Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

65 questions · 65 findings · 5 reviews · Musculoskeletal

No studies found 31 · 47.7%GRADE not reported 1 · 1.5%Very low 0 · 0%Low 12 · 18.5%Moderate 14 · 21.5%High 7 · 10.8%

Allopurinol vs placebo

Acute gout attacks · people with chronic gout

Allopurinol showed no clear difference in acute gout attacks compared with placebo (moderate certainty).

1 finding from 1 review

Allopurinol vs benzbromarone

Acute gout attacks · people with chronic gout

Allopurinol showed no clear difference in acute gout attacks compared with benzbromarone (low certainty).

1 finding from 1 review

Allopurinol vs benzbromarone

Proportion achieving target serum urate · people with chronic gout

Allopurinol showed no clear difference in proportion achieving target serum urate compared with benzbromarone (moderate certainty).

1 finding from 1 review

Allopurinol vs benzbromarone

Pain reduction ‐ not measured · people with chronic gout

The review found no eligible studies for this question.

1 finding from 1 review

Allopurinol vs benzbromarone

Function ‐ not measured · people with chronic gout

The review found no eligible studies for this question.

1 finding from 1 review

Allopurinol vs benzbromarone

Tophus regression ‐ not measured · people with chronic gout

The review found no eligible studies for this question.

1 finding from 1 review

Allopurinol vs placebo

Proportion achieving target serum urate · people with chronic gout

Allopurinol probably leads to higher proportion achieving target serum urate compared with placebo (moderate certainty).

1 finding from 1 review

Allopurinol vs benzbromarone

Withdrawals due to adverse events · people with chronic gout

Allopurinol showed no clear difference in withdrawal due to adverse events compared with benzbromarone (low certainty).

1 finding from 1 review

Allopurinol vs benzbromarone

Serious adverse effects · people with chronic gout

The review found no eligible studies for this question.

1 finding from 1 review

Allopurinol vs placebo

Function · people with chronic gout

The review found no eligible studies for this question.

1 finding from 1 review

Allopurinol vs placebo

Tophus regression · people with chronic gout

The review found no eligible studies for this question.

1 finding from 1 review

Allopurinol vs placebo

Withdrawals due to adverse events · people with chronic gout

Allopurinol showed no clear difference in withdrawal due to adverse events compared with placebo (moderate certainty).

1 finding from 1 review

Allopurinol vs placebo

Serious adverse events · people with chronic gout

Allopurinol showed no clear difference in serious adverse events compared with placebo (moderate certainty).

1 finding from 1 review

Lesinurad 200 mg plus allopurinol vs placebo plus allopurinol

Proportion with complete resolution of a target tophus · participants with tophi in gout

Lesinurad 200 mg plus allopurinol showed no clear difference in proportion with complete resolution of a target tophus compared with placebo plus allopurinol (moderate certainty).

1 finding from 1 review

Lesinurad 400 mg plus allopurinol vs placebo plus allopurinol

Proportion with complete resolution of a target tophus · participants with tophi in gout

Lesinurad 400 mg plus allopurinol showed no clear difference in proportion with complete resolution of a target tophus compared with placebo plus allopurinol (moderate certainty).

1 finding from 1 review