Among patients with gout who cannot or are unable to be treated with other oral ULT agents and who have had a prior allergic reaction to allopurinol, desensitization to allopurinol has been conditionally recommended. Continuing anti-inflammatory prophylaxis has been recommended for 3 to 6 months over <3 months, with regular evaluation as long as gout flares persist. First, we want to commend the committee for the excellent job they did in updating the guidelines… For patients with gout receiving low-dose aspirin therapy for appropriate indications, it has been conditionally recommended against stopping this medication, regardless of disease activity. For patients receiving cholesterol-lowering therapy, it has been conditionally recommended against to add or switch to fenofibrate, regardless of disease activity. ACR Issues New Guideline for The Management of Gout. Using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology and patient input, the 2020 update of the ACR guidelines includes 16 strong recommendations and 34 other recommendations to support clinical decision-making for the treatment of gout. The 2012 American College of Rheumatology (ACR) Guidelines for the Management of Gout 5, 6 and other international specialty society guidelines recommend treat‐to‐target strategies … Today, the American College of Rheumatology (ACR) released the 2020 Guideline for the Management of Gout. 2012;64(10):1431-1446. As with previous guidelines, patients with gout have been conditionally recommended to limit their intake of alcohol, purine, and high fructose corn syrup, regardless of disease activity. 2 0 obj I(w�`�&[�r�l�E��e�r��\���0��������z>�7w mI�|ז��W 3::�����h�x�**�KKc�1�sȴ �2X�a-��0�n�Ӛ��j�����}��G��.c�1�cL�g~�Er�׫�t�����5k�n�a�1�c�����g-�ӽ��k׏?��c�1�c You’ve viewed {{metering-count}} of {{metering-total}} articles this month. When initiating ULT, concomitant antiinflammatory prophylaxis therapy for a duration of at least 3–6 months was strongly recommended. The subcommittee has offered conditional recommendations for switching from a first XOI therapy to a second XOI in patients whose SU levels consistently remain >6 mg/dL and those who experience ≥2 flares yearly, or who have persistent tophi despite maximum therapeutic doses of the original drug. - And More, Close more info about Updated 2020 American College of Rheumatology Gout Management Guidelines, 2020 American College of Rheumatology guideline for the management of gout, American College of Rheumatology guidelines for management of gout. Register for free and gain unlimited access to: - Clinical News, with personalized daily picks for you FitzGerald JD, Dalbeth N, Mikuls T, et al. Thanks for visiting Rheumatology Advisor. We would like to show you a description here but the site won’t allow us. Guidelines and recommendations developed and/or endorsed by the American College of Rheumatology (ACR) are intended to provide guidance for particular patterns of … Rebecca E. Cohen, Michael H. Pillinger, Michael Toprover, Something Old, Something New: the ACR Gout Treatment Guideline and Its Evolution from 2012 to 2020, Current Rheumatology Reports, … Augmenting the ULT treatment protocol with the supplementation of patient education, shared decision-making, and treat-to-target incentives by nonphysician providers has been conditionally recommended. The updated guideline reflects new clinical evidence that … However, ULT has not been widely adopted by clinicians, and when prescribed, patient adherence was observed to be poor.2,3 The ACR guidelines subcommittee determined that the 2012 recommendations were often disregarded because of a lack of strong evidence supporting the treat-to-target strategies, which has been addressed by newer evidence from several large, recently conducted clinical trials. 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