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The current state of care in gout: Addressing the need for better understanding of an ancient disease.
J Am Acad Nurse Pract. 2010 Nov; 22 Suppl 1:623-36.JA

Abstract

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.

Authors+Show Affiliations

Duke University School of Nursing, Durham, North Carolina, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21054636

Citation

Zychowicz, Michael E., et al. "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, vol. 22 Suppl 1, 2010, pp. 623-36.
Zychowicz ME, Pope RS, Graser E. The current state of care in gout: Addressing the need for better understanding of an ancient disease. J Am Acad Nurse Pract. 2010;22 Suppl 1:623-36.
Zychowicz, M. E., Pope, R. S., & 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 Suppl 1, 623-36. https://doi.org/10.1111/j.1745-7599.2010.00556.x
Zychowicz ME, Pope RS, Graser E. The Current State of Care in Gout: Addressing the Need for Better Understanding of an Ancient Disease. J Am Acad Nurse Pract. 2010;22 Suppl 1:623-36. PubMed PMID: 21054636.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The current state of care in gout: Addressing the need for better understanding of an ancient disease. AU - Zychowicz,Michael E, AU - Pope,Richard S, AU - Graser,Elke, Y1 - 2010/11/03/ PY - 2010/11/9/entrez PY - 2010/11/26/pubmed PY - 2011/3/8/medline SP - 623 EP - 36 JF - Journal of the American Academy of Nurse Practitioners JO - J Am Acad Nurse Pract VL - 22 Suppl 1 N2 - 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. SN - 1745-7599 UR - https://www.unboundmedicine.com/medline/citation/21054636/The_current_state_of_care_in_gout:_Addressing_the_need_for_better_understanding_of_an_ancient_disease_ L2 - https://doi.org/10.1111/j.1745-7599.2010.00556.x DB - PRIME DP - Unbound Medicine ER -