Patient selection: gout
Parameters:
(1) serum urate in mg/dL (mmol/L)
(2) tophus
(3) flares
(4) pain on 10 cm Likert scale over past 12 months
(5) patient global assessment on 10 cm Likert scale over past 12 months
Assessments should be performed:
(1) over a 12 month period
(2) at least twice
(3) equally spaced over the time interval
Criteria for remission - all of the following:
(1) no serum urate concentrations >= 6 mg/dL (0.36 mmol/L)
(2) no tophi
(3) no flares
(4) no gouty pain scored >= 2
(5) no global assessment >= 2
Limitations:
• These criteria need to be verified in clinical trials.
• Pain may be misclassified by patients.
