Diagnosis and management of gout by clinicians in Nepal: a web-based survey

Vaidya, Binit; Pudasaini, Kalpana; Baral, Rikesh; Nakarmi, Shweta

doi:10.1007/s00296-020-04712-3

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…It is interesting to observe that although most students correctly identified treatment approaches in asymptomatic hyperuricemia (83.3%), only around 2% agreed that they knew enough about care for patients with asymptomatic hyperuricemia. Moreover, in a different study, undergraduates (28.6%) preferred referring gout patients to rheumatologists, but most postgraduates (71.4%) preferred managing the patients with gout themselves [ 36 ]. Students did not differ significantly among study years or sources of education in knowledge scores.…”

Section: Discussionmentioning

confidence: 99%

“…In a study among Moroccan rheumatologists, 40% routinely applied the EULAR gout classification criteria, whereas 12.4% did not know them [ 26 ]. In Nepal, 65.8% were aware of the latest guidelines [ 36 ]. In Saudi Arabia, less than a third of primary care physicians showed adequate knowledge on asymptomatic hyperuricemia [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…Most patients with well-controlled gout are managed in primary care [ 12 , 35 ]. They may be attended by medical graduates, internists, and orthopedic surgeons [ 36 ]. Moreover, in a study investigating the management of gout by rheumatologists, in 58.7% of cases, gout patients were referred from a general practitioner, and around 10% of them had seen two other doctors prior to the rheumatologist consult [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

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Medical Students’ Perspective and Knowledge of Asymptomatic Hyperuricemia and Gout Management: A Cross-Sectional Study

et al. 2021

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The prevalence and incidence of gout doubled from 1990 to 2017. Therefore, we can expect that a number of doctors have come across a patient with gout in their daily practice. Hence, we wanted to investigate how familiar our medical students, as future medical professionals, are with gout. This cross-sectional survey included Medical Studies students from the two largest universities in Croatia: the University of Split School of Medicine, and the University of Zagreb School of Medicine, and included a total of 221 fifth or sixth year medical students. Most students gave correct answers to questions about treatment approach and non-pharmacological interventions in asymptomatic hyperuricemia (>80%). Less than 3% of all students agreed they knew enough about care for patients with asymptomatic hyperuricemia, whereas almost 15% thought they were well familiar with care for gout patients. Less than 8% of students considered their school education adequate on both topics, and less than 2% were aware of the existence of EULAR guidelines. Physicians lacking in the latest knowledge on the pathophysiology of gout, the influence of lifestyle, and genetic factors limits their ability to properly manage gout. With increasing prevalence, gout should be more represented in medical students’ education.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Medical Students’ Perspective and Knowledge of Asymptomatic Hyperuricemia and Gout Management: A Cross-Sectional Study

et al. 2021

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Novel Role of Biomedical Sensors and CT/MRI Scanning Image Segmentation Algorithms in Orthopedic Diseases

Liu

Zhang

Jin

et al. 2022

j biomed nanotechnol

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We aimed to evaluate the efficacy of medical image segmentation algorithms in conjunction with biomedical sensors for the diagnosis and treatment of orthopedic diseases. The two-dimensional image data of orthopedic patients were obtained by using CT/MRI scanning along with the biomedical sensors. Patients are divided into: control group (n = 140 cases) and experimental group (106 cases). The control group has received the traditional orthopedic surgery analysis method, while the experimental group has adopted the medical image segmentation, biomedical sensors and MRI scanning for the treatment/surgery of orthopedic patients. There is a apparently different level of performance between two groups (P <0.05). The analgesic and sedative effect of the experimental group is observed at 2 h, 6 h, and after 12 h respectively and it is found that the experimental group exhibits better results with statistical significance (P < 0.05). The experimental group has better rates of fracture, fracture nonunion, osteoporosis, and femoral head necrosis, and a substantial difference in various disease classifications is observed between two groups (P <0.05). There is a considerable gap between two groups in the rate of subsequent operations. The experimental group has much higher rate of subsequent operations than the control group (P <0.05). The proposed innovative non-invasive medical treatment methods can not only enhance the accuracy of orthopedic surgeries.

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Knowledge, attitudes, and practices of gouty arthritis in the general population aged > 30

Zhao,

Jian,

Yang

et al. 2024

BMC Med Educ

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Background A knowledge of gouty arthritis could help in the primary prevention of the disease development and lead to an early diagnosis if it occurs. This study investigated the knowledge, attitudes, and practices (KAP) toward gouty arthritis in the general population > 30 years old. Methods This web-based cross-sectional study was conducted among the general population > 30 years old between January and March 2023 in Chengdu, Sichuan. The questionnaire was designed by the investigators based on the available guidelines (Cronbach’s α = 0.846). A score above 70% indicated good knowledge, a positive attitude, and proactive practice. Multivariable and structural equation modeling (SEM) analyses were performed to analyze the factors influencing KAP. Results A total of 537 questionnaires were included. The knowledge, attitudes, and practices scores were 13.12 ± 6.41, 25.28 ± 3.97, and 45.25 ± 5.77, respectively. Female (OR = 0.47, 95%CI: 0.31–0.71, P < 0.001), suburban living (OR = 0.18, 95%CI: 0.04–0.78, P = 0.022), heads of institution/organization and professional and technical staff (OR = 2.04, 95%CI: 1.23–3.39, P = 0.006), and an income of < 2,000 yuan (OR = 0.35, 95%CI: 0.14–0.85, P = 0.021) were independently associated with knowledge. Female (OR = 2.17, 95%CI: 1.43–3.30, P < 0.001), age (OR = 1.03, 95%CI: 1.01–1.05, P = 0.001), college and above education (OR = 2.26, 95%CI: 1.16–4.41, P = 0.017), an income of 5,000–10,000 yuan (OR = 2.05, 95%CI: 1.27–3.31, P = 0.003), and an income of > 10,000 yuan (OR = 2.07, 95%CI: 1.12–3.81, P = 0.020) were independently associated with attitudes. Attitude (OR = 1.31, 95%CI: 1.23–1.40, P < 0.001), female (OR = 1.62, 95%CI: 1.01–2.58, P = 0.044), and age (OR = 1.02, 95%CI: 1.00-1.04, P = 0.016) were independently associated with practices. The structural equation modeling analysis showed that knowledge directly influenced attitude (β=-0.10, P < 0.001) and indirectly influenced practice (β=-0.07, P < 0.001), and attitude directly influenced practice (β = 0.68, P < 0.001). Conclusion The general population over 30 years old had inadequate knowledge, unfavorable attitudes, and less proactive practices toward gouty arthritis. Targeted interventions should focus on enhancing knowledge about gout and promoting positive attitudes toward its management.

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Diagnosis and management of gout by clinicians in Nepal: a web-based survey

Cited by 3 publications

References 23 publications

Medical Students’ Perspective and Knowledge of Asymptomatic Hyperuricemia and Gout Management: A Cross-Sectional Study

Medical Students’ Perspective and Knowledge of Asymptomatic Hyperuricemia and Gout Management: A Cross-Sectional Study

Novel Role of Biomedical Sensors and CT/MRI Scanning Image Segmentation Algorithms in Orthopedic Diseases

Knowledge, attitudes, and practices of gouty arthritis in the general population aged > 30

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