Background Gout is a type of crystal-related arthropathy characterized by deposition of monosodium urate within joints after chronic hyperuricemia.Although gout is increasing in incidence across all ethnicities and has a wellunderstood pathogenesis and effective treatments, but remains suboptimally managed,As a chronic disease, the patients' own understanding of the disease and their self-management is very important.

Objectives To investigate hyperuricemia-related control knowledge of patients and identify the target of health education for patients with gout.

Methods 289 continuous patients with primary gout were interviewed with self-designed questionnaire including patient's demographic data, the assessment of disease burden and 10 questions about hyperuricemia-related Control knowledge.

Results 280 valid questionnaires were collected. The mean of all patients' correctly answered items was 4.5±1.5. The participants were considered having diet control knowledge if he or she correctly answered ≥6 items and the rate of having knowledge for all patients was 22.5%, it was lower in male than female. 82.5% of patients were well informed about the hazard of seafood, organ meat or alcohol for gout control and 53.0% of patients knew the minimum daily water that should be intake for patients with hyperuricemia,but 66.0% of patients thought that uric acid lowering drugs should be used in acute gout episodes, and only 36.0% thought that asymptomatic hyperuricemia also need for treatment. Only 21.4% of the patients knew the ideal serum uric acid level for optimal treatment of gout. 36.4% of patients understand that hyperuricemia is associated with many diseases and is an independent risk factor with diseases,such as cardiovascular disease, kidney disease et al. 20.4% of gout patients were aware of that they needed lfelong medication.Besides,we also investigated about the issues of urate-lowering drug discontinuation in patients, we found that 61.0% of patients would discontinue urate-lowering drug, among which a third believed that gout attack is occasional,and there was no need of long-term medication.Logistic regression revealed that gender and acute attack frequency significantly predicted that patients had hyperuricemia-Related Control Knowledge.

Conclusions A considerable part of gout patients do not understood the relevant knowledge of hyperuricemia control,and patient education should be strengthened in the future, especially in men with recurrent gout.

References

1. Roddy E, Zhang W, Doherty M. The changing epidemiology of gout. Nature Clinical Practice Rheumatology 2007;3:443–9.

2. Doherty M. New insights into the epidemiology of gout. Rheumatology 2009;48 (Suppl 2):2–8.

3. Doherty M, Jansen T L, Nuki G, et al. Gout: why is this curable disease so seldom cured? [J]. Ann Rheum Dis,2012,71(11):1765-1770.

4. Rees F, Jenkins W, Doherty M. Patients with gout adhere to curative treatment if informed appropriately: proof-of-concept observational study [J]. Ann Rheum Dis,2013,72(6):826-830.

5. Li QH, Dai L, Li ZX, et al. Questionnaire survey evaluating disease-related knowledge for 149 primary gout patients and 184 doctors in South China [J]. Clin Rheumatol,2013,32(11):1633-1640.

Disclosure of Interest None declared