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Philippine clinical practice guidelines for the management of gout.


Julie T. Li-Yu ,
Evelyn O. Salido,
Sidney Erwin T. Manahan,
Juan Javier T. Lichauco,
Jose Paulo P. Lorenzo,
Karina D. Torralba,
Anne Annette Raso,
Linda Charmaine Roberto,
Paulo S. Estrella,
Liza Marie C. Maceda

Related Institution

University of the Philippines-College of Medicine

University of the Philippines - / Manila

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Publication Information

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


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.

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 48-A Fulltext pdf (Request Document)
Philippine Council for Health Research and Development Fulltext Print Format

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