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The current state of care in gout: Addressing the need for better understanding of an ancient disease
Article first published online: 3 NOV 2010
©2010 The Author(s) Journal compilation ©2010 American Academy of Nurse Practitioners
Journal of the American Academy of Nurse Practitioners
Special Issue: THE CURRENT STATE OF CARE IN GOUT: ADDRESSING THE NEED FOR BETTER UNDERSTANDING OF AN ANCIENT DISEASE
Volume 22, Issue Supplement s1, pages 623–636, November 2010
How to Cite
Zychowicz, M. E., Pope, R. S. and Graser, E. (2010), The current state of care in gout: Addressing the need for better understanding of an ancient disease. Journal of the American Academy of Nurse Practitioners, 22: 623–636. doi: 10.1111/j.1745-7599.2010.00556.x
- Issue published online: 4 NOV 2010
- Article first published online: 3 NOV 2010
- Received: June 2010;accepted: August 2010
- Rheumatoid arthritis;
- chronic illness;
- acute care;
- urate-lowering therapies
Purpose: To enable clinicians to initiate appropriate steps for long-term management of gout, including controlling acute exacerbations and pain and sustaining target serum uric acid (SUA) levels to control hyperuricemia as the underlying metabolic disorder.
Data sources: Incorporation of pertinent rheumatology and primary care literature seeking a comprehensive overview about the disease state of gout and its symptoms, comorbidities, and impact on quality of life, with a key focus on the role of serum uric acid, evidence-based approaches to long-term management of gout, and the importance of a functioning clinician-patient relationship.
Conclusions: Gout is increasingly recognized as a prevalent chronic disease state requiring appropriate long-term management while controlling for risk factors and comorbid conditions. Effective treatment options can help gout patients achieve therapeutic SUA targets to control gout flares and prevent potentially destructive disease manifestations. Patient education is an important element in achieving treatment goals and ensuring adherence.
Implications for practice: Effective treatment plans for any gout patient must be guided by a long-term approach that focuses on sustained control of hyperuricemia, while providing continuous control of chronic disease. Patient education can be a key element in this process.