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What criteria should I use to refer a patient with gout to a specialist for further management?

Answer

Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 14 August 2025

Consider referring a person with gout to a rheumatology service if: the diagnosis of gout is uncertain 1; treatment is contraindicated, not tolerated or ineffective 1; they have CKD stages 3b to 5 (GFR categories G3b to G5) 1; or they have had an organ transplant 1.

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