How Can We Improve Disease Education in People with Gout?

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Purpose of Review

Gout management is currently suboptimal despite excellent available therapy. Gout patient education has been shown to enhance medication adherence and self-management, but needs improvement. We explored the literature on gout patient education including gaps in gout patient knowledge; use of written materials; in-person individual and group sessions; education via nurses, pharmacists, or multi-disciplinary groups; and use of phone, web-based, mobile health app, and text messaging educational efforts.

Recent Findings

Nurse-led interventions have shown significant improvement in reaching urate goals. Pharmacist-led programs have likewise succeeded, but to a lesser degree. A multi-disciplinary approach has shown feasibility. Needs-assessments, patient questionnaires, and psychosocial evaluations can enhance targeted education.

Summary

An interactive and patient-centered approach can enhance gout educational interventions. Optimal programs will assess for and address educational needs related to knowledge gaps, health literacy, race, gender, socio-economic status, and level of social support.

Related collections

Most cited references 64

Record: found
Abstract: found
Article: not found

Patient race/ethnicity and quality of patient-physician communication during medical visits.

Debra Roter, M. Johnson, Neil R. Powe … (2004)

We examined the association between patient race/ethnicity and patient-physician communication during medical visits. We used audiotape and questionnaire data collected in 1998 and 2002 to determine whether the quality of medical-visit communication differs among African American versus White patients. We analyzed data from 458 African American and White patients who visited 61 physicians in the Baltimore, Md-Washington, DC-Northern Virginia metropolitan area. Outcome measures that assessed the communication process, patient-centeredness, and emotional tone (affect) of the medical visit were derived from audiotapes coded by independent raters. Physicians were 23% more verbally dominant and engaged in 33% less patient-centered communication with African American patients than with White patients. Furthermore, both African American patients and their physicians exhibited lower levels of positive affect than White patients and their physicians did. Patient-physician communication during medical visits differs among African American versus White patients. Interventions that increase physicians' patient-centeredness and awareness of affective cues with African Americans patients and that activate African American patients to participate in their health care are important strategies for addressing racial/ethnic disparities in health care.

0 comments Cited 179 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: found

Is Open Access

Gout in the UK and Germany: prevalence, comorbidities and management in general practice 2000–2005

L Annemans, E Spaepen, M Gaskin … (2007)

Objective: To investigate and compare the prevalence, comorbidities and management of gout in practice in the UK and Germany. Methods: A retrospective analysis of patients with gout, identified through the records of 2.5 million patients in UK general practices and 2.4 million patients attending GPs or internists in Germany, using the IMS Disease Analyzer. Results: The prevalence of gout was 1.4% in the UK and Germany. Obesity was the most common comorbidity in the UK (27.7%), but in Germany the most common comorbidity was diabetes (25.9%). The prevalence of comorbidities tended to increase with serum uric acid (sUA) levels. There was a positive correlation between sUA level and the frequency of gout flares. Compared with those in whom sUA was 530 μmol/l ( >9 mg/dl) in the UK and Germany, respectively (p<0.01). Conclusions: The prevalence of gout in practice in the UK and Germany in the years 2000–5 was 1.4%, consistent with previous UK data for 1990–9. Chronic comorbidities were common among patients with gout and included conditions associated with an increased risk for cardiovascular disease, such as obesity, diabetes and hypertension. The importance of regular monitoring of sUA in order to tailor gout treatment was highlighted by data from this study showing that patients with sUA levels ⩾360 μmol/l (⩾6 mg/dl) had an increased risk of gout flares.

0 comments Cited 118 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: not found
Article: not found

Thinking outside the pillbox--medication adherence as a priority for health care reform.

David Cutler, Wendy Everett (2010)

0 comments Cited 110 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Theodore R. Fields: fieldst@hss.edu

Journal

Journal ID (nlm-ta): Curr Rheumatol Rep

Journal ID (iso-abbrev): Curr Rheumatol Rep

Title: Current Rheumatology Reports

Publisher: Springer US (New York )

ISSN (Print): 1523-3774

ISSN (Electronic): 1534-6307

Publication date (Electronic): 8 March 2018

Publication date PMC-release: 8 March 2018

Publication date (Print): 2018

Volume: 20

Issue: 3

Electronic Location Identifier: 12

Affiliations

[1 ]ISNI 0000 0001 2285 8823, GRID grid.239915.5, Division of Rheumatology, , Hospital for Special Surgery, ; 535 East 70th St., Suite 848-West, New York, NY 10021 USA

[2 ]ISNI 000000041936877X, GRID grid.5386.8, Weill Cornell College of Medicine, ; New York, NY USA

[3 ]ISNI 0000 0001 2285 8823, GRID grid.239915.5, Department of Social Work Programs, , Hospital for Special Surgery, ; New York, NY USA

Article

Publisher ID: 720

DOI: 10.1007/s11926-018-0720-x

PMC ID: 5842278

PubMed ID: 29516200

SO-VID: 537c2f07-f1dd-47a4-99d5-ed2d6cfcc4bf

License:

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

History

Custom metadata

ScienceOpen disciplines: Rheumatology

Keywords: gout,patient education,self-management,adherence,crystal arthritis,multi-disciplinary care

Data availability:

ScienceOpen disciplines: Rheumatology

Keywords: gout, patient education, self-management, adherence, crystal arthritis, multi-disciplinary care

How Can We Improve Disease Education in People with Gout?

Read this article at

Abstract

Purpose of Review

Recent Findings

Summary

Related collections

Special issue: Negotiating the Nation: Young people, national narratives and history education

Most cited references 64

Patient race/ethnicity and quality of patient-physician communication during medical visits.

Gout in the UK and Germany: prevalence, comorbidities and management in general practice 2000–2005

Thinking outside the pillbox--medication adherence as a priority for health care reform.

Author and article information

Contributors

Journal

Affiliations

Article

History

Categories

Custom metadata

Comments

Comment on this article

Similar content 357

Cited by 7

Most referenced authors 667