The Hong Kong Society of Rheumatology consensus recommendations for the management of gout

Abstract

Gout is one of the most common noncommunicable diseases in Hong Kong. Although effective treatment options are readily available, the management of gout in Hong Kong remains suboptimal. Like other countries, the treatment goal in Hong Kong usually focuses on relieving symptoms of gout but not treating the serum urate level to target. As a result, patients with gout continue to suffer from the debilitating arthritis, as well as the renal, metabolic, and cardiovascular complications associated with gout. The Hong Kong Society of Rheumatology spearheaded the development of these consensus recommendations through a Delphi exercise that involved rheumatologists, primary care physicians, and other specialists in Hong Kong. Recommendations on acute gout management, gout prophylaxis, treatment of hyperuricemia and its precautions, co-administration of non-gout medications with urate-lowering therapy, and lifestyle advice have been included. This paper serves as a reference guide to all healthcare providers who see patients who are at risk and are known to have this chronic but treatable condition.

Keywords: Consensus; Gout; Hong Kong Society of Rheumatology; Hyperuricemia; Recommendations.

Fig. 1

Consensus recommendations on the management of acute gout attack [6]. COX, cyclooxygenase; IL, interleukin; NSAID, non-steroidal anti-inflammatory drug; ULT, urate-lowering therapy