Management of gout in the real world: current practice versus guideline recommendations. Issue 1 (2nd January 2016)

• Record Type: Journal Article
• Authors: Doghramji, Paul P.; Fermer, Steve; Wood, Robert; Morlock, Robert; Baumgartner, Scott
• Is Part Of: Postgraduate medicine. Volume 128:Issue 1(2016)
• Page Start: 106
• Page End: 114
• Publication Date: 2016-01-02
• Subjects: Gout -- diet -- lifestyle -- urate-lowering therapy -- clinical inertia; Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Periodicals; 610.5
• DOI: 10.1080/00325481.2016.1114878
• Languages: English
• ISSNs: 0032-5481

Abstract

Abstract: Objectives : Gout is a chronic, extremely painful disease that is potentially curable when treated effectively. Unfortunately approximately one-half of patients with gout are inadequately controlled. Methods : We surveyed 315 primary care physicians in the United States and Europe to investigate current practice in the real world, as distinct from recommendations in guidelines. Results : Our survey on 1657 patients found that regular testing of serum uric acid, in conformity with the guidelines, was conducted by approximately 50% of physicians. Advice to patients on diet and lifestyle was less well implemented, and identification of overweight/obese patients was inconsistent. Conclusion : Improvements in practice by physicians would include comprehensive assessment of the patient, adoption of regular monitoring during treatment, and the provision of patient education on adherence and lifestyle.