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NNH Clinical Protocol

Gout Management in Chronic Kidney Disease

An interactive, evidence-based decision-support tool for gout across the CKD spectrum, drawing on ACR 2020, KDIGO 2024, KDOQI 2025, and the pegloticase co-therapy trials (MIRROR, PROTECT, Albert 2024).

Developed by Craig G. Hurwitz, MD

📚 ACR 2020, KDIGO 2024, KDOQI 2025📄 Ostrowski 2025; Johnson 2024; MIRROR / PROTECT⚠️ For NNH clinical staff only
Step 1

[Picker step title — e.g. Select the procedure / Select the indication]

[One sentence guiding the clinician on what they're choosing.]

[OPTION_1_TITLE][short tag][OPTION_2_TITLE][short tag][OPTION_3_TITLE][short tag][OPTION_4_TITLE][short tag][OPTION_5_TITLE][short tag][OPTION_6_TITLE][short tag]
Recommendation

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Choose a different procedure
Clinical decision support, not a substitute for clinical judgment. Verify allergies, drug interactions, and renal/hepatic dose adjustments before administration. [Replace this sentence with protocol-appropriate caveats about evidence quality, regulatory grade, or guideline limitations.]

Reference

[Primary reference — author list. Title in italics. Journal year;volume(issue):pages. doi:...]

[Secondary reference — e.g. relevant society guideline.]

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