Related Experiment Videos
Opportunities for improving medication use and monitoring in gout
J A Singh1, J S Hodges, S M Asch
1Minneapolis VA Medical Center, Rheumatology Section, One Veteran's Drive, Minneapolis, MN 55417, USA. Jasvinder.md@gmail.com
Purpose:
To study patterns and predictors of medication use and laboratory monitoring in gout.
Methods:
In a cohort of veterans with a diagnosis of gout prescribed allopurinol, colchicine or probenecid, quality of care was assessed by examining adherence to the following evidence-based recommendations: (1) whether patients starting a new allopurinol prescription (a) received continuous allopurinol, (b) received colchicine prophylaxis, (c) achieved the target uric acid level of
Results:
Of the 643 patients with gout receiving a new allopurinol prescription, 297 (46%) received continuous allopurinol, 66 (10%) received colchicine prophylaxis and 126 (20%) reached the target uric acid level of
Conclusions:
Important variations were found in patterns of medication use and monitoring in patients with gout with suboptimal care. A concerted effort is needed to improve the overall care of gout.
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