Division of Rheumatology, Hospital for Special Surgery, 535 East 70th Street, Suite 848G, New York, NY 10021, USA.
Rheum Dis Clin North Am. 2019 Feb;45(1):145-157. doi: 10.1016/j.rdc.2018.09.009.
Despite many effective treatments for gout, its management remains a challenge internationally. Options for optimizing gout management may differ in different practice sizes and settings. Gout incidence is rising and it continues to be associated with increased mortality. Education of patients and medical providers is essential, and newer gout medications need to be used in the most appropriate ways for cost-effective therapy. Special consideration needs to be given to such populations as the elderly and those with renal and cardiovascular disease in gout management. New agents are in development, which may add to the armamentarium for gout management.
尽管有许多有效的痛风治疗方法，但国际上对其管理仍然是一个挑战。优化痛风管理的选择可能因实践规模和环境的不同而有所不同。痛风发病率不断上升，而且它仍然与死亡率增加有关。对患者和医疗服务提供者进行教育至关重要，需要以最有效的方式使用新型痛风药物进行成本效益治疗。在痛风管理中，需要特别考虑老年人以及患有肾脏和心血管疾病的人群。新的药物正在开发中，这可能会增加痛风管理的手段。
