Gout & crystal arthritis

Optimising gout treatment: insights from a nurse-led cohort study

RMD OpenPublished Prospective cohort study

Authors' conclusion

Nurse-led gout care, employing a targeted approach, was associated with a very high uptake of and adherence to ULT.

Study context

Population
All consecutively confirmed gout patients
Exposure
Nurse-led treat-to-target gout care vs usual care
  • Nurse-ledn = 114
Outcome
Target p-urate levels (<0.36 mmol/L)
Follow-up
2 years after diagnosis
Methodological detailsreal-life, treat-to-target, comparison with usual care
  • Real-life
  • Treat-to-target
  • Comparison with usual care

Main finding

As reported in the abstract

Target p-urate levels achieved · 2 years

Observational data: associations, not effects.

Secondary outcomes

Urate-lowering therapy (ULT) continuation — Nurse-led
98%

Target p-urate in patient subgroups

This trend persisted across various patient subgroups

Nurse-led care resource use · 336 days

Average visits
2
Average telephone contacts
3

2-year mortality

2-year mortality rate
15%

Original publication

Optimising gout treatment: insights from a nurse-led cohort study. RMD Open. Published 24 April 2024. doi:10.1136/rmdopen-2024-004179

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