PREVALENT PRACTICES IN THE MANAGEMENT OF GOUT: A THREE CENTRE STUDY FROM INDIA.

Dr. Neeraj Sidharthan; Dr. Manoj Unni; Col. Dr. Vishal Marwaha; Dr. Anuj Singhal; Maj. Dr. Priyank Yadav; Dr. Pranav Raman Chickermane; Dr. Mithun C.B.; Chirag Sunil Lalwani; Rahul Radhakrishnan; Rizwana Nazarin F; Hamsini Movva

Volume : IX, Issue : XII, December - 2019

PREVALENT PRACTICES IN THE MANAGEMENT OF GOUT: A THREE CENTRE STUDY FROM INDIA.

Dr. Neeraj Sidharthan, Dr. Manoj Unni, Col. Dr. Vishal Marwaha, Dr. Anuj Singhal, Maj. Dr. Priyank Yadav, Dr. Pranav Raman Chickermane, Dr. Mithun C. B. , Chirag Sunil Lalwani, Rahul Radhakrishnan, Rizwana Nazarin F, Hamsini Movva

Abstract :

Aim:To study the prevalent prescription practices for the management of gout. Settings and Design:The study was conducted at three tertiary care centreslocated in Kochi, Pune and Jaipur between 01 January 2018 and 30 June 2019. Prescriptions of gout were audited by one rheumatologist and two haematologists from the first centre, and one physician each in the second and third centres respectively. Methods and Material: A total of 350 prescriptions (150 in the first centre, 100 each in the other two centres) of patients with gout were audited. The areas examined included clinical examination notes, workup for associated comorbidities, management of acute gout and advice regarding lifestyle modifications. Results: Prescriptions of a total of 350 patients (321 males and 29 female) with acute and chronic gout were audited. Their age ranged from 34 to 82 years. Deficiencies were observed in the following areas, viz. management of acute gout, evaluation for associated comorbidities such as obesity, metabolic syndrome and renal calculi, and dietary advice given to patients. Seven percent of the patients were initiated on urate lowering therapy during acute attack of gout. Conclusions: The management of gout at the primary care level remains suboptimal, and highlights the need for greater emphasis on the management of rheumatological disorders including gout in the undergraduate medical curriculum.