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Title: | Australian and New Zealand recommendations for the diagnosis and management of gout: Integrating systematic literature review and expert opinion in the 3e Initiative. | Authors: | Buchbinder R.;Whittle S.L.;Wechalekar M.D.;Moi J.H.Y.;Barrett C.;Hill C.L.;Littlejohn G.;Lynch N.;Major G.;Taylor A.L.;Graf S.W.;Zochling J. | Institution: | (Graf) Rheumatology Unit and Department of General Medicine, Royal Adelaide Hospital, Adelaide, SA, Australia (Whittle) Rheumatology Unit, The Queen Elizabeth Hospital, Woodville South, SA, Australia (Wechalekar) Rheumatology Research Unit, Repatriation General Hospital, Daw Park, SA, Australia (Moi) Department of Rheumatology, The Royal Melbourne Hospital, Parkville, VIC, Australia (Barrett) Redcliffe Hospital, Redcliffe, QLD, Australia (Hill) Rheumatology Unit, The Queen Elizabeth Hospital, Woodville South and The Health Observatory, Discipline of Medicine, The University of Adelaide, Adelaide, SA, Australia (Littlejohn) Departments of Medicine and Rheumatology, Monash University and Monash Health, Clayton, VIC, Australia (Lynch) Medical Specialist Group, Epsom, Auckland, New Zealand (Major) Bone and Joint Institute, Royal Newcastle Center, New Lambton Heights, NSW, Australia (Taylor) Department of Rheumatology, Royal Perth Hospital, Perth, WA, Australia (Buchbinder) Monash Department of Clinical Epidemiology, Cabrini Hospital and Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia (Zochling) Menzies Research Institute, University of Tasmania, Hobart, TAS, Australia | Issue Date: | 2-May-2015 | Copyright year: | 2015 | Publisher: | Blackwell Publishing (E-mail: info@asia.blackpublishing.com.au) | Place of publication: | Australia | Publication information: | International Journal of Rheumatic Diseases. 18 (3) (pp 341-351), 2015. Date of Publication: 01 Mar 2015. | Journal: | International Journal of Rheumatic Diseases | Abstract: | Aim: To develop evidence-based recommendations for the diagnosis and management of gout in Australia and New Zealand as part of the multi-national 3e Initiative. Method(s): Using a formal voting process, a panel of 78 international rheumatologists selected 10 key clinical questions pertinent to the diagnosis and management of gout. An additional question was also developed by participating Australian and New Zealand rheumatologists. Each question was investigated with a systematic literature review. MEDLINE, EMBASE, Cochrane CENTRAL and abstracts from 2010 to 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, 47 Australian and New Zealand rheumatologists developed national recommendations. For each recommendation the level of agreement was assessed and the level of evidence graded. Result(s): Eleven recommendations were produced relating to the diagnosis of gout, different aspects of the management of gout, cardiovascular and renal comorbidities and the management of asymptomatic hyperuricemia. The mean level of agreement with the recommendations was 9.1 on a 1-10 scale, with 10 representing full agreement. Conclusion(s): Eleven Australian and New Zealand recommendations on the diagnosis and management of gout were developed combining systematically reviewed evidence with local expertise, enhancing their utility in clinical practice.Copyright © 2015 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/1756-185X.12557 | PubMed URL: | 25884565 [http://www.ncbi.nlm.nih.gov/pubmed/?term=25884565] | ISSN: | 1756-1841 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/40789 | Type: | Article | Type of Clinical Study or Trial: | Systematic review and/or meta-analysis |
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