You are here:

  1. Home
  2. NICE Guidance
  3. Conditions and diseases
  4. Musculoskeletal conditions
  5. Arthritis

Gout: diagnosis and management

  • NICE guideline
  • Reference number: NG219
  • Published:  09 June 2022
  • Guidance
  • Tools and resources
  • Information for the public
  • Evidence
  • History
Download (PDF)

Evidence reviews - June 2022

The following documents contain the evidence that was used to develop the recommendations:

  • Patient information 
  • What signs and symptoms indicate gout as a possible diagnosis?
  • What are the most accurate and cost-effective approaches to diagnosing gout, in particular serum urate level compared with joint aspiration?
  • Pharmacological and non-pharmacological interventions for managing gout flares
  • Which people with gout should be offered a urate-lowering therapy
  • Timing of urate-lowering therapy in relation to a flare in people with gout
  • Urate-lowering therapies for the long-term management of gout
  • Colchicine, NSAIDs, corticosteroids and IL-1 inhibitors for the prevention of gout flares during the initiation or titration of urate-lowering therapy
  • Diet and lifestyle modifications for managing gout
  • Treat-to-target management
  • The best serum urate level target to use when treating-to-target in gout?
  • Optimum frequency of monitoring
  • Follow-up for people with gout after a gout flare
  • Referral to specialist services
  • Surgical excision of tophi

Other supporting evidence

  • Methods
  • Appendix 1: Multimorbidities project

This page was last updated: 09 June 2022

Back to top