Evidence map›Paper›PMID 40693733›Full record

ArticleInternational journal of rheumatic diseases2025

Clinical Practice Consensus Statement 2025: Management of Hyperuricemia and Gout in Adolescents.

Changgui Li, Jie Lu, Zhaohui Lyu, Haibing Chen, Benli Su, Bo Ban, Jianhua Mao, Ping Liu, Zhifeng Cheng, Jun Zhu and 14 more

Abstract readConsensus Statement
In one paragraph

Article in International journal of rheumatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  3. Multidimensional therapeutic advantages ofFrontiers in endocrinology · 2026
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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

24 authors.

Changgui LiThe Affiliated Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China.
Jie LuThe Affiliated Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China.ORCID https://orcid.org/0000-0003-2886-8285
Zhaohui LyuThe First Medical Center of Chinese PLA General Hospital, Beijing, China.
Haibing ChenShanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Benli SuThe Second Hospital of Dalian Medical University, Dalian, China.
Bo BanThe Affiliated Hospital of Jining Medical University, Jining, China.
Jianhua MaoChildren Hospital of Zhejiang University School of Medicine & Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou, China.
Ping LiuThe Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen & Longgang District People's Hospital of Shenzhen, Shenzhen, China.
Zhifeng ChengThe Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.
Jun ZhuShenzhen Municipal Bao'an District Hospital, Shenzhen, China.
Naijun WanBeijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Xiaobo ChenCapital Center for Children's Health, Capital Medical University, Beijing, China.
Chunxiu GongCenter for Non-Communicable Disease Management, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Peiyu YeCenter for Non-Communicable Disease Management, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Mingshu SunThe Affiliated Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China.
Wenyan SunShandong Provincial Clinical Research Center for Immune Diseases and Gout, The Affiliated Hospital of Qingdao University, Qingdao, China.
Hui ZhangThe Affiliated Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China.
Han YinThe Affiliated Zhongda Hospital of Southeast University, Nanjing, China.
Xiaoyun JiangThe First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Qing WangSino Japanese Friendship Hospital of Jilin University, Changchun, China.
Yaolong ChenResearch Unit of Evidence-Based Evaluation and Guidelines, Chinese Academy of Medical Sciences (2021RU017), School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.
Hsiao-Yi LinDivision of Allergy Immunology and Rheumatology, Cheng-Hsin General Hospital, National Yang Ming Chiao Tung University, Taibei, Taiwan, China.
Jie MiCenter for Non-Communicable Disease Management, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Jiajun ZhaoShandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.

Funding

National Key Research and Development Program of China (2022YFC2503300, 2022YFE0107600), Projects of International Cooperation and Exchanges NSFC (82220108015) and National Natural Science Foundation of China (#32470636) and Shandong Provincial Natural Science Foundation(#ZR2024MH031)
6 · The paper itself

Abstract

backgroundIn response to the increasing global prevalence of gout, there is a concerning shift towards a younger demographic, with China at the forefront of this trend. Hyperuricemia, a central factor in the pathogenesis of gout, is becoming increasingly common among adolescents, particularly males, and is associated with various health risks, including joint pain, CKD, metabolic disorders, and premature death. Despite the seriousness of this issue, there is a lack of specific guidelines addressing adolescent and hyperuricemia gout management.

methodsThe working comprising 26 clinician pediatricians, rheumatologists, and endocrinologists, all experienced in the clinical presentation and management of gout and hyperuricemia, was convened to develop a consensus. A systematic literature search was conducted in PubMed, the Cochrane Library, and EMBASE published from 1 January 1960 to 31 May 2024. Two rounds of Delphi surveys for each recommendation were conducted among all group members via electronic questionnaire.

resultsAdolescent-onset gout is characterized by a pronounced genetic predisposition and distinct environmental influences, with a significant number of cases reporting a positive family history. We issued three consensus statements with five recommendations including the criteria, the urate-lowering treatment, and flare therapy principles for hyperuricemia and gout in adolescents.

conclusionsThis consensus statement comprehensively delves into the critical clinical challenges associated with gout and hyperuricemia in the adolescent population, emphasizing the pressing requirement for improved detection and management strategies to support a demographic that may be underserved by the healthcare system.

Indexed as

GoutGout SuppressantsHyperuricemiaAdolescentDelphi TechniqueFemaleHumansMaleUric AcidGout SuppressantsUric Acidadolescentsconsensusgouthyperuricemiamanagement

Identifiers

PMID40693733
PMCPMC12282318

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.