Abstract:
PURPOSE OF REVIEW:Medical treatment with urate-lowering therapy (ULT) is efficacious. A recent publication suggested that surgery in gout is more prevalent than previously reported. This revelation led us to review what is known about surgical treatment of gout. RECENT FINDINGS:The Google Scholar database (January 1, 2014-January 1, 2020) found 104 publications with a total of 169 gout patients, with an average disease duration of 6.7 years. Most (68%) were not on ULT. The mean pre-operative serum urate levels were 9.19 mg/dL. One hundred thirteen patients underwent tophi excision, while in 33 patients, tophi were found during surgery. The majority of the surgeries were performed in Asia and Europe. Most patients were not taking ULT at the time of surgery, leading to hyperuricemia. This can result in tophi reformation post-surgery. The role of surgery should be a last-line treatment and until recently has only been demonstrated through case reports.
journal_name
Curr Rheumatol Repjournal_title
Current rheumatology reportsauthors
Carcione J,Bodofsky S,LaMoreaux B,Schlesinger Ndoi
10.1007/s11926-020-00969-6subject
Has Abstractpub_date
2020-11-24 00:00:00pages
1issue
1eissn
1523-3774issn
1534-6307pii
10.1007/s11926-020-00969-6journal_volume
23pub_type
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