{"id":2281,"date":"2026-03-18T10:57:23","date_gmt":"2026-03-18T09:57:23","guid":{"rendered":"https:\/\/appligoutte.io\/?page_id=2281"},"modified":"2026-04-29T11:42:29","modified_gmt":"2026-04-29T09:42:29","slug":"references-scientifiques","status":"publish","type":"page","link":"https:\/\/appligoutte.io\/index.php\/references-scientifiques\/","title":{"rendered":"R\u00e9f\u00e9rences scientifiques"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2281\" class=\"elementor elementor-2281\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7ad67cf7 max-width e-flex e-con-boxed e-con e-parent\" data-id=\"7ad67cf7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-68f74164 e-con-full e-flex e-con e-child\" data-id=\"68f74164\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-115e805e elementor-widget elementor-widget-heading\" data-id=\"115e805e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Un <b style=\"color:#66C1BF!important\">ancrage fort<br>dans la recherche scientifique<\/b><br>et m\u00e9dicale<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-290b6f39 elementor-widget elementor-widget-text-editor\" data-id=\"290b6f39\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Pour faire avancer la recherche sur la goutte et faciliter l&rsquo;acc\u00e8s aux traitements innovants, nous sommes partenaires des chercheurs, h\u00f4pitaux et acteurs de l&rsquo;innovation.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-31987bb0 e-con-full e-flex e-con e-child\" data-id=\"31987bb0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-28d51e5c elementor-widget elementor-widget-image\" data-id=\"28d51e5c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1080\" height=\"1920\" src=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/04\/2-WhatsApp-Image-2025-12-12-at-18.08.21.jpeg\" class=\"attachment-full size-full wp-image-2458\" alt=\"\" srcset=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/04\/2-WhatsApp-Image-2025-12-12-at-18.08.21.jpeg 1080w, https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/04\/2-WhatsApp-Image-2025-12-12-at-18.08.21-169x300.jpeg 169w, https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/04\/2-WhatsApp-Image-2025-12-12-at-18.08.21-576x1024.jpeg 576w, https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/04\/2-WhatsApp-Image-2025-12-12-at-18.08.21-768x1365.jpeg 768w, https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/04\/2-WhatsApp-Image-2025-12-12-at-18.08.21-864x1536.jpeg 864w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4cb9528 e-flex e-con-boxed e-con e-parent\" data-id=\"4cb9528\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7db36245 elementor-widget elementor-widget-heading\" data-id=\"7db36245\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"besoins\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Nos partenaires scientifiques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c75dd0a elementor-widget__width-initial elementor-pagination-position-outside elementor-widget elementor-widget-image-carousel\" data-id=\"1c75dd0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;slides_to_show&quot;:&quot;3&quot;,&quot;navigation&quot;:&quot;dots&quot;,&quot;autoplay_speed&quot;:3000,&quot;image_spacing_custom&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:100,&quot;sizes&quot;:[]},&quot;slides_to_scroll&quot;:&quot;1&quot;,&quot;slides_to_show_tablet&quot;:&quot;4&quot;,&quot;slides_to_show_mobile&quot;:&quot;2&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;pause_on_hover&quot;:&quot;yes&quot;,&quot;pause_on_interaction&quot;:&quot;yes&quot;,&quot;infinite&quot;:&quot;yes&quot;,&quot;speed&quot;:500,&quot;image_spacing_custom_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;image_spacing_custom_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"image-carousel.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-carousel-wrapper swiper\" role=\"region\" aria-roledescription=\"carousel\" aria-label=\"Partenaires scientifiques\" dir=\"ltr\">\n\t\t\t<div class=\"elementor-image-carousel swiper-wrapper\" aria-live=\"off\">\n\t\t\t\t\t\t\t\t<div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"1 sur 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/02\/LOGO_RECTANGLE-COULEUR-copie-2-768x415.png\" alt=\"Logo H\u00f4pitaux Paris Saint-Joseph Marie-Lannelongue\" \/><\/figure><\/div><div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"2 sur 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/02\/Groupe-Hospitalier-Lariboisiere-Fernand-Widal-AP-HP-LOGO-copie-768x302.png\" alt=\"Logo H\u00f4pital Lariboisi\u00e8re Fernand Widal AP HP\" \/><\/figure><\/div><div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"3 sur 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2026\/02\/Capture-decran-2025-03-26-a-13-copie.png\" alt=\"Capture-decran-2025-03-26-a-13 copie\" \/><\/figure><\/div>\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"swiper-pagination\"><\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7e7597f0 e-flex e-con-boxed e-con e-parent\" data-id=\"7e7597f0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2005ad49 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2005ad49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7d811d9 e-flex e-con-boxed e-con e-parent\" data-id=\"7d811d9\" data-element_type=\"container\" data-e-type=\"container\" id=\"services\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e10ea4f elementor-widget elementor-widget-heading\" data-id=\"e10ea4f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size:18px;line-height: 0;margin-right: 4px\">\u2022<\/span> FONDAMENTAUX 2026<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b3c35dc elementor-widget elementor-widget-heading\" data-id=\"6b3c35dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Recommandations de prise en charge de la goutte<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c09e32 elementor-widget__width-inherit elementor-widget elementor-widget-n-accordion\" data-id=\"8c09e32\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1460\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-1460\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Recommandations internationales (EULAR) <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1460\" class=\"elementor-element elementor-element-7b85bdf e-con-full e-flex e-con e-child\" data-id=\"7b85bdf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c41611 elementor-widget elementor-widget-text-editor\" data-id=\"4c41611\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div dir=\"ltr\"><div class=\"input-box\" spellcheck=\"false\"><div id=\"waffle-rich-text-editor\" class=\"cell-input editable\" dir=\"ltr\" tabindex=\"0\" role=\"combobox\" contenteditable=\"true\" aria-label=\"B2\" aria-autocomplete=\"list\"><p>Richette P, Doherty M, Pascual E, Barskova V, Becce F, Casta\u00f1eda-Sanabria J, et al. Updated EULAR evidence-based recommendations for the management of gout. 2016 Ann Rheum Dis. 2017 Jan 1;76(1):29\u201342. Lien : <a href=\"https:\/\/ard.bmj.com\/content\/76\/1\/29\">https:\/\/ard.bmj.com\/content\/76\/1\/29<\/a><\/p><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1461\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1461\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Recommandations de la Soci\u00e9t\u00e9 Fran\u00e7aises de Rhumatologie (SFR) <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1461\" class=\"elementor-element elementor-element-ceb8a5b e-flex e-con-boxed e-con e-child\" data-id=\"ceb8a5b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1461\" class=\"elementor-element elementor-element-d74f074 e-con-full e-flex e-con e-child\" data-id=\"d74f074\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3afdd18 elementor-widget elementor-widget-text-editor\" data-id=\"3afdd18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Tristan Pascart, Augustin Latourte, G\u00e9rard Chal\u00e8s, Laurence Coblentz-Baumann, Alain Cohen-Solal, Hang-Korng Ea, Ren\u00e9-Marc Flipo, Jacques Grichy, Emmanuel Letavernier, Fr\u00e9d\u00e9ric Liot\u00e9, S\u00e9bastien Ottaviani, Pierre Sigwalt, Guy Vandecandelaere, Pascal Richette, Thomas Bardin.<br \/>Recommandations de la Soci\u00e9t\u00e9 fran\u00e7aise de rhumatologie pour la prise en charge de la goutte : le traitement hypo-uric\u00e9miant.<br \/>Revue du Rhumatisme, Volume 87, Issue 5, 2020. Pages 332-341,<br \/>ISSN 1169-8330. https:\/\/doi.org\/10.1016\/j.rhum.2020.07.009. Lien : <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1169833020301514\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1169833020301514<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1462\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1462\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Traitement de fond (principes) <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1462\" class=\"elementor-element elementor-element-576179d e-con-full e-flex e-con e-child\" data-id=\"576179d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-81332f7 elementor-widget elementor-widget-text-editor\" data-id=\"81332f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><p>La mise en place d&rsquo;un traitement de fond hypo-uric\u00e9miant \u00e0 la cible est recommand\u00e9e, d\u00e8s le diagnostic. Le but est d&rsquo;obtenir une valeur cible d&rsquo;uric\u00e9mie qui permette la dissolution des cristaux dans les articulations.\u00a0<\/p><\/li><li>L&rsquo;objectif de taux d\u2019acide urique est d\u00e9fini \u00e0 \u2264 360 \u03bcmol\/L (60 mg\/l ou 6.0 mg\/dL)<span style=\"font-size: 16px;\">, voire \u2264 300 \u03bcmol\/L. A partir de 300 \u03bcmol\/L, les cristaux d&rsquo;urate commencent \u00e0 se dissoudre dans les articulations.<\/span><\/li><li>En pratique, le traitement doit \u00eatre commenc\u00e9 \u00e0 distance de la crise, id\u00e9alement un mois apr\u00e8s. Il faut avoir r\u00e9alis\u00e9 une mesure d&rsquo;uric\u00e9mie fiable confirmant le diagnostic.<\/li><li>Le m\u00e9dicament de r\u00e9f\u00e9rence est ALLOPURINOL. En cas d&rsquo;insuffisance r\u00e9nale s\u00e9v\u00e8re : F\u00c9BUXOSTAT. Il existe \u00e9galement des uricosuriques et p\u00e9gloticases.<\/li><li>L&rsquo;adh\u00e9sion quotidienne au long court au traitement est cl\u00e9, car l&rsquo;uric\u00e9mie remonte apr\u00e8s 48h d&rsquo;oubli, ce qui annule les efforts d\u00e9j\u00e0 r\u00e9alis\u00e9s.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1463\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1463\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Initiation du traitement de fond \u00e0 la cible <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1463\" class=\"elementor-element elementor-element-19adb9d e-con-full e-flex e-con e-child\" data-id=\"19adb9d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7b984af elementor-widget elementor-widget-text-editor\" data-id=\"7b984af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><span style=\"font-weight: 400;\">Le traitement de fond doit \u00eatre initi\u00e9 \u00e0 une dose faible pour limiter le risque d&rsquo;allergie et de crise.<\/span><\/li><li>Une baisse trop rapide de l&rsquo;uric\u00e9mie dans les premi\u00e8res semaines augmente en effet le risque de crise.<\/li><li><span style=\"font-weight: 400;\">Pour ALLOPURINOL, commencer \u00e0 50 mg\/jour (soit 1\/2 comprim\u00e9) pendant le premier mois. <\/span><\/li><li><span style=\"font-weight: 400;\">Pour FEBUXOSTAT, commencer \u00e0 20 mg\/jour ou 40mg tous les 2 jours (soit 1\/2 comprim\u00e9). \u00a0<\/span><\/li><li><span style=\"font-size: 16px;\">Le deuxi\u00e8me mois, augmenter le dosage : ALLOPURINOL \u00e0 100 mg\/jour ou bien FEBUXOSTAT \u00e0 40 mg\/jour.<\/span><\/li><li><span style=\"font-size: 16px;\">Le troisi\u00e8me mois : ALLOPURINOL \u00e0 150 mg\/jour ou bien FEBUXOSTAT \u00e0 80 mg\/jour.\u00a0<\/span><\/li><li><span style=\"font-size: 16px;\">Cette trajectoire d&rsquo;initiation progressive limite donc le risque d&rsquo;inobservance qui serait la cons\u00e9quence d&rsquo;une augmentation du nombre de crises, le patient pensant le traitement inefficace.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1464\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1464\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Fr\u00e9quence du contr\u00f4le de l'uric\u00e9mie <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1464\" class=\"elementor-element elementor-element-de93992 e-con-full e-flex e-con e-child\" data-id=\"de93992\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7bde6a7 elementor-widget elementor-widget-text-editor\" data-id=\"7bde6a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Contr\u00f4le mensuel de l&rsquo;uric\u00e9mie pour adaptation de la dose de THU jusqu&rsquo;\u00e0 atteinte de la cible, puis contr\u00f4le tous les 6 mois.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1465\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1465\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Traitement de fond : quelle dose efficace pour atteindre la cible ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1465\" class=\"elementor-element elementor-element-aa5c63d e-con-full e-flex e-con e-child\" data-id=\"aa5c63d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9cba2a1 elementor-widget elementor-widget-text-editor\" data-id=\"9cba2a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>ALLOPURINOL : la dose efficace pour atteindre la cible varie d&rsquo;une personne \u00e0 l&rsquo;autre et selon la quantit\u00e9 de cristaux pr\u00e9sents dans les articulations au d\u00e9but du traitement. Dans certains cas, il faut plus de 600 mg\/jour.\u00a0<\/li><li>FEBUXOSTAT : la dose maximum est 120 mg\/jour.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1466\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1466\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Traitement de la crise <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1466\" class=\"elementor-element elementor-element-c16a3ce e-con-full e-flex e-con e-child\" data-id=\"c16a3ce\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd29505 elementor-widget elementor-widget-text-editor\" data-id=\"bd29505\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>COLCHICINE :<\/li><\/ul><p>J1 : 1 mg au d\u00e9but de la crise puis 0,5 mg de plus 1 heure plus tard\u00a0<br \/>Jours suivants jusqu&rsquo;\u00e0 disparition de la crise : 0,5 mg 2 \u00e0 3 fois par jour, selon tol\u00e9rance digestive<\/p><p>Dose maximum par jour : 1,5 mg<\/p><ul><li>AINS<\/li><li>PARACETAMOL<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1467\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"8\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1467\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Prophylaxie par colchicine pour la pr\u00e9vention des crises <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1467\" class=\"elementor-element elementor-element-506d10a e-con-full e-flex e-con e-child\" data-id=\"506d10a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31c13cf elementor-widget elementor-widget-text-editor\" data-id=\"31c13cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>0,5 mg \/ jour pendant 6 mois<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef3c349 e-flex e-con-boxed e-con e-parent\" data-id=\"ef3c349\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-23311f5 elementor-widget elementor-widget-heading\" data-id=\"23311f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size:18px;line-height: 0;margin-right: 4px\">\u2022<\/span> DONN\u00e9es scientifiques r\u00e9centes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cad6882 elementor-widget elementor-widget-heading\" data-id=\"cad6882\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comorbidit\u00e9s et surrisques associ\u00e9s \u00e0 la goutte<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f8d88c4 elementor-widget__width-inherit elementor-widget elementor-widget-n-accordion\" data-id=\"f8d88c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2600\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-2600\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Surrisque de maladies et d'\u00e9v\u00e8nements cardiovasculaires graves <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2600\" class=\"elementor-element elementor-element-421bc2c e-con-full e-flex e-con e-child\" data-id=\"421bc2c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6dcd5e4 elementor-widget elementor-widget-text-editor\" data-id=\"6dcd5e4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Wang, P., Yang, H. <strong>Risk of myocardial infarction and heart failure in gout patients: a systematic review and meta-analysis<\/strong>. <i>J Cardiothorac Surg<\/i> 20, 69 (2025). <a href=\"https:\/\/doi.org\/10.1186\/s13019-024-03209-5.\">https:\/\/doi.org\/10.1186\/s13019-024-03209-5.\u00a0<\/a><\/p><p><strong>Principales donn\u00e9es :<\/strong><\/p><ul><li>Le risque d&rsquo;infarctus du myocarde augmente de 75% chez les patients goutteux, en comparaison avec les personnes non goutteuses.<\/li><li>Le risque d&rsquo;insuffisance cardiaque augmente de 100%.<\/li><li>Les femmes et les patients jeunes (moins de 44 ans) ont un risque plus \u00e9lev\u00e9 que les autres.<\/li><\/ul><p><span style=\"font-size: 16px; caret-color: #212121; color: #212121; font-family: BlinkMacSystemFont, -apple-system, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Fira Sans', 'Droid Sans', 'Helvetica Neue', sans-serif;\">Ferguson LD, Molenberghs G, Verbeke G, Rahimi K, Rao S, McInnes IB, McMurray JJV, Sattar N, Conrad N. <strong>Gout and incidence of 12 cardiovascular diseases: a case-control study including 152\u2008663 individuals with gout and 709\u2008981 matched controls.<\/strong> Lancet Rheumatol. 2024 Mar;6(3):e156-e167. doi: 10.1016\/S2665-9913(23)00338-7. PMID: 38383089. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38383089\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/38383089\/<\/a><\/span><\/p><p><strong>Principales donn\u00e9es :<\/strong><\/p><ul><li>+58% de risque de d\u00e9velopper n&rsquo;importe quelle maladie cardiovasculaire.<\/li><li>Surrisque plus \u00e9lev\u00e9 chez les femmes : +88%.<\/li><li>Surrisque tr\u00e8s \u00e9lev\u00e9 chez les moins de 45 ans : +122%. \u00a0<\/li><li>D\u00e9tail : insuffisance cardiaque +84%, arythmie cardiaque +81%, maladies valvulaires +83%, maladies coronariennes + 48%, infarctus du myocarde +52%, angor + 43%, AVC isch\u00e9mique +40%, AVC h\u00e9morragique + 34%, maladie art\u00e9rielle p\u00e9riph\u00e9rique +72%, thromboembolie veineuse +67%, dissection aortique\/an\u00e9vrisme +49%, maladies aortiques +59%.\u00a0<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2601\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2601\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Surrisque de mortalit\u00e9 <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2601\" class=\"elementor-element elementor-element-a345900 e-con-full e-flex e-con e-child\" data-id=\"a345900\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f4b90e8 elementor-widget elementor-widget-text-editor\" data-id=\"f4b90e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Xueyan Wang, Xuanlin Li, Hongli Wang, Min Chen, Chengping Wen, Lin Huang, Mingqian Zhou. <strong>All-cause and specific mortality in patients with gout: A systematic review and meta-analysis.<\/strong> Seminars in Arthritis and Rheumatism, Volume 63, 2023, 152273, ISSN 0049-0172, <a href=\"https:\/\/doi.org\/10.1016\/j.semarthrit.2023.152273.\">https:\/\/doi.org\/10.1016\/j.semarthrit.2023.152273.<\/a><\/p><p><strong>Principales donn\u00e9es : <\/strong><\/p><ul><li>+23% de risque de d\u00e9c\u00e8s toutes causes confondues compar\u00e9es \u00e0 des personnes sans goutte<\/li><li>+29% de risque de d\u00e9c\u00e8s cardiovasculaire<\/li><li>+24% de risque de d\u00e9c\u00e8s li\u00e9 \u00e0 une infection<\/li><li>+42% de risque de d\u00e9c\u00e8s attribuable \u00e0 une maladie digestive\u00a0<\/li><\/ul><p>Yuan J, Xie Z, Pan B, Zhang J. <strong>Impact of gout on cardiovascular disease mortality: a\u00a0meta-analysis.<\/strong> Z Rheumatol. 2024 Dec;83(Suppl 3):329-337. English. doi: 10.1007\/s00393-024-01479-x. Epub 2024 Feb 1. PMID: 38302663. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38302663\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/38302663\/<\/a><\/p><p><strong>Principales donn\u00e9es :\u00a0<\/strong><\/p><ul><li>+30% de risque de d\u00e9c\u00e8s par maladie cardiovasculaire<\/li><li>+28% de risque de d\u00e9c\u00e8s par cardiopathie<\/li><li>+13% de risque de d\u00e9c\u00e8s par infarctus du myocarde<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-be01a5c e-flex e-con-boxed e-con e-parent\" data-id=\"be01a5c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c8de0d4 elementor-widget elementor-widget-heading\" data-id=\"c8de0d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size:18px;line-height: 0;margin-right: 4px\">\u2022<\/span> DONN\u00e9es scientifiques r\u00e9centes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71992b0 elementor-widget elementor-widget-heading\" data-id=\"71992b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Traitements m\u00e9dicamenteux contre la goutte<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81c3cc5 elementor-widget__width-inherit elementor-widget elementor-widget-n-accordion\" data-id=\"81c3cc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1360\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-1360\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Efficacit\u00e9 du traitement hypouric\u00e9miant \u00e0 la cible <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1360\" class=\"elementor-element elementor-element-8c44288 e-con-full e-flex e-con e-child\" data-id=\"8c44288\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-264dd33 elementor-widget elementor-widget-text-editor\" data-id=\"264dd33\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Lee YH, Song GG. <strong>Effect of urate-lowering therapy on all-cause and CVD-specific mortality in gout and hyperuricemia: a\u00a0meta-analysis.<\/strong> Z Rheumatol. 2024 Dec;83(Suppl 3):338-344. English. doi: 10.1007\/s00393-024-01600-0. Epub 2024 Dec 5. PMID: 39636389. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39636389\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/39636389\/<\/a><\/p><p><strong>Principales donn\u00e9es :\u00a0<\/strong><\/p><p>Le traitement hypouric\u00e9miant \u00e0 la cible r\u00e9duit significativement le risque de mortalit\u00e9 des patients goutteux.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1361\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1361\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> R\u00f4le de la colchicine <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1361\" class=\"elementor-element elementor-element-9880ac1 e-con-full e-flex e-con e-child\" data-id=\"9880ac1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b3f6502 elementor-widget elementor-widget-text-editor\" data-id=\"b3f6502\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"item-pub-authors\">Cipolletta E, Nakafero G, McCormick N et al. <b>Cardiovascular events in patients with gout initiating urate-lowering therapy with or without colchicine for flare prophylaxis: a retrospective new-user cohort study using linked primary care, hospitalisation, and mortality data. <\/b>The Lancet Rheumatology, 2024; 7, e197-e207. <a href=\"https:\/\/www.thelancet.com\/journals\/lanrhe\/article\/PIIS2665-9913(24)00248-0\/fulltext\">https:\/\/www.thelancet.com\/journals\/lanrhe\/article\/PIIS2665-9913(24)00248-0\/fulltext<\/a><\/div><div><strong>Principales donn\u00e9es :\u00a0<\/strong><\/div><div>La prescription de colchicine dans les premi\u00e8res semaines d&rsquo;un traitement hypouric\u00e9miant r\u00e9duit le risque d&rsquo;\u00e9v\u00e8nements cardiovasculaires dans les 180 jours suivant le d\u00e9but du traitement.<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c96fdac e-flex e-con-boxed e-con e-parent\" data-id=\"c96fdac\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca41dc9 elementor-widget elementor-widget-heading\" data-id=\"ca41dc9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size:18px;line-height: 0;margin-right: 4px\">\u2022<\/span> DONN\u00e9es scientifiques r\u00e9centes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ccddeb elementor-widget elementor-widget-heading\" data-id=\"5ccddeb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pr\u00e9valence de la goutte et situation actuelle de la prise en charge<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3648efa elementor-widget__width-inherit elementor-widget elementor-widget-n-accordion\" data-id=\"3648efa\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-5690\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-5690\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Une pr\u00e9valence mondiale de la goutte en forte hausse <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-5690\" class=\"elementor-element elementor-element-1f8d4c8 e-con-full e-flex e-con e-child\" data-id=\"1f8d4c8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2471328 elementor-widget elementor-widget-text-editor\" data-id=\"2471328\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>GBD 2021 Gout Collaborators. <strong>Global, regional, and national burden of gout, 1990-2020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021.<\/strong> Lancet Rheumatol. 2024 Aug;6(8):e507-e517. doi: 10.1016\/S2665-9913(24)00117-6. Epub 2024 Jul 9. Erratum in: Lancet Rheumatol. 2024 Nov;6(11):e749. doi: 10.1016\/S2665-9913(24)00303-5. PMID: 38996590; PMCID: PMC11263476. Lien : <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38996590\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/38996590\/<\/a><\/p><p><strong>Principales donn\u00e9es :\u00a0<\/strong><\/p><ul><li class=\"p1\">Etude sur 35 pays<\/li><li class=\"p1\">Nombre de patients en 2020 : 55,8 millions, soit +22\u00b75% depuis 1990<\/li><li class=\"p1\">Pr\u00e9valence globale x3,26 chez les hommes par rapport aux femmes<\/li><li class=\"p1\">Croissance de la pr\u00e9valence en fonction de l\u2019\u00e2ge<\/li><li class=\"p1\">Projections en 2050 : 95,8 millions<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-5691\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-5691\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Situation de la pr\u00e9valence en France <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-5691\" class=\"elementor-element elementor-element-be02d58 e-con-full e-flex e-con e-child\" data-id=\"be02d58\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e4b1b69 elementor-widget elementor-widget-text-editor\" data-id=\"e4b1b69\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"item-pub-authors\">Bardin T, Bou\u00e9e S, Clerson P, Chal\u00e8s G, Flipo RM, Liot\u00e9 F, Perez V, Poiraud T, Schaeverbeke T, Richette P. <strong>Prevalence of Gout in the Adult Population of France.<\/strong> Arthritis Care Res (Hoboken). 2016 Feb;68(2):261-6. doi: 10.1002\/acr.22660. PMID: 26234279.<\/div>\n<div><strong style=\"font-size: 1rem;\">Principales donn\u00e9es<\/strong><span style=\"font-size: 1rem;\"> :\u00a0<\/span><\/div>\n<div>Il y a 10 ans, la pr\u00e9valence \u00e9tait estim\u00e9e \u00e0 0,9%\u00a0<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-5692\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-5692\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Focus sur la Polyn\u00e9sie fran\u00e7aise <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-5692\" class=\"elementor-element elementor-element-b8f51d1 e-con-full e-flex e-con e-child\" data-id=\"b8f51d1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8bf30fd elementor-widget elementor-widget-text-editor\" data-id=\"8bf30fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div>Pascart T, Wasik K, Preda C et al. <strong>The gout epidemic in French Polynesia: a modelling study of data from the Ma\u2019i u\u2019u epidemiological survey.<\/strong> The Lancet Global Health, 12, e685-e696\u00a0<\/div><div>\u00a0<\/div><div>T. Pascart, K. Wasik, V. Chune, J. Torterat, N. Prud\u2019homme, S. Graf, P. Claeys, M. Nassih, A. Martin, J. Le Masson, V. Rodi\u00e8re, S. Frogier, G. Canova, J.P. Pescheux, J.J. Vitagliano, J. Raynal, T. Bardin, E. Oehler. <b>Pr\u00e9valence de la goutte\u00a0: un record mondial dont la Polyn\u00e9sie fran\u00e7aise se passerait bien.<\/b> Revue du Rhumatisme, Volume 88, Supplement 1, 2021, Pages A39-A40, ISSN 1169-8330. Lien : <a href=\"https:\/\/doi.org\/10.1016\/j.rhum.2021.10.057.\" data-outlook-id=\"107dff8d-f559-499e-af1b-ccc4a02724b6\">https:\/\/doi.org\/10.1016\/j.rhum.2021.10.057.<\/a><\/div><div>\u00a0<\/div><div><div><strong>Principales donn\u00e9es :\u00a0<\/strong><\/div><ul><li>Un probl\u00e8me majeur de sant\u00e9 publique, avec une des pr\u00e9valences les plus \u00e9lev\u00e9es au monde<\/li><li>Pr\u00e9valence de la goutte dans la population masculine : 25,5%<\/li><li>Pr\u00e9valence de la goutte dans la population adulte g\u00e9n\u00e9rale : 14,5%, soit 1 sur 7<\/li><\/ul><\/div><div><strong>\u00a0<\/strong><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-5693\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-5693\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Faible adh\u00e9sion au traitement hypouric\u00e9miant <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-5693\" class=\"elementor-element elementor-element-a0b9a44 e-con-full e-flex e-con e-child\" data-id=\"a0b9a44\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-530f049 elementor-widget elementor-widget-text-editor\" data-id=\"530f049\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>De Vera MA, Marcotte G, Rai S, Galo JS, Bhole V. <strong>Medication adherence in gout: a systematic review.<\/strong> Arthritis Care Res (Hoboken). 2014 Oct;66(10):1551-9. doi: 10.1002\/acr.22336. PMID: 24692321.<\/p><p><strong>Principales donn\u00e9es :\u00a0<\/strong><\/p><p>La proportion de patients observants varie de 10% \u00e0 46% selon les \u00e9tudes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-5694\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-5694\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Hospitalisations li\u00e9es \u00e0 la goutte <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-5694\" class=\"elementor-element elementor-element-f4012d5 e-con-full e-flex e-con e-child\" data-id=\"f4012d5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-25c3a02 elementor-widget elementor-widget-text-editor\" data-id=\"25c3a02\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Maravic M, Ea HK. <strong>Hospital burden of gout, pseudogout and other crystal arthropathies in France.<\/strong> Joint Bone Spine. 2015 Oct;82(5):326-9. doi: 10.1016\/j.jbspin.2015.01.011. Epub 2015 Apr 13. PMID: 25881756. Lien : <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25881756\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/25881756\/<\/a><\/p><p><strong>Principales donn\u00e9es :\u00a0<\/strong><\/p><p class=\"p1\">90 687 hospitalisations ont eu lieu en France sur la p\u00e9riode 2009-2011 pour un co\u00fbt de \u20ac 365,7 millions<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1d68435a max-width e-flex e-con-boxed e-con e-parent\" data-id=\"1d68435a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-469aef0f e-con-full e-flex e-con e-child\" data-id=\"469aef0f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7776cc3 elementor-widget elementor-widget-heading\" data-id=\"7776cc3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size:18px;line-height: 0;margin-right: 4px\">\u2022<\/span> ETUDES CLINIQUES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f1bb87b elementor-widget elementor-widget-heading\" data-id=\"4f1bb87b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Nos \u00e9tudes \u00e0 venir<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4268674f e-con-full e-flex e-con e-child\" data-id=\"4268674f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-17e54b78 e-con-full e-flex e-con e-child\" data-id=\"17e54b78\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-666d5452 elementor-widget elementor-widget-image\" data-id=\"666d5452\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"388\" height=\"280\" src=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/3.png\" class=\"attachment-large size-large wp-image-1175\" alt=\"\" srcset=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/3.png 388w, https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/3-300x216.png 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2590d5c4 elementor-widget elementor-widget-text-editor\" data-id=\"2590d5c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Etude d&rsquo;acceptabilit\u00e9<\/strong> de l&rsquo;application mobile AppliGoutte<\/p>\n<p>Cohorte : patients de m\u00e9decine g\u00e9n\u00e9rale recrut\u00e9s via une CPTS<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7dbb20e e-con-full e-flex e-con e-child\" data-id=\"7dbb20e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-32a20c1a elementor-widget elementor-widget-image\" data-id=\"32a20c1a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"388\" height=\"280\" src=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/33.png\" class=\"attachment-large size-large wp-image-1178\" alt=\"\" srcset=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/33.png 388w, https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/33-300x216.png 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a07e4dc elementor-widget elementor-widget-text-editor\" data-id=\"3a07e4dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Etude randomis\u00e9e contr\u00f4l\u00e9e<\/strong><\/p>\n<p>Comparaison de la prise en charge classique avec une prise en charge int\u00e9grant le dispositif AppliGoutte<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1ed44c3d e-con-full e-flex e-con e-child\" data-id=\"1ed44c3d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-742c5b5a elementor-widget elementor-widget-image\" data-id=\"742c5b5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"388\" height=\"280\" src=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/44.png\" class=\"attachment-large size-large wp-image-1179\" alt=\"\" srcset=\"https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/44.png 388w, https:\/\/appligoutte.io\/wp-content\/uploads\/2024\/02\/44-300x216.png 300w\" sizes=\"(max-width: 388px) 100vw, 388px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-173975da elementor-widget elementor-widget-text-editor\" data-id=\"173975da\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Etude m\u00e9dico-\u00e9conomique<\/strong><br \/>Analyse des actes et des d\u00e9penses pour le syst\u00e8me de soin (m\u00e9dicaments, hospitalisations, arr\u00eats maladie)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Un ancrage fortdans la recherche scientifiqueet m\u00e9dicale Pour faire avancer la recherche sur la goutte et faciliter l&rsquo;acc\u00e8s aux traitements [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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