Gout & crystal arthritis

Gout Flares After Stopping Anti‐Inflammatory Prophylaxis: A Rapid Literature Review and Meta‐Analysis

Arthritis Care Res (Hoboken)Published Rapid literature review and meta-analysis

Pooled result · Participants with ≥1 gout flare (pooled random effects estimate)Result — go to the resultMean difference 16.0%

Authors' conclusion

Gout flares are common after stopping anti-inflammatory prophylaxis but return to levels seen during prophylaxis.

Study context

Population
Clinical trials of people with gout with at least one arm starting or intensifying urate-lowering therapy (ULT) with coprescription of anti-inflammatory prophylaxis; PubMed from inception to February 20246 trials + VA STOP Gout
Participants
2,972 participants
Comparison
Gout flares during anti-inflammatory prophylaxis vs after ceasing prophylaxis
Outcome
Percentage of participants experiencing one or more gout flares in each period
Methodological detailsrandom effects meta-analysis, includes aggregated, unpublished VA STOP Gout trial data
  • Random effects meta-analysis
  • Includes aggregated, unpublished VA STOP Gout trial data

Pooled result

As reported in the abstract

Participants with ≥1 gout flare (pooled random effects estimate)

Mean difference

16.0%

P < 0.001

By group

Further pooled results

Sensitivity analyses

No material effects of prophylaxis duration, trial duration, ULT class, or placebo arms

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Gout Flares After Stopping Anti‐Inflammatory Prophylaxis: A Rapid Literature Review and Meta‐Analysis. Arthritis Care Res (Hoboken). Published 1 February 2025. doi:10.1002/acr.25486

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.