Tophaceous joint disease strongly predicts hand function in patients with gout

Dalbeth, Nicola; Collis, Julie; Gregory, Kate; Clark, Barnaby; Robinson, Elizabeth; McQueen, Fiona

doi:10.1093/rheumatology/kem246

Cited by 108 publications

(65 citation statements)

References 13 publications

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“…Contrary to these beliefs, gout is associated with substantial pain, functional disability, significant comorbidity, and reduced quality of life, as well as social stigma 1,35,36 . Recognition that gout is common and poorly managed is the first step toward improving the quality of care for people with gout.…”

Section: Rheumatologymentioning

confidence: 96%

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An Observational Study of Gout Prevalence and Quality of Care in a National Australian General Practice Population

2015

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Objective.The central strategy for effective gout management is longterm urate-lowering therapy to maintain the serum urate at a level below 0.36 mmol/l. We sought to determine the prevalence of gout and the quality of care in a national Australian general practice population.Methods.Data were from general practice point-of-care electronic records over a 5-year period (n = 1,479,449). Information was collected on patients with gout according to a validated definition. All patients who visited the same general practices over the study period formed the denominator group. We determined the estimated prevalence of gout, the frequency of allopurinol prescription, and serum urate testing, and the percentage of patients achieving a target serum urate level.Results.The crude prevalence of gout in this general practice population was 1.54% (95% CI 1.52–1.56). Prevalence in men was 2.67% and in women 0.53%. Prevalence increased with age in both men and women (4.90%, 95% CI 4.82–4.99, in men > 65 yrs). Allopurinol was prescribed to 57% of patients with gout during the 5 years of the study. Only 55% of patients with gout had their serum urate tested at any time during the 5-year study period. A target serum urate concentration of < 0.36 mmol/l at any time during the 5-year study period was documented in 22.4% of all people with gout.Conclusion.Gout is managed poorly in Australian primary care, with low levels of allopurinol prescribing and serum urate testing. Collectively, these factors probably contribute to low achievement of serum urate targets.

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Section: Rheumatologymentioning

confidence: 96%

“…Gout is the most common inflammatory arthritis in men and is associated with functional impairment and significant comorbidity 1,2,3 . The prevalence of gout is increasing in developed countries 4,5 .…”

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confidence: 99%

An Observational Study of Gout Prevalence and Quality of Care in a National Australian General Practice Population

2015

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“…The Sollerman test has been used to evaluate hand function in tetraplegia, gout, and after hand trauma. [12,18,51] It has a good intra-and inter rater reliability when used in patients with chronic stroke. [13] Aims To describe the epidemiology of hand injury from powered wood splitters.…”

Section: Hand Injury Severity Scoring Systemmentioning

confidence: 99%

Hand injury from powered wood splitters

Lindqvist

Gerdin

2008

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…Le nombre d'articulations entourées de tophus était un élément pré-dictif d'une perturbation sévère de la fonction manuelle, de la mobilité articulaire. Un modèle de régression logistique multiple fait ressortir deux critères prédictifs du score de Solleman plus pertinents que le nombre de tophus : la durée de la maladie et le nombre d'articulations douloureuses à la palpation [17]. La sensibilité au changement de ce score sous traitement n'est pas connue dans cette affection.…”

Section: Conséquences Fonctionnellesunclassified