Management of gout in the real world: current practice versus guideline recommendations.

Autor: Doghramji, Paul P., Fermer, Steve, Wood, Robert, Morlock, Robert, Baumgartner, Scott
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Zdroj: Postgraduate Medicine; Jan2016, Vol. 128 Issue 1, p106-114, 9p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index