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Gout is a chronic, extremely painful disease that is potentially curable when treated effectively.
This original
research focuses on the physician care management techniques to deal with the
gout patients for the prompt and safe termination of pain and disability.
Curing gout is greatly influenced by shared decision making between the patient
and the practitioner.
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.
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.
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.
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.
Postgrad Med. 2016 Jan;128(1):106-14
Management of gout in the real world: current practice versus guideline recommendations
Paul P. Doghramji et al.
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