Improvement in the management of gout is vital and overdue: An audit from a UK primary care medical practice

BMC Family Practice

Volumn 14, Issue , 2013, Pages

  Cottrell, Elizabeth ^a   Crabtree, Valerie ^a   Edwards, John J ^a   Roddy, Edward ^a  

^a KEELE UNIVERSITY   (United Kingdom)

Author keywords

Allopurinol; Audit; Gout; Management; Primary care; Serum uric acid

Indexed keywords

ANTIGOUT AGENT; URIC ACID;

AGED; ARTICLE; BLOOD; DIET THERAPY; DISEASE MANAGEMENT; FEMALE; GLOMERULUS FILTRATION RATE; GLUCOSE BLOOD LEVEL; GOUT; HUMAN; HYPERURICEMIA; KIDNEY FUNCTION TEST; MALE; MEDICAL AUDIT; MIDDLE AGED; PRACTICE GUIDELINE; PRIMARY HEALTH CARE; RETROSPECTIVE STUDY; RISK REDUCTION; STANDARD; STATISTICS; TOTAL QUALITY MANAGEMENT; UNITED KINGDOM; UTILIZATION REVIEW;

AGED; BLOOD GLUCOSE; DIET THERAPY; DISEASE MANAGEMENT; FEMALE; GLOMERULAR FILTRATION RATE; GOUT; GOUT SUPPRESSANTS; GREAT BRITAIN; GUIDELINE ADHERENCE; HUMANS; HYPERURICEMIA; KIDNEY FUNCTION TESTS; MALE; MEDICAL AUDIT; MIDDLE AGED; PRACTICE GUIDELINES AS TOPIC; PRIMARY HEALTH CARE; QUALITY IMPROVEMENT; RETROSPECTIVE STUDIES; RISK REDUCTION BEHAVIOR; URIC ACID;

EID: 84887322440     PISSN: None     EISSN: 14712296     Source Type: Journal    
DOI: 10.1186/1471-2296-14-170     Document Type: Article

References (33)

1. EULAR evidence based recommendations for gout. Part I: Diagnosis. Report of a task force of the standing committee for international clinical studies including therapeutics (ESCISIT). Zhang W, Doherty M, Bardin T, Pascual E, Barskova V, Conaghan P, Gerster J, Jacobs J, Leeb B, Lioté F, McCarthy G, Netter P, Nuki F, Perez-Ruiz F, Pignone A, Pimentão, Punzi L, Roddy E, Uhlig T, Zimmermann-Gòrska I, Extended report, Ann Rheum Dis 2006 65 1301 1311 doi: 10.1136/ard.2006.055251 10.1136/ard.2006.055251 16707533 (Pubitemid 44641591)
2. Gout epidemiology: results from the UK general practice research database, 1990-1999. Mikuls TR, Farrar JT, Biker WB, Fernandes S, Schumacher HR Jr, Saag KG, Ann Rheum Dis 2005 64 267 272 10.1136/ard.2004.024091 15647434 (Pubitemid 40197509)
3. British Society for Rheumatology and British Health Professionals in Rheumatology guideline for the management of gout. Jordan KM, Cameron JS, Snaith M, Zhang W, Doherty M, Seckl J, Hingorani A, Jaques R, Nuki G, on behalf of the British Society for Rheumatology and British Health Professionals in Rheumatology Standards, Guidelines and Audit Working Group (SGAWG), Rheumatology 2007 46 8 1372 1734 doi:10.1093/rheumatology/kem056a Full Guideline Available at http://rheumatology.oxfordjournals.org/content/suppl/2008/02/21/kem056a.DC1/ kem056b.pdf 10.1093/rheumatology/kem056a 17522099
4. EULAR evidence based recommendations for gout. Part II: Management. Report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Zhang W, Doherty M, Bardin T, Pascual E, Barskova V, Conaghan P, Gerster J, Jacobs J, Leeb B, Lioté F, McCarthy G, Netter P, Nuki F, Perez-Ruiz F, Pignone A, Pimentão, Punzi L, Roddy E, Uhlig T, Zimmermann-Gòrska I, Ann Rheum Dis 2006 65 1312 1324 doi: 10.1136/ard.2006.055269 10.1136/ard.2006.055269 16707532 (Pubitemid 44620440)
5. The effect of the systemic inflammatory response, as provoked by elective orthopaedic surgery, on serum uric acid in patients without gout: a prospective study. Waldron JL, Ashby HL, Razavi C, Thomas OL, Chugh S, Deshpande S, Ford C, Gama R, Rheumatology 2013 52 4 676 678 10.1093/rheumatology/kes327 23258648
6. Beneficial effects of weight loss associated with moderate calorie/carbohydrate restriction, and increased proportional intake of protein and unsaturated fat on serum urate and lipoprotein levels in gout: a pilot study. Dessein PH, Shipton EA, Stanwix AE, Joffe BI, Ramokgadi J, Ann Rheum Dis 2000 59 539 543 10.1136/ard.59.7.539 10873964 (Pubitemid 30445833)
7. [Changes in uric acid and blood lipids in patients with asymptomatic hyperuricemia treated with diet therapy in a rehabilitation procedure]. Kullich W, Ulreich A, Klein G, Rehabilitation (Stuttg) 1989 28 134 137 2799055 (Pubitemid 19214469)
8. How is gout managed in primary care? A review of current practice and proposed guidelines. Pal B, Foxall M, Dysart T, Carey F, Whittaker M, Clin Rheumatol 2000 19 21 25 10.1007/s100670050005 10752494 (Pubitemid 30123236)
9. Concordance of the management of chronic gout in a UK primary-care population with the EULAR gout recommendations. Roddy E, Zhang W, Doherty M, Ann Rheum Dis 2007 66 1311 1315 doi: 10.1136/ard.2007.070755 10.1136/ard.2007. 070755 17504843 (Pubitemid 47492473)
10. Adherence to treatment guidelines in two primary care populations with gout. Wall GC, Koenigsfield CF, Hegge KA, Bottenberg MM, Rheumatol Int 2010 30 749 753 10.1007/s00296-009-1056-7 19590874
11. RCGP. Research ready self accreditation Available at: http://www.rcgp.org.uk/clinical-and-research/research-opportunities-and-awards/ research-ready-self-accreditation.aspx
12. Gout without hyperuricemia. McCarty DJ, JAMA 1994 271 4 302 303 10.1001/jama.1994.03510280064034 8295290 (Pubitemid 24030758)
13. Initiation of allopurinol at first medical contact for acute attacks of gout: a randomized clinical trial. Taylor TH, Mecchella JN, Larson RJ, et al. Am J Med 2012 125 11 1126 1134 doi: 10.1016/j.amjmed.2012.05.025. (Original) PMID: 23098865 10.1016/j.amjmed.2012.05.025 23098865
14. Serum urate levels and gout flares: analysis from managed care data. Sarawate CA, Patel PA, Schumacher HR, Yang W, Brewer KK, Bakst AW, J Clin Rheumatol 2006 12 2 61 65 10.1097/01.rhu.0000209882.50228.9f 16601538 (Pubitemid 44309598)
15. Why is gout so poorly managed? Pascual E, Sivera F, Ann Rheum Dis 2007 66 10 1269 1270 doi: 10.1136/ard.2007.078469 10.1136/ard.2007.078469 17881662 (Pubitemid 47492466)
16. A survey of the management of gout in primary care in Ireland. Owens D, Whelan B, McCarthy G, Ir Med J 2008 10 147 149
17. Recording of risk-factors and lifestyle counselling in patients at high risk for cardiovascular diseases in European primary care. Ludt S, Petek D, Laux G, van Lieshout J, Campbell SM, Knzi B, Glehr M, Wensing M, Eur J Prev Cardiol 2012 19 2 258 266 10.1177/1741826711400510 21450582
18. Patients with gout adhere to curative treatment if informed appropriately: proof-of-concept observational study. Rees F, Jenkins W, Doherty M, Ann Rheum Dis 2012 Epub 2012 Jun 7. doi: 10.1136/annrheumdis-2012-201676
19. Use of diuretics and the risk of gouty arthritis: a systematic review. Hueskes BA, Roovers EA, Mantel-Teeuwisse AK, Janssens HJ, van de Lisdonk EH, Janssen M, Semin Arthritis Rheum 2012 41 6 879 889 Epub 2012 Jan 4 10.1016/j.semarthrit.2011.11.008 22221907
20. Gout and its comorbidities: implications for therapy. Stamp LK, Chapman PT, Rheumatology (Oxford) 2013 52 1 34 44 [2012 Sep 3Epub ahead of print] 10.1093/rheumatology/kes211 22949727
21. Prescription and comorbidity screening following consultation for acute gout in primary care. Roddy E, Mallen C, Hider SL, Jordan KP, Rheumatology 2010 49 1 105 111 10.1093/rheumatology/kep332 19920095
22. Office for National Statistics. Neighbourhood statistics, Ethnic Group, 2011 (KS201EW) 2013 Available at: http://neighbourhood.statistics.gov.uk/ dissemination/LeadTableView.do?a=7&b=6275176&c=ST5+8BN&d=13&e= 62&g=6464160&i=1001x1003x1032x1004&m=0&r=0&s= 1379451595036&enc=1&dsFamilyId=2477&nsjs=true&nsck= false&nssvg=false&nswid=1366
23. Improving the quality of care of musculoskeletal conditions in primary care. Roberts C, Adebajo A, Long S, Rheumatology 2002 41 503 508 10.1093/rheumatology/41.5.503 12011372 (Pubitemid 34567179)
24. Gout. Epidemiology of gout. Roddy E, Doherty M, Arthritis Res Ther 2010 12 6 223 10.1186/ar3199 21205285
25. Adherence to uric acid treatment guidelines in a rheumatology clinic. Conway R, Coughlan RJ, Carey JJ, Clin Rheumatol 2012 31 12 1707 1711 doi: 10.1007/s10067-012-2081-6 10.1007/s10067-012-2081-6 22948225
26. American College of Rheumatology Guidelines for management of gout. Part 1: systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Khanna D, Fitzgerald JD, Khanna PP, Bae S, Singh MK, Neogli T, Pillinger MH, Merill J, Lee S, Prakash S, Kaldas M, Gogia M, Perez-Ruiz F, Taylor W, Lioté F, Choi H, Singh JA, Dalbeth N, Kaplan S, Niyyar V, Jones D, Yarrows SA, Roessler B, Kerr G, King C, Levy G, Furst DE, Edwards NL, Mandell B, Schumacher H, et al. Arthritis Care Res 2012 64 10 1431 1446 10.1002/acr.21772
27. American College of Rheumatology Guidelines for management of gout. Part 2: therapy and anti-inflammatory prophylaxis of acute gouty arthritis. Khanna D, Khanna PP, Fitzgerald JD, Singh MK, Bae S, Neogli T, Pillinger MH, Merill J, Lee S, Prakash S, Kaldas M, Gogia M, Perez-Ruiz F, Taylor W, Lioté F, Choi H, Singh JA, Dalbeth N, Kaplan S, Niyyar V, Jones D, Yarrows SA, Roessler B, Kerr G, King C, Levy G, Furst DE, Edwards NL, Mandell B, Schumacher H, et al. Arthritis Care Res 2012 64 10 1447 1461 10.1002/acr.21773
28. The awareness-to-adherence model of the steps to clinical guideline compliance. The case of pediatric vaccine recommendations. Pathman DE, Konrad TR, Freed GL, Freeman VA, Koch GG, Med Care 1996 34 9 873 889 10.1097/00005650-199609000-00002 8792778 (Pubitemid 126465547)
29. Indicators of Quality in Health Care. Lawrence M, Olesen F, Eur J Gen Pract 1997 3 3 103 108 doi: 10.3109/13814789709160336 10.3109/13814789709160336
30. Involving patients in quality indicator development-a systematic review. Kotter T, Schaefer FA, Scherer M, Blozik E, Patient preference and adherence 2013 7 259 268 doi: 10.2147/ppa.s39803 23569365
31. Arthritis and Musculoskeletal Alliance, Standards of care for people with gout 2012 Available at http://arma.uk.net/wp-content/uploads/pdfs/Gout.pdf
32. Effects of payment for performance in primary care: qualitative interview study. Maisey S, Steel N, Marsh R, Gillam S, Fleetcroft R, Howe A, J Health Serv Res Policy 2008 13 3 133 139 10.1258/jhsrp.2008.007118 18573761 (Pubitemid 352029754)
33. Validity of diagnostic coding within the General Practice Research Database: a systematic review. Khan NF, Harrison SE, Rose PW, Br J Gen Pract 2010 60 572 128 e123 10.3399/bjgp10X483562 20202356