Kenneth Tan Medical Clinic · Clinical Tools

Gout Toolkit

Practical, evidence-based gout management for primary care — get patients to target, handle HLA-B*5801 safely, dose by comorbidity, and hand out clear materials. Free to use and adapt in your own practice.

① Treat-to-target toolkit

Allopurinol titration · urate tracker · difficult-gout audit

Get the next allopurinol dose, track urate against target, and audit the real causes of "refractory" gout before escalating.
② HLA-B*5801 decision aid

Test-before-allopurinol, the Singapore way

RASHES risk framework, ethnicity prevalence, test-vs-febuxostat pathway, SCAR counselling and local testing logistics.
③ Dosing & labs

Renal-aware flare/prophylaxis dosing · lab order set

Choose the right anti-inflammatory by comorbidity and eGFR, with colchicine adjustment, plus a baseline panel and monitoring schedule.
④ Patient handouts

Flare action plan · uric-acid tracker · diet card

Printable, fillable patient materials — Singapore-localised, plain language.
Built on ACR 2020, EULAR 2016, BSR 2017, NICE NG219 (2022), ACE Singapore (2023) and APLAR 2021. See the patient-facing guide at ktmc.sg/education/gout. Clinical decision support only — verify against the local formulary and clinical judgement.