EFEKTIFITAS DAN KEAMANAN STEROID DALAM MANAGEMEN GOUT: TINJAUAN PUSTAKA

Olivia Tantana, Florence Pribadi, Muhammad Fadhil Ihsan Pratama, William Tandio Putra, Kevin Luke

Sari


Latar belakang: Gout merupakan penyakit sendi yang umum ditemui dan berdampak negatif terhadap kualitas hidup pasien, sehingga tatalaksana gout yang adekuat merupakan hal yang krusial. Steroid umumnya diberikan bila terdapat kontraindikasi terhadap kolkisin atau OAINS seperti gangguan ginjal.

Tujuan: Tinjauan ini bertujuan untuk menganalisa bukti-bukti ilmiah mengenai penggunaan steroid pada managemen gout.

Hasil: Berdasarkan penulusuran literatur, steroid dapat diberikan secara oral dan injeksi dalam managemen gout. Pemberian steroid per-oral memiliki efikasi yang tidak berbeda dengan OAINS, tetapi memiliki keamanan yang lebih baik. Sedangkan bukti klinis mengenai efikasi dan keamanan steroid injeksi sangat terbatas.

Kesimpulan: Steroid memiliki efikasi dan keamanan yang ideal sebagai terapi pilihan serangan gout akut.


Kata Kunci


Gout; serangan akut; steroid; nyeri sendi; reumatologi

Teks Lengkap:

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Referensi


Abhishek, A. (2017). Managing Gout Flares in the Elderly: Practical Considerations. Drugs & Aging, 34(12), 873–880. https://doi.org/10.1007/s40266-017-0512-4

Abhishek, A., Roddy, E., & Doherty, M. (2017). Gout - a guide for the general and acute physicians. Clinical Medicine (London, England), 17(1), 54–59. https://doi.org/10.7861/CLINMEDICINE.17-1-54

Astete, C. A. G., Boteanu, A., & Zea, A. (2014). Comparison between Oral or Intra-Articular Corticoids in the Management of Acute Gout Flare in Patients with Chronic Renal Failure. Annals of the Rheumatic Diseases, 73(Suppl 2), 774–774.

https://doi.org/10.1136/ANNRHEUMDIS-2014-EULAR.3943

Bernal, J. A., Quilis, N., Andrés, M., Sivera, F., & Pascual, E. (2016). Gout: optimizing treatment to achieve a disease cure. Therapeutic Advances in Chronic Disease, 7(2), 135–144. https://doi.org/10.1177/2040622315618393

Billy, C. A., Lim, R. T., Ruospo, M., Palmer, S. C., & Strippoli, G. F. M. (2018). Corticosteroid or Nonsteroidal Antiinflammatory Drugs for the

Treatment of Acute Gout: A Systematic Review of Randomized Controlled Trials. The Journal of Rheumatology, 45(1), 128–136. https://doi.org/10.3899/JRHEUM.170137

Cattermole, G. N., Man, C. Y., Cheng, C. H., Graham, C. A., & Rainer, T. H. (2009). Oral prednisolone is more cost-effective than oral indomethacin for treating patients with acute gout-like arthritis. European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine, 16(5), 261–266. https://doi.org/10.1097/MEJ.0b013e32832a083f

Chandratre, P., Roddy, E., Clarson, L., Richardson, J., Hider, S. L., & Mallen, C. D. (2013). Health-related quality of life in gout: a systematic review. Rheumatology (Oxford, England), 52(11), 2031–2040. https://doi.org/10.1093/rheumatology/ket265

Daoussis, D., Kordas, P., Varelas, G., Michalaki, M., Onoufriou, A., Mamali, I., Iliopoulos, G., Melissaropoulos, K., Ntelis, K., Velissaris, D., Tzimas, G., Georgiou, P., Vamvakopoulou, S., Paliogianni, F., Andonopoulos, A. P., & Georgopoulos, N. (2022). ACTH vs steroids for the treatment of acute gout in hospitalized patients: a randomized, open label, comparative study. Rheumatology International, 42(6), 949–958. https://doi.org/10.1007/s00296-022-05128-x

Dehlin, M., Jacobsson, L., & Roddy, E. (2020). Global epidemiology of gout: prevalence, incidence, treatment patterns and risk factors. Nature Reviews Rheumatology, 16(7), 380–390. https://doi.org/10.1038/s41584-020-0441-1

Evans, P. L., Prior, J. A., Belcher, J., Hay, C. A., Mallen, C. D., & Roddy, E. (2019). Gender-specific risk factors for gout: a systematic review of cohort studies. Advances in Rheumatology, 59(1), 24. https://doi.org/10.1186/s42358-019-0067-7

Evans, P. L., Prior, J. A., Belcher, J., Mallen, C. D., Hay, C. A., & Roddy, E. (2018). Obesity, hypertension and diuretic use as risk factors for incident gout: a systematic review and meta-analysis of cohort studies. Arthritis Research & Therapy, 20(1), 136. https://doi.org/10.1186/s13075-018-1612-1

FitzGerald, J. D., Dalbeth, N., Mikuls, T., Brignardello-Petersen, R., Guyatt, G., Abeles, A. M., Gelber, A. C., Harrold, L. R., Khanna, D., King, C., Levy, G., Libbey, C., Mount, D., Pillinger, M. H., Rosenthal, A., Singh, J. A., Sims, J. E., Smith, B. J., Wenger, N. S., … Neogi, T. (2020). 2020 American College of Rheumatology Guideline for the Management of Gout. Arthritis Care and Research, 72(6), 744–760. https://doi.org/10.1002/acr.24180

Golenbiewski, J., & Keenan, R. T. (2019). Moving the Needle: Improving the Care of the Gout Patient. Rheumatology and Therapy, 6(2), 179–193. https://doi.org/10.1007/s40744-019-0147-5

Hui, M., Carr, A., Cameron, S., Davenport, G., Doherty, M., Forrester, H., Jenkins, W., Jordan, K. M., Mallen, C. D., McDonald, T. M., Nuki, G., Pywell, A., Zhang, W., & Roddy, E. (2017). The British Society For Rheumatology guideline for the management of gout. Rheumatology (United Kingdom), 56(7), e1–e20.

https://doi.org/10.1093/rheumatology/kex156

Khanna, P. P., Gladue, H. S., Singh, M. K., FitzGerald, J. D., Bae, S., Prakash, S., Kaldas, M., Gogia, M., Berrocal, V., Townsend, W., Terkeltaub, R., & Khanna, D. (2014). Treatment of acute gout: a systematic review. Seminars in Arthritis and Rheumatism, 44(1), 31–38. https://doi.org/10.1016/J.SEMARTHRIT.2014.02.003

Perhimpunan Reumatologi Indonesia. (2018). Rekomendasi Pedoman Diagnosis dan Pengelolaan Gout.

Ragab, G., Elshahaly, M., & Bardin, T. (2017). Gout : An old disease in new perspective – A review. Journal of Advanced Research, 8(5), 495–511. https://doi.org/10.1016/j.jare.2017.04.008

Rainer, T. H., Cheng, C. H., Janssens, H. J. E. M., Man, C. Y., Tam, L. S., Choi, Y. F., Yau, W. H., Lee, K. H., & Graham, C. A. (2016). Oral prednisolone in the treatment of acute gout: A pragmatic, multicenter, double-blind, randomized trial. Annals of Internal Medicine, 164(7), 464–471. https://doi.org/10.7326/M14-2070

Richette, P., Doherty, M., Pascual, E., Barskova, V., Becce, F., Castañeda-Sanabria, J., Coyfish, M., Guillo, S., Jansen, T. L., Janssens, H., Lioté, F., Mallen, C., Nuki, G., Perez-Ruiz, F., Pimentao, J., Punzi, L., Pywell, T., So, A., Tausche, A. K., … Bardin, T. (2017). 2016 updated EULAR evidence-based recommendations for the management of gout. Annals of the Rheumatic Diseases, 76(1), 29–42. https://doi.org/10.1136/annrheumdis-2016-209707

Saag, K. G., Khanna, P. P., Keenan, R. T., Ohlman, S., Osterling Koskinen, L., Sparve, E., Åkerblad, A.-C., Wikén, M., So, A., Pillinger, M. H., & Terkeltaub, R. (2021). A Randomized, Phase II Study Evaluating the Efficacy and Safety of Anakinra in the Treatment of Gout Flares. Arthritis & Rheumatology (Hoboken, N.J.), 73(8), 1533–1542. https://doi.org/10.1002/art.41699

Safiri, S., Kolahi, A. A., Cross, M., Carson-Chahhoud, K., Hoy, D., Almasi-Hashiani, A., Sepidarkish, M., Ashrafi-Asgarabad, A., Moradi-Lakeh, M., Mansournia, M. A., Kaufman, J. S., Collins, G., Woolf, A. D., March, L., & Smith, E. (2020). Prevalence, Incidence, and Years Lived With Disability Due to Gout and Its Attributable Risk Factors for 195 Countries and Territories 1990–2017: A Systematic Analysis of the Global Burden of Disease Study 2017. Arthritis and Rheumatology, 72(11), 1916–1927. https://doi.org/10.1002/art.41404

Schlesinger, N., Alten, R. E., Bardin, T., Schumacher, H. R., Bloch, M., Gimona, A., Krammer, G., Murphy, V., Richard, D., & So, A. K. (2012). Canakinumab for acute gouty arthritis in patients with limited treatment options: results from two randomised, multicentre, active-controlled, double-blind trials and their initial extensions. Annals of the Rheumatic Diseases, 71(11), 1839–1848. https://doi.org/10.1136/ANNRHEUMDIS-2011-200908

Singh, J. A., Reddy, S. G., & Kundukulam, J. (2011). Risk factors for gout and prevention: A systematic review of the literature. Current Opinion in Rheumatology, 23(2), 192–202. https://doi.org/10.1097/BOR.0b013e3283438e13

So, A., De Meulemeester, M., Pikhlak, A., Yücel, A. E., Richard, D., Murphy, V., Arulmani, U., Sallstig, P., & Schlesinger, N. (2010). Canakinumab for the treatment of acute flares in difficult-to-treat gouty arthritis: Results of a multicenter, phase II, dose-ranging study. Arthritis and Rheumatism, 62(10), 3064–3076. https://doi.org/10.1002/ART.27600

Stamp, L. K., Farquhar, H., Leng Pisaniello, H., Vargas-Santos, A. B., Fisher, M., Mount, D. B., Choi, H. K., Terkeltaub, R., Hill, C. L., & Gaffo, A. L. (2021). Management of gout in chronic kidney disease: a G-CAN Consensus Statement on the research priorities. Nature Reviews Rheumatology, 17, 633–641. https://doi.org/10.1038/s41584-021-00657-4

Stewart, S., Dalbeth, N., Vandal, A. C., & Rome, K. (2016). The first metatarsophalangeal joint in gout: A systematic review and meta-analysis. BMC Musculoskeletal Disorders, 17(1). https://doi.org/10.1186/s12891-016-0919-9

Sun, D., Ma, X., Li, C., Ying, J., & Yan, Y. (2017). Benefit-risk of corticosteroids in acute gout patients: An updated meta-analysis and economic evaluation. Steroids, 128, 89–94. https://doi.org/10.1016/j.steroids.2017.09.002

Wechalekar, M. D., Vinik, O., Moi, J. H. Y., Sivera, F., Van Echteld, I. A. A. M., Van Durme, C., Falzon, L., Bombardier, C., Carmona, L., Aletaha, D., Landewé, R. B., Van Der Heijde, D. M. F. M., & Buchbinder, R. (2014). The efficacy and safety of treatments for acute gout: Results from a series of systematic literature reviews including cochrane reviews on intraarticular glucocorticoids, colchicine, nonsteroidal antiinflammatory drugs, and interleukin-1 inhibitors. Journal of Rheumatology, 41(SUPPL. 92), 15–25. https://doi.org/10.3899/jrheum.140458

Wechalekar, M. D., Vinik, O., Schlesinger, N., & Buchbinder, R. (2013). Intra-articular glucocorticoids for acute gout. The Cochrane Database of Systematic Reviews, 2013(4). https://doi.org/10.1002/14651858.CD009920.PUB2

Zhang, Y.-K., Yang, H., Zhang, J.-Y., Song, L.-J., & Fan, Y.-C. (2014). Comparison of intramuscular compound betamethasone and oral diclofenac sodium in the treatment of acute attacks of gout. International Journal of Clinical Practice, 68(5), 633–638. https://doi.org/10.1111/ijcp.12359




DOI: https://doi.org/10.33024/jikk.v9i4.7607

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