2023HKSR共识建议：痛风的管理

Clinical Rheumatologyhttp5/doi.org/10.1007/s10067-023-06578-9REVIEW ARTICLEThe Hong Kong Society of Rheumatology consensusrecommendations for the management of goutRonald ML Yip'.Tommy T Cheung2.Ho So3.Julia PS Chan2.Carmen TK Ho.Helen HL Tsang.Carrel KL Yu5.Priscilla CH Wong3.for the Hong Kong Society of RheumatologyReceived:2 December 2022/Revised:9 February 2023/Accepted:12 March 2023©The Author(s)2023AbstractGout is one of the most common noncommunicable diseases in Hong Kong.Although effective treatment options are read-ily available,the management of gout in Hong Kong remains suboptimal.Like other countries,the treatment goal in HongKong usually focuses on relieving symptoms of gout but not treating the serum urate level to target.As a result,patientswith gout continue to suffer from the debilitating arthritis,as well as the renal,metabolic,and cardiovascular complicationsassociated with gout.The Hong Kong Society of Rheumatology spearheaded the development of these consensus recom-mendations through a Delphi exercise that involved rheumatologists,primary care physicians,and other specialists in HongKong.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 paperserves as a reference guide to all healthcare providers who see patients who are at risk and are known to have this chronicbut treatable condition.Keywords Consensus.Gout.Hong Kong Society of Rheumatology.Hyperuricemia.RecommendationsIntroduction[2].Population aging has contributed significantly to theincreased incidence and prevalence of gout in Hong Kong.The global incidence and prevalence of gout has substan-Over the past 20 years,the number of Hong Kong peopletially increased over the past decade [1],and this is noaged 65 years or above increased from 12.5%to 16.1%.Inexception in Hong Kong.A local population-based studyaddition,modifiable risk factors for gout and hyperuricemia,reported an increase in the crude incidence rate of gout fromsuch as regular alcohol consumption,greater meat intake,113.05/100,000 person-years in2006to211.62/100,000and obesity,have been increasing.As a result,the Hongperson-years in 2016 [2].Similarly,the crude prevalenceKong government has included gout,alcohol drinking,andof gout has risen from 1.56%in 2006 to 2.92%in 2016obesity among the target non-communicable diseases in itscampaign programs for primary prevention [3].However,the management of gout in Hong Kong is yet to be improved.☒Ronald ML Yipronald.yip@tungwah.org.hkThe treatment goal usually focuses on relieving symp-toms of arthritis but not treating the underlying hyperurice-Tung Wah Group of Hospitals Integrated Diagnosticmia.Despite the availability and demonstrated efficacy ofand Medical Centre.Kwong Wah Hospital.25.Waterloourate-lowering therapy (ULT)in reducing serum uric acidRoad,Kowloon,Hong Kong(SUA)levels,only 25.55%