Postoperative complications and outcomes after surgical treatment for tophaceous gout: A systematic review and meta-analysis.
Rong-Zhen Xie, Xu-Song Li, Wen-Rui Wu et al.
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In 30 seconds
This systematic review and meta-analysis evaluated postoperative complications and outcomes in patients undergoing surgical treatment for tophaceous gout. Analyzing 18 retrospective studies, the research found a pooled postoperative infection rate of 11.3%, delayed wound healing at 9.9%, and recurrence at 8.5%. The study highlights significant risks associated with surgical intervention in this population.
Key findings
- Pooled postoperative infection rate was 11.3% (95% CI 8.0%-15.7%).
- Delayed wound healing occurred in 9.9% of cases (95% CI 5.1%-18.2%).
- Recurrence rate after surgery was 8.5% (95% CI 4.7%-14.9%).
- Overall complications were reported at 24.0% (95% CI 14.0%-38.1%).
Why it matters
Understanding the postoperative risks associated with surgical treatment for tophaceous gout is crucial for clinicians to provide informed perioperative counseling and to implement effective postoperative care strategies.
What to keep in mind
The certainty of evidence was very low for all outcomes assessed in the study.