Poor treatment blamed for gout hospital admissions

A large Swedish shows an increasing incidence of hospitalisation due to gout over the past decade.

This has been attributed to patients not receiving the recommended urate-lowering treatment (ULT), and not due to an ageing population, say the researchers, who presented their findings at the Annual European Congress of Rheumatology (EULAR) 2017.

Evidence from Australia also shows that management of gout is suboptimal, as demonstrated by infrequent serum urate testing, low levels of urate-lowering therapy prescription and, when prescribed, inadequate dosing, resulting in serum urate levels above target.

However, a second study presented at EULAR, this time from the UK, suggests practice nurse support may be one possible answer.

This study of more than 500 gout patients at 56 primary care practices found that compared to standard GP care, nurse-provided patient education and support for a 'treat to