The Challenges of Approaching and Managing Gout.

Theodore R Fields

Journal: Rheumatic diseases clinics of North America 2019;45(1):145-157

PMID: 30447743

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Abstract

Despite many effective treatments for gout, its management remains a challenge internationally. Options for optimizing gout management may differ in different practice sizes and settings. Gout incidence is rising and it continues to be associated with increased mortality. Education of patients and medical providers is essential, and newer gout medications need to be used in the most appropriate ways for cost-effective therapy. Special consideration needs to be given to such populations as the elderly and those with renal and cardiovascular disease in gout management. New agents are in development, which may add to the armamentarium for gout management.

Address: Division of Rheumatology, Hospital for Special Surgery, 535 East 70th Street, Suite 848G, New York, NY 10021, USA. Electronic address: [email protected].

DOI: 10.1016/j.rdc.2018.09.009

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MeSH Terms: Acetamides, Allopurinol, Antibodies, Monoclonal, Humanized, Colchicine, Diet Therapy, Febuxostat, Gout, Gout Suppressants, Humans, Medication Adherence, Patient Education as Topic, Phenylacetates, Polyethylene Glycols, Quality of Health Care, Rheumatology, Thioglycolates, Triazoles, Urate Oxidase, Uric Acid