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Rivera et al., 2021

The G-CAN panel also expressed concern that this ACP recommendation ignores aspects of recurrent acute gout flares other than flare frequency (such as severity, responsiveness to therapy, number of joints affected, functional impairment or the need for emergency medical care and/or hospital admission), and also ignores the presence of comorbidities (which narrows the options for treatment of acute gout flares) and presence of marked hyperuricaemia unlikely to resolve adequately with conservative treatment

What we have instead is biochemistry

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