Target Serum Urate: Do Gout Patients Know Their Goal?

Arthritis Care & Research
Brian W CoburnTed R Mikuls

Abstract

To examine gout patients' knowledge of their condition, including the central role of achieving and maintaining the serum urate (SU) goal with the use of urate-lowering therapy (ULT). This study of 612 gout patients was conducted at a Veterans Affairs medical center. Gout patients were included based on administrative diagnostic codes and receipt of at least 1 allopurinol prescription over a 1-year period. Questionnaires were mailed to patients and linked to medical records data. The questionnaire included gout-specific knowledge questions, the Patient Activation Measure, and self-reported health outcomes. Knowledge was assessed descriptively. Multivariable logistic regression was used to determine predictors of SU goal knowledge. Associations of knowledge with health outcomes were examined in exploratory analyses. The questionnaire had a 62% response rate. Only 14% of patients knew their SU goal, while the majority answered correctly for the other 5 gout-specific knowledge questions. In adjusted analyses, having a rheumatologist as initial prescriber (odds ratio [OR] 3.0 [95% confidence interval (95% CI) 1.4-6.2]) and knowing all of the other 5 gout-specific knowledge questions (OR 2.1 [95% CI 1.3-3.4]) were associated with gr...Continue Reading

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Citations

Dec 9, 2016·Expert Opinion on Drug Metabolism & Toxicology·Richard O DayGarry G Graham
Mar 9, 2018·Current Rheumatology Reports·Theodore R Fields, Adena Batterman
Aug 6, 2018·Clinical Rheumatology·Jasvinder A Singh
Aug 18, 2017·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Brian W CoburnTed R Mikuls
Dec 25, 2019·Psychology, Health & Medicine·Genkai GuoGuoyuan Lu
Apr 3, 2019·The Journal of Rheumatology·Mats DehlinLennart T H Jacobsson
Aug 3, 2016·The Journal of Rheumatology·Brian W Coburn, Ted R Mikuls
Mar 17, 2020·The Journal of Rheumatology·Alina KrasnoryadtsevaKeith J Petrie
Jun 15, 2021·Patient Education and Counseling·Maranda J RussellAleksander Lenert

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