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Submitted: 10 September 2009 Modified: 18 June 2018
HERDIN Record #: PCHRD091009120955

Philippine clinical practice guidelines for the management of gout.

1Julie T. Li-Yu ,
2Evelyn O. Salido,
3Sidney Erwin T. Manahan,
4Juan Javier T. Lichauco,
5Jose Paulo P. Lorenzo,
6Karina D. Torralba,
7Anne Annette Raso,
8Linda Charmaine Roberto,
9Paulo S. Estrella,
10Liza Marie C. Maceda
University of the Philippines-College of Medicine,
University of the Philippines - Manila,
University of Southern California, Los Angeles,
University of Santo Tomas,


OBJECTIVE: Gout is the most prevalent form of arthritis afflicting Filipinos. The diagnosis and overall management need further improvement especially among medical practitioners. Our study aims to develop evidence-based guidelines for general medical practitioners on the management of uncomplicated gout with the overall goal of improving the standard of care of patients with gouty arthritis.

METHODOLOGY: The Technical Review Committee (TRC) of the Philippine Rheumatology Association (PRA) Gout Special Interest Group (S1G) conducted a literature search relating to management issues on all phases of gout from years 1980 to 2007 using databases including Medline, Ovid, Lilacs, Cochrane Central Register of Controlled Trials (CENTRAL). The GRADE system in rating quality of evidence and strength of recommendation was used. A multidisciplinary panel voted and approved the final recommendations during an en bane meeting.

RESULTS: Nine recommendations for the management of uncomplicated gouty arthritis were developed based on evidence from the literature and consensus among experts and key stakeholders. Concerns regarding the initiation and maintainance of urate lowering therapy, target serum uric acid levels, treatment of acute gout, lifestyle and dietary modifications, comorbidities associated with gout such as cardiovascular disease were addressed.

Publication Type:
Publication Sub Type:
Journal Article, Original
Philippine Journal of Internal Medicine
Publication Date:
July-August 2008
Philippine College of Physicians

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