title: Clinical Inquiry: How do clinical prediction rules compare with joint fluid analysis in diagnosing gout?
abstract: Clinical prediction rules effectively diagnose gout without joint fluid analysis. The American College of Rheumatology clinical prediction rules, the most accurate rules developed for research purposes, have a sensitivity of 92%, specificity of 89%, positive likelihood ratio of 8.36, and negative likelihood ratio of 0.09.
authors.affiliation: Martin Army Community Hospital Family Medicine Residency Program, Fort Benning, GA, USA.
authors.forename: Katie L
authors.initials: KL
authors.lastname: Westerfield
authors.affiliation: Department of Family Medicine, University of North Carolina, Chapel Hill, USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Mounsey
authors.affiliation: University of Iowa, Iowa City, IA, USA.
authors.forename: Joan
authors.initials: J
authors.lastname: Nashelsky
mesh_terms: D003661:Decision Support Techniques; D019937:Diagnostic Techniques and Procedures / Q000592:standards*; D006073:Gout / Q000145:classification* / Q000175:diagnosis*; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic; D012680:Sensitivity and Specificity; D014481:United States; D014527:Uric Acid / Q000032:analysis*
chemical_list: D014527:Uric Acid