Gout & crystal arthritis

Consensus recommendations for optimal trial design and reporting of core domains in urate-lowering therapy trials for gout: A Delphi study

Semin Arthritis RheumPublished Delphi consensus study

Methodological detailsthree-round Delphi survey, two panels: patient research partners and other interest holders, consensus: ≥70% of both groups scoring 7-9 on a 1-9 scale
  • Three-round Delphi survey
  • Two panels: patient research partners and other interest holders
  • Consensus: ≥70% of both groups scoring 7-9 on a 1-9 scale

Recommendations

As issued by the authors

  1. Reporting: all 7 core domains had more than one item reach consensus

  2. Serum urate reporting: proportion of patients achieving a pre-specified target serum urate, mean serum urate and mean change in serum urate

  3. Measurement timing: baseline and final visit for all 7 core domains

  4. Serum urate frequency: monthly in trials ≤6 months; 3-monthly in trials >6 to ≤12 months

Original publication

Consensus recommendations for optimal trial design and reporting of core domains in urate-lowering therapy trials for gout: A Delphi study. Semin Arthritis Rheum. Published 18 September 2026. doi:10.1016/j.semarthrit.2026.153079

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