General practitioners' perspectives on the management of gout: a qualitative study

Abstract

Tailor-made plan in terms of education and lifestyle advice could help adherence to gout management.

Australian patient perspectives on the impact of gout

“…Patients also have limited understanding of how to recognize gout flares, and how to manage their medications 6 . Poor patient knowledge hinders effective management, through consequent failure of adherence to lifestyle changes and medications 7 . Australian studies have demonstrated adherence to ULT at 55%, 2 significantly lower than other medications for comparable chronic diseases 8 .…”

Joint Clinical Consensus Statement of the American College of Foot and Ankle Surgeons® and the American Association of Nurse Practitioners®: Etiology, Diagnosis, and Treatment Consensus for Gouty Arthritis of the Foot and Ankle

“…ULT adherence was significantly correlated with increase in education (175,176). As such, insufficient education has been cited an important factor for nonadherence (177,178). A nurse-led education program showed >85% medication adherence for ULT medications (179).…”

The challenges of managing gout in primary care: Results of a best-practice audit

“…[4][5][6] Lifestyle modification has been identified as an important aspect of gout management by general practitioners (GPs) and failure to adhere to recommended lifestyle changes is a key barrier to effective management. 7 Other key barriers to optimal gout care include the perception of gout as an acute condition that only requires treatment for the acute episode, rather than a chronic condition in which the acute episodes can be prevented with effective long-term ULT; the medical complexity of many people with gout because of the presence of comorbidities; and poor knowledge about optimal gout management. 8 In addition to being the setting where most people with gout are managed, general practice is well placed to provide the screening and management of comorbidities associated with gout as recommended by international guidelines.…”