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The future of gout management 

The future of gout management
Chapter:
The future of gout management
Author(s):

Nicola Dalbeth

DOI:
10.1093/med/9780198748311.003.0013
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date: 18 August 2019

At present, despite the increasing prevalence of the disease, gout is poorly treated. Alternative models of care within primary care offer new opportunities for effective gout management. In addition to more effective use of approved agents, future gout management will be improved with increasing availability of new urate-lowering drugs. The role of urate-lowering therapy for asymptomatic hyperuricaemia, particularly in the context of co-morbid conditions such as chronic kidney disease, hypertension, and coronary artery disease is currently unknown; large clinical trials are needed to address this key question. Wider and earlier adoption of urate-lowering therapy in those with established gout is likely to reduce the long-term impact of this common condition.

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