The challenges of managing gout in primary care: Results of a best-practice audit.
Aged
Allopurinol
/ administration & dosage
Clinical Audit
Clinical Chemistry Tests
Clinical Protocols
Colchicine
/ therapeutic use
Comorbidity
Diabetes Mellitus
/ diagnosis
Disease Management
Female
Gout
/ blood
Gout Suppressants
/ administration & dosage
Guideline Adherence
Humans
Hyperlipidemias
/ diagnosis
Hypertension
/ diagnosis
Hyperuricemia
/ blood
Male
Mass Screening
Middle Aged
New Zealand
/ epidemiology
Obesity
/ diagnosis
Patient Education as Topic
Practice Guidelines as Topic
Primary Health Care
Referral and Consultation
Renal Insufficiency, Chronic
/ diagnosis
Rheumatology
Rural Population
Uric Acid
/ blood
Journal
Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
entrez:
4
9
2019
pubmed:
4
9
2019
medline:
2
9
2020
Statut:
ppublish
Résumé
The aim of this project was to determine the effects of a package of care for gout in primary care. An audit of gout management in a single rural medical practice was undertaken before (in 2012) and after (in 2015) the introduction of the package of care reflecting guidelines in gout management. There was a statistically significant increase in the number of individuals commenced on allopurinol ≤100 mg/d and a decrease in the number commenced on allopurinol ≥200 mg/d (P <0.001). The number of times each patient had serum urate tested between 2012 and 2015 (median [range] 1 [0-3] versus 2 [0-10], respectively; P <0.001). Of those individuals who had at least one serum urate measurement, the number of individuals who were never at target urate was 43 out of 67 (64.2%) in 2012, compared with 52 out of 133 (39.1%) in 2015 (P = 0.001). A package of care can improve adherence to gout management guidelines in primary care.
Sections du résumé
BACKGROUND AND OBJECTIVES
The aim of this project was to determine the effects of a package of care for gout in primary care.
METHOD
An audit of gout management in a single rural medical practice was undertaken before (in 2012) and after (in 2015) the introduction of the package of care reflecting guidelines in gout management.
RESULTS
There was a statistically significant increase in the number of individuals commenced on allopurinol ≤100 mg/d and a decrease in the number commenced on allopurinol ≥200 mg/d (P <0.001). The number of times each patient had serum urate tested between 2012 and 2015 (median [range] 1 [0-3] versus 2 [0-10], respectively; P <0.001). Of those individuals who had at least one serum urate measurement, the number of individuals who were never at target urate was 43 out of 67 (64.2%) in 2012, compared with 52 out of 133 (39.1%) in 2015 (P = 0.001).
DISCUSSION
A package of care can improve adherence to gout management guidelines in primary care.
Identifiants
pubmed: 31476837
doi: 10.31128/AJGP-04-19-4909
doi:
Substances chimiques
Gout Suppressants
0
Uric Acid
268B43MJ25
Allopurinol
63CZ7GJN5I
Colchicine
SML2Y3J35T
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM