None listed
Conditions
Brief summary
Gout is a common problem particularly in New Zealand. The majority of patients with gout are managed in primary care. Guidelines for management are well established and there are effective medications to prevent gout, but few patients achieve treatment targets, leading to painful gout attacks and eventual joint damage. We have implemented an integrated package of care, designed to be delivered in general practice that incorporates education, gout treatment and appropriate screening and management of important co-morbidities associated with gout such as heart disease and diabetes. Herein we will examine the effetcs of the package of care in a rural general practice setting, Kaikoura. We will determine whether more patients reach treatment targets and are screened for and where appropriate receive treatment for co-morbidities. Outcomes will be compared to retrospective data from the same medical practice.
Interventions
Patients with gout receive a package of care from the GP which represents best clinical practice (based on ACR and EULAR guidelines). This will include
1. medication for acute gout as well as long term urate lowering therapy - this may be no different from the historical controls other than more focus on achieving appropriate treatment targets
2. education about the causes and management of gout - unknown what the controls received
3. screening for co-morbidities associated with gout including
Patients with gout receive a package of care from the GP which represents best clinical practice (based on ACR and EULAR guidelines). This will include 1. medication for acute gout as well as long term urate lowering therapy - this may be no different from the historical controls other than more focus on achieving appropriate treatment targets 2. education about the causes and management of gout - unknown what the controls received 3. screening for co-morbidities associated with gout including heart disease, diabetes and kidney disease - unknown what the controls received. There is no specified treatment period as this is individualised The only proceedures outside of nornal clinical practice are that we will monitor whether patients take allopurinol (one form of urate lowering medication) through blood tests.
Sponsors
University of Otago
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
No
Inclusion criteria
Gout
Exclusion criteria
Unwilling to provide consent
Outcome results
None listed