[Clinical and socio-medical aspects of long term uricostatic treatment of primary gout (a 5-10 year study)].
@article{Klein1978ClinicalAS, title={[Clinical and socio-medical aspects of long term uricostatic treatment of primary gout (a 5-10 year study)].}, author={G. Klein and Franz Rainer and P Schmid and G. Schneider}, journal={Zeitschrift fur Rheumatologie}, year={1978}, volume={37 5-6}, pages={ 165-73 } }
In 60 patients (48 cases were evaluated) with primary gout a longterm therapy (5--10 years) with Allopurinol was performed. Without treatment 4.4 sudden onsets of gout per patient and year were registrated; under Allopurinol only 0.062 (p less than 0.001) onsets were observed. This resulted in a large decrease in hospitalisation time from 44 days to 0.62 days per patient and year. In the majority of cases involution or diminuation of the tophi was found. In 7 cases of nephrolithiasis no further…
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Evidence-based guidelines are needed for gout management and prevention based on expert consensus rather than research evidence and audits of practice suggest that treatment is very variable.