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Published on: October 29, 2018
The challenges of managing gout in primary care: Results of a best-practice audit
Lisa K Stamp1, Peter Chapman2, Ben Hudson3
1MBChB, FRACP, PhD, Professor and Rheumatologist, Department of Medicine, University of Otago, Christchurch, NZ. lisa.stamp@cdhb.health.nzww.
Background And Objectives:
The aim of this project was to determine the effects of a package of care for gout in primary care.
Method:
An audit of gout management in a single rural medical practice was undertaken before (in 2012) and after (in 2015) the introduction of the package of care reflecting guidelines in gout management.
Results:
There was a statistically significant increase in the number of individuals commenced on allopurinol ≤100 mg/d and a decrease in the number commenced on allopurinol ≥200 mg/d (P <0.001). The number of times each patient had serum urate tested between 2012 and 2015 (median [range] 1 [0-3] versus 2 [0-10], respectively; P <0.001). Of those individuals who had at least one serum urate measurement, the number of individuals who were never at target urate was 43 out of 67 (64.2%) in 2012, compared with 52 out of 133 (39.1%) in 2015 (P = 0.001).
Discussion:
A package of care can improve adherence to gout management guidelines in primary care.
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