Gout, Hyperuricemia, and Crystal-Associated Disease Network Consensus Statement Regarding Labels and Definitions for Disease Elements in Gout
Por:
Bursill D, Taylor WJ, Terkeltaub R, Kuwabara M, Merriman TR, Grainger R, Pineda C, Louthrenoo W, Edwards NL, Andrés M, Vargas-Santos AB, Roddy E, Pascart T, Lin CT, Perez-Ruiz F, Tedeschi SK, Kim SC, Harrold LR, McCarthy G, Kumar N, Chapman PT, Tausche AK, Vazquez-Mellado J, Gutierrez M, da Rocha Castelar-Pinheiro G, Richette P, Pascual E, Fisher MC, Burgos-Vargas R, Robinson PC, Singh JA, Jansen TL, Saag KG, Slot O, Uhlig T, Solomon DH, Keenan RT, Scire CA, Biernat-Kaluza E, Dehlin M, Nuki G, Schlesinger N, Janssen M, Stamp LK, Sivera F, Reginato AM, Jacobsson L, Lioté F, Ea HK, Rosenthal A, Bardin T, Choi HK, Hershfield MS, Czegley C, Choi SJ and Dalbeth N
Publicada:
1 mar 2019
Categoría:
Rheumatology
Resumen:
Objective The language currently used to describe gout lacks standardization. The aim of this project was to develop a consensus statement on the labels and definitions used to describe the basic disease elements of gout. Methods Experts in gout (n = 130) were invited to participate in a Delphi exercise and face-to-face consensus meeting to reach consensus on the labeling and definitions for the basic disease elements of gout. Disease elements and labels in current use were derived from a content analysis of the contemporary medical literature, and the results of this analysis were used for item selection in the Delphi exercise and face-to-face consensus meeting. Results There were 51 respondents to the Delphi exercise and 30 attendees at the face-to-face meeting. Consensus agreement (>= 80%) was achieved for the labels of 8 disease elements through the Delphi exercise; the remaining 3 labels reached consensus agreement through the face-to-face consensus meeting. The agreed labels were monosodium urate crystals, urate, hyperuric(a)emia, tophus, subcutaneous tophus, gout flare, intercritical gout, chronic gouty arthritis, imaging evidence of monosodium urate crystal deposition, gouty bone erosion, and podagra. Participants at the face-to-face meeting achieved consensus agreement for the definitions of all 11 elements and a recommendation that the label "chronic gout" should not be used. Conclusion Consensus agreement was achieved for the labels and definitions of 11 elements representing the fundamental components of gout etiology, pathophysiology, and clinical presentation. The Gout, Hyperuricemia, and Crystal-Associated Disease Network recommends the use of these labels when describing the basic disease elements of gout.
Filiaciones:
Bursill D:
University of Auckland, Auckland, New Zealand, and Adelaide Medical School, University of Adelaide, South Australia, Australia
Taylor WJ:
University of Otago, Wellington, and Hutt Valley District Health Board, Lower Hutt, New Zealand
Terkeltaub R:
Veterans Affairs Medical Center and University of California, San Diego
Kuwabara M:
Toranomon Hospital, Tokyo, Japan, and University of Colorado Denver, Aurora
Merriman TR:
University of Otago, Dunedin, New Zealand
Grainger R:
University of Otago, Wellington, and Hutt Valley District Health Board, Lower Hutt, New Zealand
Pineda C:
Instituto Nacional Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico
Louthrenoo W:
Chiang Mai University, Chiang Mai, Thailand
Edwards NL:
University of Florida College of Medicine, Gainesville
Andrés M:
Hospital Universitario de Alicante and Universidad Miguel Hernández, Alicante, Spain
Vargas-Santos AB:
State University of Rio de Janeiro, Rio de Janeiro, Brazil
Roddy E:
Keele University, Keele, UK
Pascart T:
Lille Catholic University and Saint-Philibert Hospital, Lomme, France
Lin CT:
Taichung Veterans General Hospital, Taichung, Taiwan
Perez-Ruiz F:
University of the Basque Country, Biscay, and Cruces University Hospital and Biocruces Health Research Institute, Baracaldo, Spain
Tedeschi SK:
Harvard Medical School, and Brigham and Women's Hospital, Boston, Massachusetts
Kim SC:
Harvard Medical School, and Brigham and Women's Hospital, Boston, Massachusetts
Harrold LR:
Corrona, LLC, Waltham, and University of Massachusetts Medical School, Worcester
McCarthy G:
Mater Misericordiae University Hospital and University College, Dublin, Ireland
Kumar N:
Henry Ford Hospital, Detroit, Michigan
Chapman PT:
Christchurch Hospital, Christchurch, New Zealand
Tausche AK:
University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany
Vazquez-Mellado J:
Hospital General de México and Universidad Nacional Autónoma de México, Mexico City, Mexico
Gutierrez M:
Instituto Nacional Rehabilitación, Mexico City, Mexico
da Rocha Castelar-Pinheiro G:
State University of Rio de Janeiro, Rio de Janeiro, Brazil
Richette P:
Hôpital Lariboisière, Assistance Publique-Hopitaux de Paris, and INSERM UMR-1132 and Université Paris Diderot, Paris, France
Pascual E:
Hospital Universitario de Alicante and Universidad Miguel Hernández, Alicante, Spain
Fisher MC:
Harvard Medical School and Massachusetts General Hospital Boston
Burgos-Vargas R:
Hospital General de México and Universidad Nacional Autónoma de México, Mexico City, Mexico
Robinson PC:
University of Queensland School of Medicine and Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
Singh JA:
Veterans Affairs Medical Center, Birmingham, and University of Alabama at Birmingham
Jansen TL:
Viecuri Medical Centre, Venlo, The Netherlands
Saag KG:
University of Alabama at Birmingham
Slot O:
Rigshospitalet Glostrup, Glostrup, Denmark
Uhlig T:
Diakonhjemmet Hospital, Oslo, Norway
Solomon DH:
Harvard Medical School, and Brigham and Women's Hospital, Boston, Massachusetts
Keenan RT:
Duke University School of Medicine, Durham, North Carolina
Scire CA:
University of Ferrara, Ferrara, and Italian Society for Rheumatology, Milan, Italy
Biernat-Kaluza E:
ORLIK, Warsaw, Poland
Dehlin M:
Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Nuki G:
University of Edinburgh, Edinburgh, UK
Schlesinger N:
Rutgers-Robert Wood Johnson Medical School, Piscataway, New Jersey
Janssen M:
Viecuri Medical Centre, Venlo, The Netherlands
Stamp LK:
University of Otago, Christchurch, New Zealand
:
Hospital General Universitario de Elda, Alicante, Spain
Reginato AM:
Warren Alpert School of Medicine at Brown University, Providence, Rhode Island
Jacobsson L:
Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Lioté F:
Hôpital Lariboisière, Assistance Publique-Hopitaux de Paris, and INSERM UMR-1132 and Université Paris Diderot, Paris, France
Ea HK:
Hôpital Lariboisière, Assistance Publique-Hopitaux de Paris, and INSERM UMR-1132 and Université Paris Diderot, Paris, France
Rosenthal A:
Medical College of Wisconsin and the Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee
Bardin T:
Hôpital Lariboisière, Assistance Publique-Hopitaux de Paris, and INSERM UMR-1132 and Université Paris Diderot, Paris, France
Choi HK:
Harvard Medical School and Massachusetts General Hospital Boston
Hershfield MS:
Duke University Medical Center, Durham, North Carolina
Czegley C:
Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
Choi SJ:
University of California, San Diego, and Korea University Ansan Hospital, Ansan, South Korea
Dalbeth N:
University of Auckland, Auckland, New Zealand
Green Accepted, Green Published
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