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

Detalhes bibliográficos
Autor(a) principal: Sivera, Francisca
Data de Publicação: 2014
Outros Autores: 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.
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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spelling 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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