{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:28:51Z","timestamp":1787963331719,"version":"build-2784847793"},"reference-count":56,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T00:00:00Z","timestamp":1600300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T00:00:00Z","timestamp":1600300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Rheumatol"],"published-print":{"date-parts":[[2021,9]]},"DOI":"10.1007\/s10067-020-05401-z","type":"journal-article","created":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T21:11:59Z","timestamp":1600377119000},"page":"3393-3400","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The management of gout in Africa: challenges and opportunities"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5866-7105","authenticated-orcid":false,"given":"Eugene Kalman","family":"Genga","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. O.","family":"Oyoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asgar Ali","family":"Kalla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,9,17]]},"reference":[{"issue":"7","key":"5401_CR1","doi-asserted-by":"publisher","first-page":"499","DOI":"10.7326\/0003-4819-143-7-200510040-00009","volume":"143","author":"HK Choi","year":"2005","unstructured":"Choi HK, Mount DB, Reginato AM (2005) American College of P, author. American Physiological S. Pathogenesis of gout. Ann Intern Med 143(7):499\u2013516","journal-title":"Ann Intern Med"},{"key":"5401_CR2","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1136\/annrheumdis-2013-204463","volume":"74","author":"C Kuo","year":"2015","unstructured":"Kuo C, Grainge MJ, Mallen C et al (2015) Rising burden of gout in the UK but continuing suboptimal management: a nationwide population study. Ann Rheum Dis 74:661\u2013667","journal-title":"Ann Rheum Dis"},{"issue":"9","key":"5401_CR3","first-page":"1859","volume":"35","author":"Z Miao","year":"2008","unstructured":"Miao Z, Li C, Chen Y, Zhao S, Wang Y, Wang Z et al (2008) Dietary and lifestyle changes associated with high prevalence of hyperuricemia and gout in the Shandong coastal cities of Eastern China. J Rheumatol 35(9):1859\u20131864","journal-title":"J Rheumatol"},{"key":"5401_CR4","unstructured":"Genga EK, Oyoo GO (2019) Defining gout and hyperuricemia in sub-Saharan Africa: a review. Afr J Rheumatol:7(1)"},{"key":"5401_CR5","first-page":"908","volume":"22","author":"MB Ferraz","year":"1995","unstructured":"Ferraz MB, O\u2019Brien B (1995) A cost effectiveness analysis of urate lowering drugs in non-tophaceous recurrent gouty arthritis. J Rheumatol 22:908\u2013914","journal-title":"J Rheumatol"},{"key":"5401_CR6","unstructured":"World Population Prospects (Region Definitions)"},{"key":"5401_CR7","doi-asserted-by":"publisher","first-page":"395","DOI":"10.2147\/IJGM.S223882","volume":"12","author":"OO Oleribe","year":"2019","unstructured":"Oleribe OO, Momoh J, Uzochukwu BSC, Mbofana F, Adebiyi A, Barbera T, Williams R, Taylor-Robinson SD (2019) Identifying key challenges facing healthcare systems in Africa and potential solutions. Int J Gen Med 12:395\u2013403","journal-title":"Int J Gen Med"},{"issue":"9","key":"5401_CR8","doi-asserted-by":"publisher","first-page":"1441","DOI":"10.1093\/rheumatology\/kew432","volume":"56","author":"EK Genga","year":"2017","unstructured":"Genga EK, Moots RJ, Oyoo GO, Otieno FO (2017) Building a rheumatology team for East Africa: a call for action! Rheumatology. 56(9):1441\u20131442. https:\/\/doi.org\/10.1093\/rheumatology\/kew432","journal-title":"Rheumatology."},{"key":"5401_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13075-017-1259-3","volume":"19","author":"Mody","year":"2017","unstructured":"Mody, Girish M (2017) Rheumatology in Africa-challenges and opportunities. Arthritis Res Ther 19:1\u201349","journal-title":"Arthritis Res Ther"},{"key":"5401_CR10","unstructured":"Africa generates less than 1% of the world\u2019s research; data analytics can change that. Charon Duermeijer et al"},{"issue":"1","key":"5401_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4314\/mmj.v29i1.1","volume":"29","author":"S Kumwenda","year":"2017","unstructured":"Kumwenda S, Niang EHA, Orondo PW, William P, Oyinlola L, Bongo GN, Chiwona B (2017) Challenges facing young African scientists in their research careers: a qualitative exploratory study. Malawi Med J 29(1):1\u20134. https:\/\/doi.org\/10.4314\/mmj.v29i1.1","journal-title":"Malawi Med J"},{"key":"5401_CR12","doi-asserted-by":"crossref","unstructured":"Usenbo A, Kramer V, Young T, Musekiwa A (2015) Prevalence of arthritis in Africa: a systematic review and meta-analysis. Nurmohamed M, ed. PLoS ONE. 10(8)","DOI":"10.1371\/journal.pone.0133858"},{"key":"5401_CR13","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1038\/nrrheum.2016.170","volume":"12","author":"M Tikly","year":"2016","unstructured":"Tikly M, McGill P (2016) The challenge of practicing rheumatology in Africa. Nat Rev Rheumatol 12:630\u2013631","journal-title":"Nat Rev Rheumatol"},{"issue":"6","key":"5401_CR14","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1016\/j.jbspin.2014.10.020","volume":"82","author":"LB Kienhorst","year":"2015","unstructured":"Kienhorst LB, Janssens HJ, Eijgelaar RS, Radstake TR, van Riel PL, Janssen M (2015) The detection of monosodium urate crystals in synovial fluid after long-term and varying storage conditions. Joint Bone Spine 82(6):470\u2013471. https:\/\/doi.org\/10.1016\/j.jbspin.2014.10.020","journal-title":"Joint Bone Spine"},{"key":"5401_CR15","doi-asserted-by":"publisher","first-page":"1789","DOI":"10.1136\/annrheumdis-2015-208237","volume":"74","author":"T Neogi","year":"2015","unstructured":"Neogi T, Jansen TLTA (2015) Dalbeth N, et al2015 Gout classification criteria: an American College of Rheumatology\/European League Against Rheumatism collaborative initiative. Ann Rheum Dis 74:1789\u20131798","journal-title":"Ann Rheum Dis"},{"key":"5401_CR16","first-page":"e000895","volume":"3","author":"PB James","year":"2018","unstructured":"James PB, Wardle J, Steel A et al (2018) Traditional, complementary and alternative medicine use in sub-Saharan Africa: a systematic review BMJ. Glob Health 3:e000895","journal-title":"Glob Health"},{"issue":"11","key":"5401_CR17","first-page":"2437","volume":"30","author":"J Darmawan","year":"2003","unstructured":"Darmawan J, Rasker JJ, Nuralim H (2003) The effect of control and self-medication of chronic gout in a developing country. Outcome after 10 years. J Rheumatol 30(11):2437\u20132443","journal-title":"J Rheumatol"},{"key":"5401_CR18","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1093\/rheumatology\/34.9.843","volume":"34","author":"M Mijinyawa","year":"1995","unstructured":"Mijinyawa M (1995) Gout in patients attending the rheumatology unit of Lome hospital. Br J Rheumatol 34:843\u2013846","journal-title":"Br J Rheumatol"},{"issue":"3","key":"5401_CR19","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1136\/ard.43.3.394","volume":"43","author":"GM Mody","year":"1984","unstructured":"Mody GM, Naidoo PD (1984) Gout in South African blacks. Ann Rheum Dis 43(3):394\u2013397. https:\/\/doi.org\/10.1136\/ard.43.3.394","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"5401_CR20","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1007\/s10067-007-0650-x","volume":"27","author":"JJ Malemba","year":"2008","unstructured":"Malemba JJ, Mbuyi-Muamba JM (2008) Clinical and epidemiological features of rheumatic diseases in patients attending the university hospital in Kinshasa. Clin Rheumatol 27(1):47\u201354","journal-title":"Clin Rheumatol"},{"issue":"11","key":"5401_CR21","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1136\/ard.53.11.759","volume":"53","author":"B Cassim","year":"1994","unstructured":"Cassim B, Mody GM, Deenadayalu VK, Hammond MG (1994) Gout in black South Africans: a clinical and genetic study. Ann Rheum Dis 53(11):759\u2013762","journal-title":"Ann Rheum Dis"},{"issue":"4","key":"5401_CR22","first-page":"37","volume":"8","author":"GO Oyoo","year":"2004","unstructured":"Oyoo GO (2004) Gout in patients attending a rheumatology clinic in Nairobi. Kenya Health Line 8(4):37\u201338","journal-title":"Kenya Health Line"},{"issue":"1","key":"5401_CR23","first-page":"23","volume":"2","author":"OO Adelowo","year":"2014","unstructured":"Adelowo OO, Umar A, Oguntona SA (2014) Gouty arthritis in Nigerians: clinical and laboratory correlates. Afr J Rheumatol 2(1):23\u201328","journal-title":"Afr J Rheumatol"},{"issue":"3","key":"5401_CR24","first-page":"60","volume":"39","author":"SK Lutalo","year":"1993","unstructured":"Lutalo SK (1993) Gout: an experience from Zimbabwe. Cent Afr J Med 39(3):60\u201362","journal-title":"Cent Afr J Med"},{"issue":"1","key":"5401_CR25","doi-asserted-by":"publisher","first-page":"19","DOI":"10.3390\/diseases6010019","volume":"6","author":"GR Ndong Atome","year":"2018","unstructured":"Ndong Atome GR, Ngoua Meye Misso R-L, Sima Obiang C, Onanga R, Nkogue MD (2018) Hyper-uricemia and gouty access in the adult population of the southeast of Gabon: biochemical aspects. Diseases 6(1):19","journal-title":"Diseases"},{"key":"5401_CR26","doi-asserted-by":"crossref","unstructured":"Doualla-Bija M, Lobe Batchama Y, Moutchia-Suh J et al (2018) Prevalence and characteristics of metabolic syndrome in gout patients in a hospital setting in sub-Saharan Africa. Diabetes Metab Syndr","DOI":"10.1016\/j.dsx.2018.06.015"},{"issue":"4","key":"5401_CR27","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1136\/annrheumdis-2016-209467","volume":"76","author":"U Kiltz","year":"2017","unstructured":"Kiltz U, Smolen J, Bardin T, Cohen Solal A, Dalbeth N, Doherty M, Engel B, Flader C, Kay J, Matsuoka M, Perez-Ruiz F, da Rocha Castelar-Pinheiro G, Saag K, So A, Vazquez Mellado J, Weisman M, Westhoff TH, Yamanaka H, Braun J (2017) Treat-to-target (T2T) recommendations for gout. Ann Rheum Dis 76(4):632\u2013638","journal-title":"Ann Rheum Dis"},{"key":"5401_CR28","first-page":"863","volume":"58","author":"R Bileckot","year":"1991","unstructured":"Bileckot R, Ntshiba H, Mbongo JA, Sigamong EV, Masson C (1991) Epidemiological and clinical aspects of gout in equatorial Africa. Apropos of 60 cases followed in the Department of Rheumatology of the Teaching Hospital Centre in Brazzaville. Rev Rhum Mal Osteoartic 58:863\u2013867 (In French.)","journal-title":"Rev Rhum Mal Osteoartic"},{"issue":"1","key":"5401_CR29","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1089\/met.2016.0032","volume":"15","author":"N Ranjith","year":"2017","unstructured":"Ranjith N, Myeni NN, Sartorius B, Mayise C (2017) Association between hyperuricemia and major adverse cardiac events in patients with acute myocardial infarction. Metab Syndr Relat Disord 15(1):18\u201325","journal-title":"Metab Syndr Relat Disord"},{"key":"5401_CR30","first-page":"1935136","volume":"2017","author":"YN Mapoure","year":"2017","unstructured":"Mapoure YN, Ayeah CM, Doualla MS et al (2017) Serum uric acid is associated with poor outcome in black Africans in the acute phase of stroke. Stroke Res Treat 2017:1935136","journal-title":"Stroke Res Treat"},{"issue":"3","key":"5401_CR31","doi-asserted-by":"publisher","first-page":"165","DOI":"10.4314\/gmj.v49i3.7","volume":"49","author":"FS Sarfo","year":"2015","unstructured":"Sarfo FS, Akassi J, Antwi NKB, Obese V, Adamu S, Akpalu A, Bedu-Addo G (2015) Highly prevalent hyperuricaemia is associated with adverse clinical outcomes among Ghanaian stroke patients: an observational prospective study. Ghana Med J 49(3):165\u2013172","journal-title":"Ghana Med J"},{"issue":"7","key":"5401_CR32","first-page":"376","volume":"82","author":"AM Adam","year":"2005","unstructured":"Adam AM (2005) Benign positional vertigo and hyperuricaemia. East Afr Med J 82(7):376\u2013378","journal-title":"East Afr Med J"},{"key":"5401_CR33","doi-asserted-by":"publisher","first-page":"91","DOI":"10.3389\/fneur.2019.00091","volume":"10","author":"X Yang","year":"2019","unstructured":"Yang X, Yang B, Wu M et al (2019) Association between serum uric acid levels and benign paroxysmal positional vertigo: a systematic review and meta-analysis of observational studies. Front Neurol 10:91 Published 2019 Feb 15","journal-title":"Front Neurol"},{"issue":"1","key":"5401_CR34","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1186\/s12916-017-0890-9","volume":"15","author":"T Bardin","year":"2017","unstructured":"Bardin T, Richette P (2017) Impact of comorbidities on gout and hyperuricaemia: an update on prevalence and treatment options. BMC Med 15(1):123. Published 2017 Jul 3. https:\/\/doi.org\/10.1186\/s12916-017-0890-9","journal-title":"BMC Med"},{"issue":"1","key":"5401_CR35","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1136\/ard.46.1.72","volume":"46","author":"EJ ter Borg","year":"1987","unstructured":"ter Borg EJ, Rasker JJ (1987) Gout in the elderly, a separate entity? Ann Rheum Dis 46(1):72\u201376. https:\/\/doi.org\/10.1136\/ard.46.1.72","journal-title":"Ann Rheum Dis"},{"issue":"6","key":"5401_CR36","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1007\/s10067-009-1362-1","volume":"29","author":"KJ Dirken-Heukensfeldt","year":"2010","unstructured":"Dirken-Heukensfeldt KJ, Teunissen TA, van de Lisdonk H, Lagro-Janssen AL (2010) \u201cClinical features of women with gout arthritis.\u201d A systematic review. Clin Rheumatol 29(6):575\u2013582. https:\/\/doi.org\/10.1007\/s10067-009-1362-1","journal-title":"Clin Rheumatol"},{"issue":"11","key":"5401_CR37","first-page":"2186","volume":"32","author":"AW Souza","year":"2005","unstructured":"Souza AW, Fernandes V, Ferrari AJ (2005) Female gout: clinical and laboratory features. J Rheumatol 32(11):2186\u20132188","journal-title":"J Rheumatol"},{"key":"5401_CR38","doi-asserted-by":"publisher","first-page":"1368","DOI":"10.1136\/ard.2006.051649","volume":"65","author":"LR Harrold","year":"2006","unstructured":"Harrold LR, Yood RA, Mikuls TR, Andrade SE, Davis J, Fuller J, Chan KA, Roblin D, Raebel MA, von Worley A, Platt R, Saag KG (2006) Sex differences in gout epidemiology, evaluation and treatment. Ann Rheum Dis 65:1368\u20131372. https:\/\/doi.org\/10.1136\/ard.2006.051649","journal-title":"Ann Rheum Dis"},{"key":"5401_CR39","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1007\/s10067-013-2455-4","volume":"33","author":"DD Ou\u00e9draogo","year":"2013","unstructured":"Ou\u00e9draogo DD et al (2013) Clinical spectrum of rheumatologic diseases in a Department of Rheumatology in Ouagadougou (Burkina Faso). Clin Rheumatol 33:385\u2013389","journal-title":"Clin Rheumatol"},{"key":"5401_CR40","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1007\/s10067-015-2863-8","volume":"35","author":"J Erwin","year":"2016","unstructured":"Erwin J, Woolf A, Oyoo O, Cederlund I, Mwaniki L, Etau P (2016) The UWEZO project musculoskeletal health training in Kenya. Clin Rheumatol 35:433\u2013440","journal-title":"Clin Rheumatol"},{"key":"5401_CR41","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1007\/s10067-010-1594-0","volume":"30","author":"I Colmegna","year":"2011","unstructured":"Colmegna I, Bartlett SJ, Oyoo OG (2011) The ILAR\u2013 East Africa initiative: current needs and progress in the globalization of rheumatology. Clin Rheumatol 30:251\u2013253","journal-title":"Clin Rheumatol"},{"key":"5401_CR42","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1186\/1546-0096-11-33","volume":"11","author":"J Chipeta","year":"2013","unstructured":"Chipeta J, Njobvu P, Wa-Somwe S, Chintu C, McGill PE, Bucala R (2013) Clinical patterns of juvenile idiopathic arthritis in Zambia. Pediatr Rheumatol Online J 11:33","journal-title":"Pediatr Rheumatol Online J"},{"key":"5401_CR43","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1136\/bmj.332.7553.1315","volume":"332","author":"M Underwood","year":"2006","unstructured":"Underwood M (2006) Diagnosis and management of gout. BMJ 332:1315\u20131319 [PMC free article] [PubMed] [Google Scholar]","journal-title":"BMJ"},{"key":"5401_CR44","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1093\/rheumatology\/40.9.1060","volume":"40","author":"H Amer","year":"2001","unstructured":"Amer H, Swan A, Dieppe P (2001) The utilization of synovial fluid analysis in the UK. Rheumatology 40:1060\u20131063 [PubMed] [Google Scholar]","journal-title":"Rheumatology"},{"key":"5401_CR45","doi-asserted-by":"crossref","unstructured":"Janssens HJ, Fransen J, van de Lisdonk EH, et al. A diagnostic rule for acute gouty arthritis in primary care without joint fluid analysis, Arch Intern Med, 2010, vol. 170 (pg. 1120-1126)","DOI":"10.1001\/archinternmed.2010.196"},{"issue":"1","key":"5401_CR46","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1136\/annrheumdis-2019-215315","volume":"79","author":"P Richette","year":"2020","unstructured":"Richette P, Doherty M, Pascual E, Barskova V, Becce F, Castaneda J, Coyfish M, Guillo S, Jansen T, Janssens H, Liot\u00e9 F, Mallen CD, Nuki G, Perez-Ruiz F, Pimentao J, Punzi L, Pywell A, So AK, Tausche AK, Uhlig T, Zavada J, Zhang W, Tubach F, Bardin T (2020) 2018 updated European League Against Rheumatism evidence-based recommendations for the diagnosis of gout. Ann Rheum Dis 79(1):31\u201338","journal-title":"Ann Rheum Dis"},{"key":"5401_CR47","doi-asserted-by":"publisher","first-page":"2167","DOI":"10.1007\/s10067-017-3761-z","volume":"36","author":"EK Genga","year":"2017","unstructured":"Genga EK, Oyoo O, Espinoza LR, Adebajo A (2017) Africa Journal of Rheumatology: enhancing the visibility of rheumatology in Africa. Clin Rheumatol 36:2167\u20132168","journal-title":"Clin Rheumatol"},{"issue":"5","key":"5401_CR48","doi-asserted-by":"publisher","first-page":"681","DOI":"10.3325\/cmj.2008.5.681","volume":"49","author":"AS Muula","year":"2008","unstructured":"Muula AS (2008) Medical journalism and authorship in low income countries. Croat Med J 49(5):681\u2013683. https:\/\/doi.org\/10.3325\/cmj.2008.5.681","journal-title":"Croat Med J"},{"key":"5401_CR49","doi-asserted-by":"crossref","unstructured":"Akintayo RO, Akpabio A, Kalla A, et al. COVID-19 and the practice of rheumatology in Africa: big changes to services from the shockwave of a pandemic Annals of the Rheumatic Diseases Published Online First: 01 July 2020","DOI":"10.1136\/annrheumdis-2020-218273"},{"key":"5401_CR50","doi-asserted-by":"publisher","first-page":"1969","DOI":"10.1002\/1529-0131(200109)44:9<1969:AID-ART342>3.0.CO;2-A","volume":"44","author":"ED Harris Jr","year":"2001","unstructured":"Harris ED Jr (2001) The bone and joint decade: a catalyst for progress. Arthritis Rheum 44:1969\u20131970. https:\/\/doi.org\/10.1002\/1529-0131(200109)44:9<1969:AID-ART342>3.0.CO;2-A","journal-title":"Arthritis Rheum"},{"key":"5401_CR51","unstructured":"Omondi GO et al. Report on petition concerning challenges faced by individuals with connective tissue disorders in Kenya. Personal communication, March 2020"},{"key":"5401_CR52","unstructured":"World Health Organization (2010) The World Health Report \u2013 Health Systems Financing"},{"key":"5401_CR53","unstructured":"The Path to Universal Coverage. Geneva: World Health Organization. Governance, taxation and accountability: issues and practices. Organization for Economic Cooperation and Development. Paris. 2008"},{"key":"5401_CR54","unstructured":"Global Health Expenditure Database 2000 to 2017"},{"issue":"Issue suppl_1","key":"5401_CR55","doi-asserted-by":"publisher","first-page":"i51","DOI":"10.1093\/rheumatology\/kex421","volume":"57","author":"A Abhishek","year":"2018","unstructured":"Abhishek A, Doherty M (2018) Education and non-pharmacological approaches for gout. Rheumatology 57(Issue suppl_1):i51\u2013i58","journal-title":"Rheumatology"},{"issue":"5","key":"5401_CR56","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1016\/j.semarthrit.2016.10.006","volume":"46","author":"TR Fields","year":"2017","unstructured":"Fields TR, Rifaat A, Yee AMF, Ashany D, Kim K, Tobin M, Oliva N, Fields K, Richey M, Kasturi S, Batterman A (2017) Pilot study of a multidisciplinary gout patient education and monitoring program. Semin Arthritis Rheum 46(5):601\u2013608. https:\/\/doi.org\/10.1016\/j.semarthrit.2016.10.006","journal-title":"Semin Arthritis Rheum"}],"container-title":["Clinical Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-020-05401-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10067-020-05401-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-020-05401-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:49:42Z","timestamp":1631839782000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10067-020-05401-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,17]]},"references-count":56,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["5401"],"URL":"https:\/\/doi.org\/10.1007\/s10067-020-05401-z","relation":{},"ISSN":["0770-3198","1434-9949"],"issn-type":[{"value":"0770-3198","type":"print"},{"value":"1434-9949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,17]]},"assertion":[{"value":"8 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2020","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 September 2020","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 September 2020","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"None","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}