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AB1131 Gout Patient Education – is There Such A Reality in General Medical Practice?
  1. M.S. Panchovska1,
  2. N.G. Nikolov2,
  3. E.I. Firkova-Bernard3
  1. 1Internal Diseases, Medical University, Plovdiv
  2. 2Internal Diseases, Medical University, Pleven
  3. 3Periodontology and Oral Diseases, Medical University, Plovdiv, Bulgaria

Abstract

Background Gout is one of the most common rheumatic diseases in general medical practice. Management of patients with gout includes prevention and treatment of the disease during acute attacks, as well as in the symptom-free period. Treatment outcomes strongly depend on the relationship doctor-patient.

Objectives The objective of the current study was to assess the level of competency of general practitioners (GPs) in the management and education of patients with gout to optimize disease control.

Methods An anonymous survey among 31 GPs was conducted. The survey included six questions with a yes/no answer. Data was analyzed using alternative analysis.

Results A positive answer was given to the following questions: 1) Is minimizing risk factors such as elevated BMI and chronic alcohol consumption a first-line treatment option? - 27/31 (87.06%); 2) Is diet an obligatory component in the prevention and treatment of gout attacks? - 24/31 (77.42%); 3) Does the patient with gout need information about the clinical manifestation of acute gout arthritis? - 15/31 (48.39%); 4) Does acute gout arthritis need urgent treatment? - 22/31 (70.97%); 5) Is it the doctor's obligation to inform patients with gout about the side effects of the drug therapy? - 17/31 (54.84%); 6) Should patients be informed about the association between gout and the following factors: dyslipidemia, diabetes mellitus and arterial hypertension? - 14/31 (45.16%).

Conclusions Data from the conducted study revealed that the predominant portion of the respondents recognized prevention and treatment of gout a main competency of the physician. Insufficient information and patient education are the basis of partially satisfactory results.

References

  1. Rudichenko VM. Importance of the hyperuricaemia, gout and gender nosological features in the activity of general practitioner - family doctor. Lik Sprava. 2012 Jul-Sep;(5):44-57.

  2. Hamburger M, Baraf HS, Adamson TC 3rd, Basile J, Bass L, Cole B, Doghramji PP, Guadagnoli GA, Hamburger F, Harford R, Lieberman JA 3rd, Mandel DR, Mandelbrot DA, McClain BP, Mizuno E, Morton AH, Mount DB, Pope RS, Rosenthal KG, Setoodeh K, Skosey JL, Edwards NL; European League Against Rheumatism 2011 Recommendations for the diagnosis and management of gout and hyperuricemia. Postgrad Med. 2011 Nov;123(6 Suppl 1):3-36. doi: 10.3810/pgm.2011.11.2511.

  3. Chandratre P, Roddy E, Clarson L, Richardson J, Hider SL, Mallen CD.Health-related quality of life in gout: a systematic review. Rheumatology (Oxford). 2013 Nov;52(11):2031-40. doi: 10.1093/rheumatology/ket265. Epub 2013 Aug 11.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.4114

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