Evidence map›Paper›PMID 19795010›Full record

ReviewDeutsches Arzteblatt international2009

Gout--current diagnosis and treatment.

Anne-Kathrin Tausche, Tim L Jansen, Hans-Egbert Schröder, Stefan R Bornstein, Martin Aringer, Ulf Müller-Ladner

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 6 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. The effects ofFrontiers in microbiology · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Risk factors for the formation of double-contour sign and tophi in gout.Journal of orthopaedic surgery and research · 2019
    Article
  16. Review
  17. Review
  18. Improving adherence to gout therapy: an expert review.Therapeutics and clinical risk management · 2018
    Review
  19. Asymptomatic Papules and Subcutaneous Nodules as First Sign of Gout.Open access Macedonian journal of medical sciences · 2017
    Article
  20. Treatment Options for Gout.Deutsches Arzteblatt international · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Anne-Kathrin TauscheBereich Rheumatologie, Medizinische Klinik und Poliklinik III, Universitätsklinikum, Carl Gustav Carus an der TU Dresden, Dresden, Germany. anne-kathrin.tausche@uniklinikum-dresden.de
Tim L Jansen
Hans-Egbert Schröder
Stefan R Bornstein
Martin Aringer
Ulf Müller-Ladner
Medisch Centrum Leeuwarden · NLKlinik und Poliklinik für Psychotherapie und Psychosomatik · DETU Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause of the changing dietary habits of an aging population, hyperuricemia is frequently found in combination with other metabolic disorders. Longstanding elevation of the serum uric acid level can lead to the deposition of monosodium urate crystals, causing gout (arthritis, urate nephropathy, tophi). In Germany, the prevalence of gouty arthritis is estimated at 1.4%, higher than that of rheumatoid arthritis. There are no German guidelines to date for the treatment of gout. Its current treatment is based largely on expert opinion.

methodsSelective literature review on the diagnosis and treatment of gout. RESULTS AND

conclusionsAsymptomatic hyperuricemia is generally not an indication for pharmacological intervention to lower the uric acid level. When gout is clinically manifest, however, acute treatment of gouty arthritis should be followed by determination of the cause of hyperuricemia, and long-term treatment to lower the uric acid level is usually necessary. The goal of treatment is to diminish the body's stores of uric acid crystal deposits (the intrinsic uric acid pool) and thereby to prevent the inflammatory processes that they cause, which lead to structural alterations. In the long term, serum uric acid levels should be kept below 360 micromol/L (6 mg/dL). The available medications for this purpose are allopurinol and various uricosuric agents, e.g., benzbromarone. There is good evidence to support the treatment of gouty attacks by the timely, short-term use of non-steroidal anti-inflammatory drugs (NSAID), colchicine, and glucocorticosteroids.

Indexed as

Evidence-Based MedicineGermanyGoutHumansPractice Patterns, Physicians'allopurinolgouthyperuricemia,deposits of uric acidtreatment

Identifiers

PMID19795010
PMCPMC2754667
OpenAlexW2106475130

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.