Implementing treat-to-target urate-lowering therapy during hospitalisations for gout flares.

Mark D RussellLouise Ameyaw-KyeremehFlora Dell'AccioHeather LaphamNatalie HeadChristopher StovinVishit PatelBenjamin D ClarkeDeepak NagraEdward AlveynMaryam A AdasKatie BechmanMaría A de la PuenteBenjamin EllisCorrine ByrneRina PatelAndrew I RutherfordFleur CantleSam NortonEdward RoddyJoanna HudsonAndrew P CopeJames B Galloway

Published in: Rheumatology (Oxford, England) (2023)

Over 90% of patients were initiated on ULT after implementing a strategy to optimise hospital gout care. Despite increased initiation of ULT during flares, recurrent hospitalisations were not more frequent following implementation. Significant relative improvements in urate target attainment were observed post-implementation; however, for the majority of hospitalised gout patients to achieve urate targets, closer primary-secondary care integration is still needed.

Keyphrases

healthcare
quality improvement
end stage renal disease
ejection fraction
newly diagnosed
primary care
uric acid
stem cells
peritoneal dialysis
metabolic syndrome
chronic pain
smoking cessation
health insurance