ACE Clinical Guidances (ACGs)

[also known as Appropriate Care Guides]

ACGs provide concise, evidence-based recommendations to inform specific areas of clinical practice and serve as a common starting point nationally for clinical decision-making. ACGs are underpinned by a wide array of considerations contextualised to Singapore, based on best available evidence at the time of development. Each ACG is developed in collaboration with a multidisciplinary group of local experts representing relevant specialties and practice settings. ACGs are not exhaustive of the subject matter and do not replace clinical judgement.

Published on 20 Dec 2019
Last Updated on 20 Dec 2019
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This Appropriate Care Guide (ACG) highlights the use of urate-lowering therapy (ULT) to achieve the management goal for gout, when lifestyle management is insufficient. Prophylaxis against and management of acute flares are also covered. The ACG includes two patient education aids to assist discussions between healthcare professionals and patients.

Download the PDF below to access the full ACG.

Key Messages
1. Provide lifestyle management to all patients with gout.
2. Do not delay urate-lowering therapy (ULT) for patients with gout who meet ULT treatment criteria.
3. “Start low, go slow” with ULT.


Gout - achieving the management goal (Dec 2019)