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Diagnosis
Review: Sensitivities and specificities vary for different diagnostic tests of gout

https://doi.org/10.1136/ebm.12.2.56

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    Zhang W, Doherty M, Pascual E, et al. EULAR evidence based recommendations for gout. Part I: Diagnosis. Report of a task force of the Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis. 2006;65:1301–11.
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 Q What are the diagnostic tests and their test properties for the diagnosis of gout?

    Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★★☆ Rheumatology ★★★★★☆☆

    METHODS

    Embedded ImageData sources:

    Medline (1966–2005), Old Medline (1950–1966), CINAHL (1980–2005), EMBASE/Excerpta Medica (1980–2005), Science Citation Index (1945–2005), NHS Economic Evaluation Databases, Health Technology Assessment Database, and Cochrane Controlled Trials Register (1996–2005).

    Embedded ImageStudy selection and assessment:

    an expert panel of rheumatologists reached a consensus on 10 key evidence-based recommendations for the diagnosis of gout using the Delphi technique. Studies assessing these recommendations and the clinical diagnosis of gout or hyperuricaemia, if serum uric acid was measured as a risk factor for gout, were included. Case reports, review articles, editorials, commentaries, and studies on …

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    Footnotes

    • For correspondence: Dr W Zhang, University of Nottingham, Nottingham UK. weiya.zhang{at}nottingham.ac.uk

    • Source of funding: European League Against Rheumatism.