Gout.... what we don't know.

So, I'm exploring RSS feeds and today added BMJ's Clinical Evidence to my Google Reader. I've just got an update on gout. Unfortunately it seems that we really don't know very much about the treatment of gout. So how should I now treat gout? How does this summary help me?

What are the effects of treatments for acute gout?

Unknown effectiveness		Colchicine (oral) Corticosteroids Corticotropin (adrenocorticotrophic hormone) NSAIDs

What are the effects of treatments to prevent gout in people with prior acute episodes?

Unknown effectiveness		Advice to lose weight Advice to reduce alcohol intake Advice to reduce dietary intake of purines Colchicine for preventing recurrence Sulfinpyrazone Xanthine oxidase inhibitors