence-based multinational recommendations for the diagnosis and management of gout. Using a formal voting process, a panel of 78 international rheumatologists developed 10 key clinical questions pertinent to the diagnosis and management of gout. Each question was investigated with a systematic literature review. Medline, Embase, Cochrane CENTRAL and abstracts from 2010-2011 European League Against Rheumatism and American College of Rheumatology meetings were searched in each review. Relevant studies were independently reviewed by two individuals for data extraction and synthesis and risk of bias assessment. Using this evidence, rheumatologists from 14 countries (Europe, South America and Australasia) developed national recommendations. After rounds of discussion and voting, multinational recommendations were formulated. Each recommendation was graded according to the level of evidence. Agreement and potential impact on clinical practice were assessed. Combining evidence and clinical expertise, 10 recommendations were produced. One recommendation referred to the diagnosis of gout, two referred to cardiovascular and renal comorbidities, six focused on different aspects of the management of gout (including drug treatment and monitoring), and the last recommendation referred to the management of asymptomatic hyperuricaemia. the level of agreement with the recommendations ranged from 8.1 to 9.2 (mean 8.7) on a 1-10 scale, with 10 representing full agreement. Ten recommendations on the diagnosis and management of gout were established. They are evidence-based and supported by a large panel of rheumatologists from 14 countries, enhancing their utility in clinical practice. |
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Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiativeWe aimed to develop evidence-based multinational recommendations for the diagnosis and management of gout. Using a formal voting process, a panel of 78 international rheumatologists developed 10 key clinical questions pertinent to the diagnosis and management of gout. Each question was investigated with a systematic literature review. Medline, Embase, Cochrane CENTRAL and abstracts from 2010-2011 European League Against Rheumatism and American College of Rheumatology meetings were searched in each review. Relevant studies were independently reviewed by two individuals for data extraction and synthesis and risk of bias assessment. Using this evidence, rheumatologists from 14 countries (Europe, South America and Australasia) developed national recommendations. After rounds of discussion and voting, multinational recommendations were formulated. Each recommendation was graded according to the level of evidence. Agreement and potential impact on clinical practice were assessed. Combining evidence and clinical expertise, 10 recommendations were produced. One recommendation referred to the diagnosis of gout, two referred to cardiovascular and renal comorbidities, six focused on different aspects of the management of gout (including drug treatment and monitoring), and the last recommendation referred to the management of asymptomatic hyperuricaemia. the level of agreement with the recommendations ranged from 8.1 to 9.2 (mean 8.7) on a 1-10 scale, with 10 representing full agreement. Ten recommendations on the diagnosis and management of gout were established. They are evidence-based and supported by a large panel of rheumatologists from 14 countries, enhancing their utility in clinical practice.Hosp Gen Univ Elda, Dept Reumatol, Elda 03600, SpainHosp Gen Univ Alicante, Dept Reumatol, Alicante, SpainUniv Camilo Jose Cela, Fac Ciencias Salud, Madrid, SpainUniv British Columbia, Div Rheumatol, Vancouver, BC V5Z 1M9, CanadaRoyal Melbourne Hosp, Parkville, Vic 3050, AustraliaUniv Hosp Southampton NHS Fdn Trust, Southampton, Hants, EnglandNIHR Wellcome Trust Clin Res Facil, Southampton, Hants, EnglandCtr Hosp Univ Liege, Liege, BelgiumMaastricht Univ, Med Ctr, Dept Internal Med Rheumatol, Maastricht, NetherlandsAtrium Med Ctr, Heerlen, NetherlandsUniv Toronto, Div Rheumatol, Toronto, ON, CanadaRepatriat Gen Hosp, Rheumatol Res Unit, Adelaide, SA, AustraliaFlinders Univ S Australia, Adelaide, SA 5001, AustraliaMed Univ Vienna, Dept Internal Med 3, Div Rheumatol, Vienna, AustriaUniv Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON, CanadaMt Sinai Hosp, Univ Hlth Network, Toronto Gen Res Inst, Div Clin Decis Making & Hlth Care, Toronto, ON M5G 1X5, CanadaCabrini Hosp, Monash Dept Clin Epidemiol, Malvern, Vic, AustraliaMonash Univ, Dept Epidemiol & Prevent Med, Malvern, Vic, AustraliaUniv Amsterdam, Acad Med Ctr, Dept Clin Immunol & Rheumatol, NL-1105 AZ Amsterdam, NetherlandsUniv Med Ctr Utrecht, Dept Rheumatol & Clin Immunol, Utrecht, NetherlandsUniv Nova Lisboa, Fac Ciencias Med, CEDOC, P-1200 Lisbon, PortugalEPE Hosp Egas Moniz, CHLO, Dept Rheumatol, Lisbon, PortugalHosp Gen Mexico City, Rheumatol Unit, Mexico City, DF, MexicoKarolinska Univ Hosp, Dept Rheumatol, Stockholm, SwedenKarolinska Inst, Stockholm, SwedenGhent Univ Hosp, Dept Rheumatol, Ghent, BelgiumUniversidade Federal de São Paulo, Div Rheumatol, São Paulo, BrazilSt Georges Healthcare NHS Trust, Dept Rheumatol, London, EnglandState Hosp Stockerau, Ctr Rheumatol, Lower Austria, Stockerau, AustriaUniv Pavia, IRCCS Policlin S Matteo, Cattedra Reumatol, I-27100 Pavia, ItalyUniv Giessen, Kerckhoff Klin, Dept Rheumatol & Clin Immunol, Bad Nauheim, GermanyCopenhagen Univ Hosp, Ctr Rheumatol & Spine Dis, Copenhagen Ctr Arthrit Res, Glostrup, DenmarkMenzies Res Inst Tasmania, Hobart, Tas, AustraliaColumbia Univ, Med Ctr, New York, NY USALeiden Univ, Med Ctr, Leiden, NetherlandsUniversidade Federal de São Paulo, Div Rheumatol, São Paulo, BrazilWeb of ScienceAbbVieAustralian National Health and Medical Research Council (NHMRC)Bmj Publishing GroupHosp Gen Univ EldaHosp Gen Univ AlicanteUniv Camilo Jose CelaUniv British ColumbiaRoyal Melbourne HospUniv Hosp Southampton NHS Fdn TrustNIHR Wellcome Trust Clin Res FacilCtr Hosp Univ LiegeMaastricht UnivAtrium Med CtrUniv TorontoRepatriat Gen HospFlinders Univ S AustraliaMed Univ ViennaMt Sinai HospCabrini HospMonash UnivUniv AmsterdamUniv Med Ctr UtrechtUniv Nova LisboaEPE Hosp Egas MonizHosp Gen Mexico CityKarolinska Univ HospKarolinska InstGhent Univ HospUniversidade Federal de São Paulo (UNIFESP)St Georges Healthcare NHS TrustState Hosp StockerauUniv PaviaUniv GiessenCopenhagen Univ HospMenzies Res Inst TasmaniaColumbia UnivLeiden UnivSivera, FranciscaAndres, MarianoCarmona, LoretoKydd, Alison S. R.Moi, JohnSeth, RakhiSriranganathan, Melonievan Durme, Carolinevan Echteld, IreneVinik, OphirWechalekar, Mihir D.Aletaha, DanielBombardier, ClaireBuchbinder, RachelleEdwards, Christopher J.Landewe, Robert B.Bijlsma, Johannes W.Branco, Jaime C.Burgos-Vargas, RubenCatrina, Anca I.Elewaut, DirkFerrari, Antonio J. L. [UNIFESP]Kiely, PatrickLeeb, Burkhard F.Montecucco, CarlomaurizioMueller-Ladner, UlfOstergaard, MikkelZochling, JaneFalzon, Louisevan der Heijde, Desiree M.2016-01-24T14:35:11Z2016-01-24T14:35:11Z2014-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion328-335application/pdfhttp://dx.doi.org/10.1136/annrheumdis-2013-203325Annals of the Rheumatic Diseases. London: Bmj Publishing Group, v. 73, n. 2, p. 328-335, 2014.10.1136/annrheumdis-2013-203325WOS000329488000001.pdf0003-4967http://repositorio.unifesp.br/handle/11600/37345WOS:000329488000001engAnnals of the Rheumatic Diseasesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-31T18:43:00Zoai:repositorio.unifesp.br/:11600/37345Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-31T18:43Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative |
title |
Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative |
spellingShingle |
Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative Sivera, Francisca |
title_short |
Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative |
title_full |
Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative |
title_fullStr |
Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative |
title_full_unstemmed |
Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative |
title_sort |
Multinational evidence-based recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion of a broad panel of rheumatologists in the 3e initiative |
author |
Sivera, Francisca |
author_facet |
Sivera, Francisca Andres, Mariano Carmona, Loreto Kydd, Alison S. R. Moi, John Seth, Rakhi Sriranganathan, Melonie van Durme, Caroline van Echteld, Irene Vinik, Ophir Wechalekar, Mihir D. Aletaha, Daniel Bombardier, Claire Buchbinder, Rachelle Edwards, Christopher J. Landewe, Robert B. Bijlsma, Johannes W. Branco, Jaime C. Burgos-Vargas, Ruben Catrina, Anca I. Elewaut, Dirk Ferrari, Antonio J. L. [UNIFESP] Kiely, Patrick Leeb, Burkhard F. Montecucco, Carlomaurizio Mueller-Ladner, Ulf Ostergaard, Mikkel Zochling, Jane Falzon, Louise van der Heijde, Desiree M. |
author_role |
author |
author2 |
Andres, Mariano Carmona, Loreto Kydd, Alison S. R. Moi, John Seth, Rakhi Sriranganathan, Melonie van Durme, Caroline van Echteld, Irene Vinik, Ophir Wechalekar, Mihir D. Aletaha, Daniel Bombardier, Claire Buchbinder, Rachelle Edwards, Christopher J. Landewe, Robert B. Bijlsma, Johannes W. Branco, Jaime C. Burgos-Vargas, Ruben Catrina, Anca I. Elewaut, Dirk Ferrari, Antonio J. L. [UNIFESP] Kiely, Patrick Leeb, Burkhard F. Montecucco, Carlomaurizio Mueller-Ladner, Ulf Ostergaard, Mikkel Zochling, Jane Falzon, Louise van der Heijde, Desiree M. |
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 author author author author author author |
dc.contributor.none.fl_str_mv |
Hosp Gen Univ Elda Hosp Gen Univ Alicante Univ Camilo Jose Cela Univ British Columbia Royal Melbourne Hosp Univ Hosp Southampton NHS Fdn Trust NIHR Wellcome Trust Clin Res Facil Ctr Hosp Univ Liege Maastricht Univ Atrium Med Ctr Univ Toronto Repatriat Gen Hosp Flinders Univ S Australia Med Univ Vienna Mt Sinai Hosp Cabrini Hosp Monash Univ Univ Amsterdam Univ Med Ctr Utrecht Univ Nova Lisboa EPE Hosp Egas Moniz Hosp Gen Mexico City Karolinska Univ Hosp Karolinska Inst Ghent Univ Hosp Universidade Federal de São Paulo (UNIFESP) St Georges Healthcare NHS Trust State Hosp Stockerau Univ Pavia Univ Giessen Copenhagen Univ Hosp Menzies Res Inst Tasmania Columbia Univ Leiden Univ |
dc.contributor.author.fl_str_mv |
Sivera, Francisca Andres, Mariano Carmona, Loreto Kydd, Alison S. R. Moi, John Seth, Rakhi Sriranganathan, Melonie van Durme, Caroline van Echteld, Irene Vinik, Ophir Wechalekar, Mihir D. Aletaha, Daniel Bombardier, Claire Buchbinder, Rachelle Edwards, Christopher J. Landewe, Robert B. Bijlsma, Johannes W. Branco, Jaime C. Burgos-Vargas, Ruben Catrina, Anca I. Elewaut, Dirk Ferrari, Antonio J. L. [UNIFESP] Kiely, Patrick Leeb, Burkhard F. Montecucco, Carlomaurizio Mueller-Ladner, Ulf Ostergaard, Mikkel Zochling, Jane Falzon, Louise van der Heijde, Desiree M. |
description |
We aimed to develop evidence-based multinational recommendations for the diagnosis and management of gout. Using a formal voting process, a panel of 78 international rheumatologists developed 10 key clinical questions pertinent to the diagnosis and management of gout. Each question was investigated with a systematic literature review. Medline, Embase, Cochrane CENTRAL and abstracts from 2010-2011 European League Against Rheumatism and American College of Rheumatology meetings were searched in each review. Relevant studies were independently reviewed by two individuals for data extraction and synthesis and risk of bias assessment. Using this evidence, rheumatologists from 14 countries (Europe, South America and Australasia) developed national recommendations. After rounds of discussion and voting, multinational recommendations were formulated. Each recommendation was graded according to the level of evidence. Agreement and potential impact on clinical practice were assessed. Combining evidence and clinical expertise, 10 recommendations were produced. One recommendation referred to the diagnosis of gout, two referred to cardiovascular and renal comorbidities, six focused on different aspects of the management of gout (including drug treatment and monitoring), and the last recommendation referred to the management of asymptomatic hyperuricaemia. the level of agreement with the recommendations ranged from 8.1 to 9.2 (mean 8.7) on a 1-10 scale, with 10 representing full agreement. Ten recommendations on the diagnosis and management of gout were established. They are evidence-based and supported by a large panel of rheumatologists from 14 countries, enhancing their utility in clinical practice. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-02-01 2016-01-24T14:35:11Z 2016-01-24T14:35:11Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1136/annrheumdis-2013-203325 Annals of the Rheumatic Diseases. London: Bmj Publishing Group, v. 73, n. 2, p. 328-335, 2014. 10.1136/annrheumdis-2013-203325 WOS000329488000001.pdf 0003-4967 http://repositorio.unifesp.br/handle/11600/37345 WOS:000329488000001 |
url |
http://dx.doi.org/10.1136/annrheumdis-2013-203325 http://repositorio.unifesp.br/handle/11600/37345 |
identifier_str_mv |
Annals of the Rheumatic Diseases. London: Bmj Publishing Group, v. 73, n. 2, p. 328-335, 2014. 10.1136/annrheumdis-2013-203325 WOS000329488000001.pdf 0003-4967 WOS:000329488000001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Annals of the Rheumatic Diseases |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
328-335 application/pdf |
dc.publisher.none.fl_str_mv |
Bmj Publishing Group |
publisher.none.fl_str_mv |
Bmj Publishing Group |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268416771489792 |