Large epidemiologic studies of gout: challenges in diagnosis and diagnostic criteria.

Abstract:

:Large epidemiologic studies of gout can improve insight into the etiology, pathology, impact, and management of the disease. Identification of monosodium urate monohydrate crystals is considered the gold standard for diagnosis, but its application is often not possible in large studies. Therefore, under such circumstances, several proxy approaches are used to classify patients as having gout, including ICD coding in several types of databases or questionnaires that are usually based on the existing classification criteria. However, agreement among these methods is disappointing. Moreover, studies use the terms acute, recurrent, and chronic gout in different ways and without clear definitions. Better definitions of the different manifestations and stages of gout may provide better insight into the natural course and burden of disease and can be the basis for valid approaches to correctly classifying patients within large epidemiologic studies.

journal_name

Curr Rheumatol Rep

authors

Wijnands JM,Boonen A,Arts IC,Dagnelie PC,Stehouwer CD,van der Linden S

doi

10.1007/s11926-010-0157-3

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

167-74

issue

2

eissn

1523-3774

issn

1534-6307

journal_volume

13

pub_type

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