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Gout management and outcomes during established COVID-19 pandemic in 2020-2021: a cross-sectional Internet survey

Jasvinder A Singh1, N Lawrence Edwards2

  • 1Department of Medicine, School of Medicine, University of Alabama, Faculty Office Tower 805B, 510 20th Street S, Birmingham, AL 35294, USA.

Therapeutic Advances in Musculoskeletal Disease
|May 19, 2022
PubMed

Insights

Gout patients faced challenges managing their condition during the COVID-19 pandemic, including healthcare access issues and psychological distress. Moderate-severe psychological distress significantly worsened difficulties in healthcare access and overall gout management.

Area of Science:

  • Rheumatology and Immunology
  • Public Health and Epidemiology
  • Psychological Medicine

Background:

  • The COVID-19 pandemic significantly disrupted healthcare systems globally.
  • Gout management requires consistent medical care and medication adherence, both potentially impacted by pandemic-related challenges.

Purpose of the Study:

  • To evaluate the management of gout during the established COVID-19 pandemic.
  • To assess medication use, healthcare utilization, quality of life, and psychological factors in gout patients during the pandemic.

Main Methods:

  • A cross-sectional internet survey was conducted among individuals with physician-diagnosed, self-reported gout.
  • Data collected included medication use (urate-lowering therapy - ULT), healthcare access, gout-specific health-related quality of life (HRQOL), psychological distress (PHQ-4), resilience, illness perception, and health literacy.

Main Results:

  • Among 130 respondents, 59% were prescribed ULT, and 80% had adequate health literacy.
  • A third reported increased difficulty managing gout post-September 2020, with evident HRQOL deficits.
  • Moderate-severe psychological distress (22% of respondents) was significantly associated with increased difficulties in accessing healthcare, managing gout flares, avoiding complications, and performing daily/work activities.

Conclusions:

  • Gout patients experienced healthcare gaps, suboptimal ULT prescription rates, elevated psychological distress, and reduced HRQOL during the pandemic.
  • Psychological distress emerged as a key factor exacerbating difficulties in healthcare access and gout management.
  • Targeted interventions are crucial to address these multifaceted challenges in gout patient care during public health crises.
Abstract

Keywords:
COVID-19Internet surveydisease managementgoutmedication usepsychological distressquality of liferesilience

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