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See Latest ArticlesAdherence to treatment guidelines in two primary care populations with gout
Rheumatology International, 07/15/09
Wall GC et al. – In this retrospective review of gout management in two internal medicine (IM) clinics, general care for patients with this condition did not differ significantly. However, overall compliance with recommendations from published guidelines was low.
Methods- A comparison of different groups of primary care providers regarding compliance with published gout guidelines
- Retrospective study comparing 2 different general IM practices
- All pts with a billing code for gout seen in 2 large IM clinics (Clinic A, an inner-city urban clinic, and Clinic B, a suburban clinic) between Jan 2004 and Dec 2007
- Pts referred to a rheumatologist for management of gout were excluded
- The care received by these pts was compared to recommendations from published guidelines
- Primary outcome: assessing the % of pts who received at least yearly monitoring of serum uric acid (SUA) levels
- In both clinics, yearly monitoring of SUA levels occurred in approximately one quarter of the pts with gout
- Compared to SUA, renal function was monitored more frequently in each of the groups
- Listed indications for antihyperuricemic therapy were similar between groups, although gouty flares were reported more frequently in clinic B
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