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A Return to Normality: A Descriptive Qualitative Interview Study Exploring the Patient Experience of Gout Flare
Sarah Stewart1,2, Anne Horne2, Angelo Gaffo3
1School of Allied Health, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Arthritis Care & Research
|May 18, 2026
Summary
Gout flare resolution is defined by patients as a return to their personal baseline, including pain relief, restored function, and emotional wellbeing. This patient-centered perspective is crucial for managing gout flares effectively.
Area of Science:
- Rheumatology
- Patient-Reported Outcomes
- Gout Management
Background:
- The definition of a gout flare is established, but gout flare resolution lacks a clear definition.
- Understanding patient perceptions of gout flare resolution is essential for improved management.
Purpose of the Study:
- To explore patients' experiences and perceptions of gout flare resolution.
- To identify key components of gout flare resolution from a patient's viewpoint.
Main Methods:
- Semi-structured interviews with 24 individuals experiencing gout.
- Thematic analysis of qualitative data focusing on patient narratives.
- Utilized visual aids and prompts regarding flare characteristics to guide discussions.
Main Results:
- Four themes emerged, centered on a 'return to normality'.
- Key themes include return to baseline pain (often 0/10), restoration of function, improved emotional wellbeing, and resolution of inflammatory signs (swelling, warmth, redness).
Conclusions:
- Gout flare resolution is perceived by patients as a return to their normal state.
- This includes pain relief, functional recovery, emotional balance, and absence of inflammation.
- Patient-centered insights can inform better definitions and management strategies for gout flares.
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