Question
Does intensive urate lowering improve outcomes in persons with erosive gout?
Conclusion
In adults with erosive gout, intensive urate lowering is difficult to achieve, takes a lot of medications, and does not improve outcomes.
Reference
Dalbeth N, Doyle AJ, Billington K, et al. Intensive serum urate lowering with oral urate-lowering therapy for erosive gout: a randomized double-blind controlled trial. Arthritis Rheumatol 2022;74(6):1059-1069.