Challenges associated with the management of gouty arthritis in patients with chronic kidney disease: a systematic review

Seminars in Arthritis and Rheumatism
Rodolfo V Curiel, Nicolas J Guzman

Abstract

As many as half of all patients with gouty arthritis have some degree of renal impairment. The goal of this systematic review is to provide physicians with a comprehensive examination of available data on the risks and benefits of gouty arthritis treatment options when used in patients with chronic kidney disease (CKD). We conducted a systematic literature review to determine what information is available to guide treatment decisions in this patient population. PubMed was searched for English-language articles indexed through July 2011 containing the terms "gout" or "hyperuricemia" and synonyms for renal impairment in combination with drug names. Publications were deemed relevant if they reported results from clinical studies, case reports, or prescribing practices of the drug of interest in patients with gouty arthritis and CKD. Nonsteroidal anti-inflammatory drugs and colchicine are oftentimes not considered appropriate in patients with CKD. Corticosteroids may be an effective alternative in this population; however, their efficacy has not been confirmed in randomized controlled trials and these agents can cause serious side effects. Allopurinol can be used for the prophylactic management of chronic hyperuricemia in patients ...Continue Reading

References

Oct 1, 1979·Journal of the American Academy of Dermatology·G P Lupton, R B Odom
Sep 1, 1992·The American Journal of Medicine·A G FamT W Paton
Jan 1, 1986·Scandinavian Journal of Rheumatology·R SipiläT Törnroth
Jul 10, 1981·JAMA : the Journal of the American Medical Association·M GallerD Schlondorff
Jan 20, 1996·BMJ : British Medical Journal·A KumarG R Catto
Dec 23, 1999·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·J SyrjänenA Pasternack
Oct 25, 2000·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·A E WlukaD S Esmore
Dec 1, 2001·Transplantation·D A NealG J Alexander
Jan 5, 2002·Hypertension Research : Official Journal of the Japanese Society of Hypertension·K IsekiS Takishita
Nov 1, 2002·Clinical Neuropharmacology·Wei-Chih HsuHou-Chang Chiu
Jul 22, 2004·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Steven BarolettiSteven Gabardi
Sep 24, 2004·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kunitoshi IsekiShuichi Takishita
Oct 21, 2004·The Annals of Pharmacotherapy·Florence RollotPhilippe Blanche
Dec 2, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Juhani MyllymäkiJukka Mustonen
Dec 9, 2004·Pharmacotherapy·Kerry Wilbur, Mark Makowsky
Jun 18, 2005·The Kaohsiung Journal of Medical Sciences·I-Hung ChenHung-Chun Chen
Jul 12, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·I F N HungK Y Yuen
Dec 27, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Yui-Pong SiuTze-Hoi Kwan
Jan 10, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Omer ToprakSerdar Bayata
May 19, 2006·Annals of the Rheumatic Diseases·W ZhangUNKNOWN EULAR Standing Committee for International Clinical Studies Including Therapeutics
Jul 14, 2006·Mayo Clinic Proceedings·Chaitanya A SarawateAlan W Bakst
Mar 14, 2007·Arthritis Research & Therapy·Alexander SoJürg Tschopp
May 29, 2007·Arthritis and Rheumatism·Jasvinder A SinghSteven M Asch
Jul 28, 2007·Clinical Pharmacokinetics·Richard O DayKenneth M Williams
Jul 31, 2007·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Michel ChoncholLinda F Fried
Aug 19, 2007·Journal of Medical Case Reports·Joseph Yuk Sang Ting
Oct 9, 2007·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Maria JustinianoLuis R Espinoza
Mar 14, 2008·Journal of the American Society of Nephrology : JASN·Daniel E WeinerAndrew S Levey
Mar 18, 2008·The American Journal of the Medical Sciences·Yewon ChungRichard O Day
Mar 20, 2008·Renal Failure·Rima ShalomArie Markel
Apr 24, 2008·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Duangchit PanomvanaSungchai Angthararak
Apr 30, 2008·Rheumatology·Z Avram, E Krishnan
Aug 15, 2008·Annals of the Rheumatic Diseases·J A SinghS M Asch
Aug 30, 2008·JAMA : the Journal of the American Medical Association·Daniel I FeigRichard J Johnson
Sep 19, 2008·Journal of the American Society of Nephrology : JASN·Rudolf P ObermayrRenate Klauser-Braun
Sep 30, 2008·Cleveland Clinic Journal of Medicine·Arthur L Weaver
Nov 1, 2008·Arthritis and Rheumatism·Herbert S B BarafRoyce W Waltrip

❮ Previous
Next ❯

Citations

Apr 25, 2014·Rheumatology·Augustin LatourtePascal Richette
Mar 26, 2013·Joint, Bone, Spine : Revue Du Rhumatisme·Fernando Perez-Ruiz, Ana María Herrero-Beites
Feb 20, 2013·Orthopaedic Surgery·Zhen-hua Fang, Hazibullah Waizy
Jul 15, 2016·Expert Opinion on Therapeutic Patents·Ying Pan, Ling-Dong Kong
Oct 25, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Doo-Ho LimBin Yoo
Nov 22, 2013·The Annals of Pharmacotherapy·Maria Miller ThurstonCatherine A Bourg
May 27, 2017·Rheumatology·Michelle HuiUNKNOWN British Society for Rheumatology Standards, Audit and Guidelines Working Group
May 23, 2018·International Journal of Immunopathology and Pharmacology·Maria Fátima de Paula RamosNestor Schor
Feb 6, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Vivian S TanKyla L Naylor
Mar 18, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Chung-Te LiuShing-Jong Lin
Jun 20, 2014·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Yugo ShibagakiKenjiro Kimura
Apr 26, 2019·International Journal of Molecular Sciences·Kurt T K GiulianiPedro H F Gois
Jan 27, 2020·Rheumatology International·Marta Novella-NavarroEnrique Calvo-Aranda
Jan 6, 2021·Current Opinion in Nephrology and Hypertension·Kulanka H PremachandraDarren M Roberts
Feb 12, 2020·Internal Medicine Journal·See Y ChoiDoo-Ho Lim

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Inflammation

Inflammation plays a significant role in the development of cardiovascular diseases, an understanding of these endogenous processes is critical for evaluating the risks and potential treatment strategies. Discover the latest research on cardiovascular inflammation here.

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.