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Management of gout in the real world: current practice versus guideline recommendations
Paul P Doghramji1, Steve Fermer2, Robert Wood3
1a Collegeville Family Practice , Ursinus College , Collegeville , PA , USA.
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.
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