New Clinical Consensus Statement Designed to Address Controversies in Pathophysiology & Treatment of Gout

News release:

ACFAS & & American Association of Nurse Practitioners ® Publish Interdisciplinary, Joint Statement

CHICAGO-Oct. 25, 2019-ACFAS and the American Association of Nurse Practitioners ® have actually developed a joint medical agreement statement on gouty arthritis localized to the foot and ankle. Published in the November/December concerns of The Journal of Foot & & Ankle Surgery and The Journal for Nurse Practitioners, the statement is planned to work as a discussion guide for the threat factors, medical diagnosis, treatment and avoidance of the illness.” Gout is a condition that commonly impacts the foot and ankle, and professionals who deal with these structures ought to be mindful of the methods used to treat this form and identify of arthritis, and likewise to acknowledge extra-articular manifestations of the illness,” said the standards lead author Roya Mirmiran, DPM, FACFAS, a foot and ankle surgeon at Sutter Medical Group in Sacramento, CA and a Fellow Member of ACFAS. “Using the very best readily available proof, medical experience and common sense, we were able to reach joint agreement on 17 of 23 declarations on the etiology, diagnosis and treatment of gout in the foot and ankle.”

Among the papers substantial agreements are:

– Alcohol, diet plan and age usage are threat elements for gout. – Joint aspiration and microscopy are the gold standards for making the diagnosis of gout. – Nonsteroidal anti-inflammatory drugs should be utilized as the first line treatment for acute gout. – Long-term medications, such as allopurinol, are essential in the treatment of recurrent gout. – Multidisciplinary referral offers ideal care in cases of recalcitrant gout. – Patient education should consist of dietary adjustment, medication adherence and follow-up care with their assigned healthcare companies.”In working with an interprofessional team, we have had the ability to produce a comprehensive consensus declaration for the management of patients with gout,” said co-chair Michael Zychowicz, DNP, ANP, FAAN, FAANP, Professor and Director of the MSN Program & & Lead Faculty in Orthopedic NP Specialty at Duke University School of Nursing in Durham, NC. “This file will serve as an important scientific guide for the interprofessional management of gout arthritis.””We are pleased for the chance to work together with our podiatric surgical colleagues on this clinical agreement declaration,” said Tom Bush, DNP, FNP-BC, FAANP, Assistant Dean of the University of North Carolina at Chapel Hill School of Nursing and a faculty member in the UNC Department of Orthopedic Surgery. “Podiatrists and nps have complementary abilities and experience to offer comprehensive care to maintain joint function and treat issues of this olden illness.” “As a clients first point of contact, nurse professionals, specifically those with orthopaedic specialty, were the natural and optimal profession with which to work together for the advancement of this joint agreement statement,” stated John S. Steinberg, DPM, FACFAS, president, American College of Foot and Ankle Surgeons. “Together, foot and ankle surgeons and nurse specialists can offer the very best, collective look after patients struggling with gout, and we hope that this paper serves as a guide for all medical professionals whose clients are at risk for or are presently being dealt with for the illness.””The American Association of Nurse Practitioners ® is happy to have worked with ACFAS in the advancement of a joint medical consensus statement on the etiology, medical diagnosis and treatment of gouty arthritis localized to the foot and ankle,” stated AANP President Joyce Knestrick, PhD, C-FNP, APRN, FAANP. “This joint consensus statement is special because it is obtained based on an interdisciplinary team technique.

“As a patients very first point of contact, nurse specialists, particularly those with orthopaedic specialized, were the natural and ideal occupation with which to work together for the development of this joint agreement statement,” stated John S. Steinberg, DPM, FACFAS, president, American College of Foot and Ankle Surgeons. “This joint consensus statement is unique in that it is derived based on an interdisciplinary group method.

” Gout is a condition that typically impacts the foot and ankle, and practitioners who treat these structures should be aware of the approaches used to treat this kind and diagnose of arthritis, and likewise to acknowledge extra-articular symptoms of the illness,” said the standards lead author Roya Mirmiran, DPM, FACFAS, a foot and ankle surgeon at Sutter Medical Group in Sacramento, CA and a Fellow Member of ACFAS. “Using the finest available evidence, clinical experience and typical sense, we were able to reach joint agreement on 17 of 23 statements on the etiology, diagnosis and treatment of gout in the foot and ankle.”
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  • 158 Pages - 03/31/2020 (Publication Date) - Rockridge Press (Publisher)
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  • SIMPLE SOLUTION – Enjoy a supplement that works with your schedule! To free yourself from pain, just take 1 of your 90 inflammation relief capsules twice daily. Support has never been so simple!
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Choose This Not That for Gout: 2nd Edition
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  • 122 Pages - 07/14/2013 (Publication Date) - CreateSpace Independent Publishing Platform (Publisher)
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  • Award-winning relief: Rescue your joints from the aches of unruly uric acid levels with the holistic support of our all-natural formula; For pill-free support, try Gouch! Liquid
  • Clear and combat buildup: Handle excess uric acid levels naturally by helping nourish kidney function, your body's key player for a healthy metabolism that breaks down uric acid
  • Take control: Keep normal uric acid levels balanced with help from tart cherry and quercetin; Supports healthy immune function and circulation with ginger root
  • Two capsules: Take up twice daily without food for 3 days, then reduce to 2 daily capsules from thereon; Vegan, gluten free, non-GMO and tested for purity by a third-party lab
  • Put your health in order: Get back into balance with our high-quality, natural supplements designed to nourish and support your health
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The 28-Day Gout Diet Plan: The Optimal Nutrition Guide to Manage Gout
  • Kamveris MS RD LDN, Sophia (Author)
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  • 194 Pages - 02/05/2019 (Publication Date) - Rockridge Press (Publisher)
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Gout Complete 16oz - Natural & Organic Liquid Gout Treatment, Uric Acid Flush & Remedy Support Medicine (W/Tart Cherry)
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  • A COMPLETE ALTERNATIVE – With both Organic and Kosher certifications, we use only the highest concentration and quality of ingredients. We use more than 35 ingredients, 3 times more than any comparable product, to help reduce inflammation, increase circulation, cleanse and flush out infection, and rebalance Ph, mineral and uric acid levels. With our 100% SATISFACTION GUARANTEE, you can feel safe that you are making the best choice in a proven and natural uric acid reducer.
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ACR Releases Gout Management Guideline with Emphasis on Treat-to-Target Strategy for Urate Lowering Therapy

News release:

ATLANTA– Today, the American College of Rheumatology (ACR) released the 2020 Guideline for the Management of Gout. The upgraded standard shows brand-new clinical evidence that appeared considering that the ACR last released a treatment standard for the condition in 2012, Among the 42 recommendations provided, addressing standard treat-to-target urate lowering therapy (ULT) was a crucial focus for the authors due to its benefit for all clients with gout that are on ULT.

” With this upgrade, we looked for to look at new and emerging clinical evidence that would be beneficial for treating clients with gout,” said John FitzGerald, MD, PhD, a rheumatologist and among the standards co-principal detectives. “The guideline now includes expanded indicators for beginning ULT, a higher focus to utilize allopurinol as the first line agent for all clients with gout that require urate lowering treatment consisting of those clients with chronic kidney illness, and broadened suggestions about who requires HLA-B * 5801 screening prior to starting allopurinol.”

A highlight of the upgraded standard is a strong recommendation to use a treat-to-target technique with ULT for all patients with gout, based on information from more recent clinical trials. The standard recommends a management technique of starting with a low-dose of a ULT medication and escalating the dose to accomplish and keep a serum urate level of less than 6 mg/dL to optimize client outcomes over a fixed-dose strategy. This technique alleviates the risk of treatment-related unfavorable impacts (i.e., hypersensitivity), in addition to flare threat accompanying ULT initiation. Other suggestions include:

– A conditional suggestion for HLA-B * 5801 testing prior to starting allopurinol for clients of Southeast Asian descent (e.g., Han Chinese, Korean, Thai) and African American descent who have a higher prevalence of HLA-B * 5801 and against HLA-B * 5801 screening in patients of other ethnic or racial backgrounds.

Gout is the most common form of inflammatory arthritis, impacting about 9.2 million adults in the United States. This condition hurts and potentially disabling, can affect anyone, and its threat factors differ. Signs are normally extreme episodes of painful swelling in single joints, most frequently in the feet, specifically the big toe, however any joint can be involved.

ACR guidelines are presently established using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, which produces strenuous requirements for judging the quality of the literature readily available and appoints strengths to the suggestions. The updated and broadened suggestions can be seen at https://www.rheumatology.org/Practice-Quality/Clinical-Support/Clinical-Practice-Guidelines/Gout.

– A strong suggestion to utilize allopurinol as the first-line ULT, including in clients with chronic kidney disease.

– Indications for starting ULT have actually been broadened to conditionally consider patients with irregular gout flares or after their very first gout flare if they likewise have moderate to extreme chronic kidney disease (CKD stage ≥ 3), significant hyperuricemia (serum urate > > 9 mg/dl) or kidney stones.

– A strong suggestion to use an anti-inflammatory prophylaxis (e.g., colchicine, NSAIDs, prednisone/prednisolone) when starting ULT for a minimum of 3-6 months instead of less than 3 months, with continuous assessment and continued prophylaxis as needed if the patient continues to experience flares.

– A conditional suggestion against initiating ULT for patients experiencing their first gout flare without above comorbidities.

An emphasize of the updated guideline is a strong suggestion to utilize a treat-to-target technique with ULT for all clients with gout, based on data from newer medical trials. The standard recommends a management method of beginning with a low-dose of a ULT medication and escalating the dosage to preserve a serum and attain urate level of less than 6 mg/dL to enhance client results over a fixed-dose technique. Other recommendations include:

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  • Joint comfort and detoxification promote healthy uric acid levels and maintain proper balance. You can have the confidence that every capsule has the strength and potency needed for uric acid support.
  • We blend all our products at a cGMP Certified Laboratory to ensure a contaminant-free product. We wouldn't have it any other way and neither should you.
  • Super ingredients rich in anthocyanins and antioxidants like Celery Seed and Tart Cherry Extract, Purge naturally promotes joint health, providing you with the best power to maintain comfort, flexibility, and mobility.
  • Pure natural formula in 100% vegetarian easy-to-swallow soft capsules, completely free of fillers, binders, and artificial ingredients. No gluten, wheat, or dairy. And of course, never tested on animals. Just a pure and tested product.
  • Try our products without worry with our 100% Happiness & Health Commitment. We're confident that you will see results and be thrilled with your purchase. And through our Vitamin Angels 1-for-1 Match program, one bottle equals one year of vitamins for a child in need.
Bestseller No. 2
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  • Immediate, Lasting & Quick Relief: Did you know that our unique pain relief cream is preferred by those dealing with inflammation, pain and discomfort related to flare-ups? Numerous All Natural pain relievers go to work to reduce inflammation, provide soothing relief and get you back on your feet!
  • Non-Greasy, Non-Staining & Fast Absorbing: Arnica gel cream with a refreshing mint scent. Within minutes, the cream is absorbed and the scent is vanished. Get back to your normal life!
  • Made In The USA: Manufactured and Packaged in the USA in a GMP Approved Facility for Purity and Potency
  • Natural Ingredients: Include Arnica Extract, Tea Tree Oil, Ilex Leaf Extract, Aloe, vitamins E & B6 and MSM.
  • Money Back Guarantee: We stand behind our Therapeutic Pain Relief Cream 100% and are sure you are going to love it! If you are less than 100% Satisfied with our product, for ANY reason, we will refund your money in full with no questions asked. What do you have to lose? Buy Now!
SaleBestseller No. 3
The Healing Gout Cookbook: Anti-Inflammatory Recipes to Lower Uric Acid Levels and Reduce Flares
  • Andrews MEd RD LD, Lisa Cicciarello (Author)
  • English (Publication Language)
  • 158 Pages - 03/31/2020 (Publication Date) - Rockridge Press (Publisher)
Bestseller No. 4
Uric Acid Support Supplement – Go-Out Tart Cherry Extract Capsules for SUSTAINED Relief, Improved Joint Health & Circulation with Celery Seed Extract, Turmeric, Bromelain by Mt. Angel Vitamins, 90-Ct.
  • LIVE LIVELY – Don’t let discomfort ruin your day. Ease joint pain and enjoy activities with Mt. Angel Vitamins! Go-Out uric acid cleanse provides sustained relief so you can get back on your feet!
  • IMPROVE & MOVE – Sick of stiffness? Help restore joint flexibility with black and tart cherry extract, celery seed extract, bromelain, and turmeric root. Go with go out capsules formulated with ingredients known to reduce inflammation.
  • GO WITH THE FLOW – By lowering uric acid levels, your go out relief capsules are known to fortify healthy circulation and blood pressure, protecting muscles and joints from damage.
  • SIMPLE SOLUTION – Enjoy a supplement that works with your schedule! To free yourself from pain, just take 1 of your 90 inflammation relief capsules twice daily. Support has never been so simple!
  • OUR PROMISE – At Mt. Angel Vitamins, we take pride in our capsules’ quality. We ensure your positive experience with restorative results from personally crafted and tested, non-GMO supplements!
SaleBestseller No. 5
Uricel - Advanced Uric Acid Support Supplement - Liquid Delivery for Better Absorption - Tart Cherry, Chanca Piedra, Celery Seed, Turmeric & More!
  • ADVANCED URIC ACID SUPPORT Uricel is the premier natural supplement to help support your uric acid levels and get you back on the road to a healthier you!
  • 6 PREMIUM URIC ACID SUPPORT INGREDIENTS Chanca Piedra, Tart Cherry, Celery Seed, Turmeric, Yucca & Devils Claw help support your uric acid levels fast!
  • GREAT TASTING & EASY TO USE! Our customers are amazed at how good this all-natural formula tastes, and it’s as simple as squeezing a dropper on your tongue - no clumsy pills, no water necessary!
  • ALCOHOL-FREE LIQUID FORMULA: Crafted with our advanced extraction process, our liquid formulas are brewed and macerated with an alcohol-free cold-extraction process. Most liquid formulas are made with a warm alcohol extraction that can burn the delicate ingredients and render them less effective.
  • INGREDIENTS FROM NATURE: We prioritize ingredients sourced from organic and wildcrafted herb farms so your health gets the best nature has to offer. And instead of cramming all these ingredients in a capsule that was thrown together somewhere in China, Uricel is crafted under the guidance of a trained herbalist.
Bestseller No. 6
Choose This Not That for Gout: 2nd Edition
  • Personal Remedies (Author)
  • English (Publication Language)
  • 122 Pages - 07/14/2013 (Publication Date) - CreateSpace Independent Publishing Platform (Publisher)
Bestseller No. 7
Redd Remedies, Gouch!, Support for Healthy Joints and Uric Acid Levels, 60 Capsules
  • Award-winning relief: Rescue your joints from the aches of unruly uric acid levels with the holistic support of our all-natural formula; For pill-free support, try Gouch! Liquid
  • Clear and combat buildup: Handle excess uric acid levels naturally by helping nourish kidney function, your body's key player for a healthy metabolism that breaks down uric acid
  • Take control: Keep normal uric acid levels balanced with help from tart cherry and quercetin; Supports healthy immune function and circulation with ginger root
  • Two capsules: Take up twice daily without food for 3 days, then reduce to 2 daily capsules from thereon; Vegan, gluten free, non-GMO and tested for purity by a third-party lab
  • Put your health in order: Get back into balance with our high-quality, natural supplements designed to nourish and support your health
SaleBestseller No. 8
The 28-Day Gout Diet Plan: The Optimal Nutrition Guide to Manage Gout
  • Kamveris MS RD LDN, Sophia (Author)
  • English (Publication Language)
  • 194 Pages - 02/05/2019 (Publication Date) - Rockridge Press (Publisher)
Bestseller No. 9
Gout Complete 16oz - Natural & Organic Liquid Gout Treatment, Uric Acid Flush & Remedy Support Medicine (W/Tart Cherry)
  • WHY USE A LIQUID TREATMENT? – Research indicates that liquid supplements are more easily absorbed into the body. With an average absorption rate of better than 90% vs. pills at 10-15%, doesn’t it make sense that a liquid can control uric acid better and is the best alternative? Pills using the best of ingredients are simply less effective for relief.
  • PROVEN RESULTS – As a naturopathic remedy using only natural and organic ingredients, we addressed the root causes of uric acid buildup, kidney function and circulation. With proven ingredients that address kidney function, inflammation, pain, circulation, and many other health specific issues that take place to create the imbalance of uric acid in the body, these natural remedies are for you. Uric Acid Complete is used both during the course of an attack and as a preventative measure.
  • A COMPLETE ALTERNATIVE – With both Organic and Kosher certifications, we use only the highest concentration and quality of ingredients. We use more than 35 ingredients, 3 times more than any comparable product, to help reduce inflammation, increase circulation, cleanse and flush out infection, and rebalance Ph, mineral and uric acid levels. With our 100% SATISFACTION GUARANTEE, you can feel safe that you are making the best choice in a proven and natural uric acid reducer.
  • MADE IN THE USA! USDA Organic and OU Kosher Certified.
Bestseller No. 10
Gout Cream for Gout Pain -Gout Attacks and Gout Flare Ups Immediate Relief Cream - Fast-Acting Topical Application for Gout Pain Relief Where and When You Need It Most. Safe & Effective.
  • GOUT CREAM PAIN RELIEF FOR GOUT - Gout Flare Ups and Gout Attacks with Gout Cream - recommended as one of the leading Gout Supplements and Gout Relief Products for Gout Treatment.
  • GOUT RELIEF IN YOUR TOES AND FEET- Advanced Gout Pain Relief Cream. Gout can cause intense pain, hyper-sensitivity in joints, elbow, knee, wrist, ankle, instep and toes. GoutCare incorporates a complex of synergistic ingredients to provide one of the most comprehensive and potent Topical Pain Relief products available today.
  • GOUT PAIN - Gout Cream is an odorless cream applied to your hands and/or feet to support relief of Gout pain, Gout Flare ups. Also helps with Neuropathy, Peripheral Neuropathy and Fibromyalgia. The discomfort caused by vitamin deficiencies, excess uric acid are best addressed by application of GOUTCARE cream. Gout is a serious condition that needs to be addressed by medical professionals. Using GOUTCARE cream is a safe, natural way to provide topical vitamins and nu
  • THERAPEUTIC GOUT RELIEF CREAM - Where and When You Need It Most. Safe & Effective.
  • MONEY BACK GUARANTEE: We stand behind Gout Cream Goutcare as a Therapeutic Gout Pain Relief Cream 100% and are sure you are going to love it! If you are less than 100% Satisfied with Gout Cream Goutcare, for ANY reason, we will refund your money in full with no questions asked.

I get commissions for purchases made through links on this website. As an Amazon Associate I earn from qualifying purchases.