Paul P Doghramji1, Steve Fermer2, Robert Wood3, Robert Morlock4, Scott Baumgartner5. 1. a Collegeville Family Practice , Ursinus College , Collegeville , PA , USA. 2. b Adelphi Real World , Cheshire , UK. 3. c Health Economics and Statistics , Adelphi Real World , Cheshire , UK. 4. d Health Economics and Outcomes Research , Ardea Biosciences, Inc ., San Diego , CA , USA. 5. e Medical Affairs , Ardea Biosciences, Inc ., San Diego , CA , USA.
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.
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/obesepatients 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.
Authors: Mehmet Akif Öztürk; Rıdvan Mercan; Kevser Gök; Ahmet Mesut Onat; Bünyamin Kısacık; Gezmiş Kimyon; Ayşe Balkarlı; Arif Kaya; Veli Çobankara; Mehmet Ali Balcı; ÖmerNuri Pamuk; Gözde Yıldırım Çetin; Mehmet Sayarlıoğlu; Soner Şenel; Mehmet Engin Tezcan; Adem Küçük; Kemal Üreten; Şafak Şahin; Abdurrahman Tufan Journal: Clin Rheumatol Date: 2016-10-08 Impact factor: 2.980