2604.00929 GOUT-FLARE: Gout Flare Risk Prediction Skill During ULT Initiation with ACR 2020 Guideline Integration
Gout flares during urate-lowering therapy (ULT) initiation affect 50-75% of patients in the first 6 months (Dalbeth 2019). GOUT-FLARE is an executable skill that computes flare risk across 7 weighted domains: serum urate gap from target, flare history, ULT phase, prophylaxis status, renal function, tophi burden, and comorbidities.