Realität der Versorgungssituation der Gicht: Daten zur Klinik, Epidemiologie und Komorbiditäten von 4016 Patienten in Rheinland-Pfalz

Translated title of the contribution: Real World Management of Gouty Arthritis: Clinical, Epidemiological and Comorbidity Data from 4016 Patients in Rhineland-Palatinate, Germany

Konstantinos Triantafyllias, Marina Clasen, Lorenzo Cavagna, Michele De Blasi, Anna Klonowski, Andreas Schwarting

Research output: Contribution to journalArticle

Abstract

Background To examine clinical, comorbidity and demographic aspects of gout and to explore the routine clinical practice of gout treatment among general practitioners (G.P.'s) in southwest Germany. Methods Gout specific questionnaires were sent to all G.P.'s in Rhineland Palatinate (RL-P), through the Panel physicians' Association. Questionnaires consisted of items exploring epidemiological, medication and comorbidity data. Moreover, questions regarding clinical gout manifestations were included with an extra focus on therapy-refractory cases. Finally, G.P.'s were asked to rate the current care status of gout. Results Data from 4016 gout patients (age at diagnosis: 62.8 years, IQR 55â-â67.8) were collected. The majority of patients were male (75â%) with podagra being the most common gout manifestation (85â%). Chronic tophaceous courses were reported in 15% (median 10%, IQR 2-20) and spinal involvement in 2.7% (median 0%, IQR 0-2) of patients respectively. An average of 11.3% cases (median 10%, IQR 2.3-20) were defined as hard-to-treat. However, biologic agents were not namely reported as applied treatments. 32% of patients were diagnosed with gout by their G.P., whereas 68% had to visit further physicians. A definite diagnosis could be reached after 3.1 months on average (median 0.3, IQR 0.1-1). Conclusions In the era of biologic therapies there is a need for optimization of gout management. Important targets are the shortening of diagnostic periods and the prevention of chronic disease courses. Critical awareness of the disease and its comorbidities, standardized treatment and patient-training could be important steps toward this direction.

Original languageGerman
Pages (from-to)E51-E57
JournalDeutsche Medizinische Wochenschrift
Volume144
Issue number8
DOIs
Publication statusPublished - Jan 1 2019

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Keywords

  • care status
  • general practitioners
  • gout
  • hyperuricaemia
  • Rhineland-Palatinate

ASJC Scopus subject areas

  • Medicine(all)

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