Management of patients with gout and achievement of target serum urate levels at a tertiary rheumatology service in Australia.

Internal Medicine Journal
Mathuja Bavanendrakumar, Philip C Robinson

Abstract

Gout is common crystal arthritis that is often managed sub-optimally. To determine what proportion of patients treated for gout by the tertiary level rheumatology service at the Royal Brisbane Hospital between 2014 and 2018 reached target serum urate (SU) levels. Secondary aims included exploring the demographic characteristics of those who did and did not reach target. The records of patients who were treated at least once either as in inpatient or outpatient by the rheumatology service at the Royal Brisbane Hospital between 1 January 2014 and 31 December 2018 were reviewed. Clinical status, treatment characteristics and outcome were recorded and analysed. There were 129 patients who met the inclusion criteria for the study, the majority of patients were male and 39% had tophaceous gout. Fifty-four (42%) had been intentionally discharged from clinic, 50 (85%) of those patients had reached their SU target, the remaining eight (15%) were discharged with a plan for other services to continue their therapy to reach SU target. Forty patients (31%) had ongoing follow up, with 16 (40%) of these at target and 24 (60%) not at target. Thirty-five (27%) were not attending, five (4%) had died and 30 (23%) had failed to attend follow-up ap...Continue Reading

References

Aug 7, 2012·Annals of the Rheumatic Diseases·Michael DohertyThomas Bardin
Sep 12, 2013·Internal Medicine Journal·P C RobinsonT R Merriman
Jul 28, 2016·International Journal of Rheumatic Diseases·Philip C RobinsonLynden Roberts
Jul 28, 2016·Annals of the Rheumatic Diseases·P RichetteT Bardin
Dec 10, 2016·Seminars in Arthritis and Rheumatism·Theodore R FieldsAdena Batterman
Feb 17, 2017·International Journal of Rheumatic Diseases·Elizabeth J M CorbettNeil W McGill
May 27, 2017·Rheumatology·Michelle HuiUNKNOWN British Society for Rheumatology Standards, Audit and Guidelines Working Group
Jul 13, 2018·Arthritis Research & Therapy·Huai Leng PisanielloCatherine L Hill

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Citations

Jun 3, 2020·International Journal of Rheumatic Diseases·Kee Fong PhangSen Hee Tay
Mar 7, 2020·Internal Medicine Journal·Kimberly LohHelen I Keen
Mar 7, 2020·Internal Medicine Journal·Mathuja Bavanendrakumar, Philip C Robinson
Jan 19, 2021·International Journal of Rheumatic Diseases·Philip C Robinson
Oct 7, 2021·International Journal of Rheumatic Diseases·William ColemanNicholas Manolios

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