Improving Gout Care in a Canadian Academic Medical Center Through a Multidisciplinary, Nurse-Led Protocol
Authors' conclusion
A multidisciplinary, nurse-led protocol with a T2T strategy implemented after a clinical audit significantly improved gout care.
Study context
- Population
- Adults with gout and urate-lowering therapy (ULT) indication, Centre Hospitalier Universitaire de Sherbrookepostprotocol cohort
- Participants
- 74 adults
- Exposure
- Multidisciplinary, nurse-led gout care protocol with treat-to-target (T2T) strategy vs usual care
- Protocoln = 43
- Usual caren = 31reference
- Auditn = 50
- Outcome
- SUA target achievement
- Follow-up
- 6 months
Methodological detailsnurse-led, multidisciplinary, treat-to-target, single-centre, Clinical audit 2012–2015 with chart review; protocol implemented April 2018; postprotocol patients retrospectively recruited through a billing agency until December 2020
- Nurse-led
- Multidisciplinary
- Treat-to-target
- Single-centre
- Clinical audit 2012–2015 with chart review; protocol implemented April 2018; postprotocol patients retrospectively recruited through a billing agency until December 2020
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Further findings
Pre-protocol clinical audit (2012–2015, 50 patients): Serum uric acid (SUA) target at 6 months and loss to follow-up
- Reached SUA target
- 31%
- Lost to follow-up
- 16%
Loss to follow-up, postprotocol cohort
- Lost to follow-up, all in the usual care group
- 5%
Original publication
Improving Gout Care in a Canadian Academic Medical Center Through a Multidisciplinary, Nurse-Led Protocol. J Rheumatol. Published 1 December 2024. doi:10.
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