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Two-thirds of long-term gout patients 'not prescribed urate-lowering therapies'

The UK has one of the highest rates of gout in Europe, but only a third of long-term cases are on urate-lowering therapies (ULTs), finds a new study.

Researchers found rising rates of gout, with the population of patients with long-term gout in the UK increasing 64% from 1997 to 2012.

Currently around one in 40 adults recorded as having the condition, but the study also found only a quarter of newly diagnosed cases prescribed ULTs within one year of diagnosis.

The study looked at UK data and found men between the ages of 35 and 39 were 5.5 times more likely to be diagnosed with gout than women of the same age. New incidences of gout were highest amongst the 80 to 84 age group for bothh genders, and diagnoses were rare amongst those under 20.

The paper concludes: ‘Collectively, these results reflect widespread lack of knowledge of gout and poor alignment with current recommendations of best practice within the UK.’

It adds: ‘Being that gout is the only chronic arthritis for which there is curative treatment, the use of ULT would seem a useful indicator of standard of care.’

Annals of Rheumatic Diseases 2013, online 15 Jan

 

Readers' comments (4)

  • ‘Being that gout is the only chronic arthritis for which there is curative treatment, the use of ULT would seem a useful indicator of standard of care"
    ---

    Since when was taking a tablet every day forever a "cure". It is managed in the same way that other chronic arthritides are. Aside from anything else, most patient who have 1 or 2 flares a year would rather take the NSAIDS prn than a long term treatment.

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  • Vinci Ho

    I think there are arguments about how liberal we have been using uricosuric drugs(allopurinol , febuxostat ) in gout:
    (1) Gout is associated with higher CVD risk and metabolic syndrome. If these co-morbidities are already present, there may be a lower threshold to treat hyperuricaemia
    (2) Hyperuricaemia is commonly caused by diuretics ( both thiazide or loop diuretics )
    (3) keeping the uric acid low enough (<300ug/l ) is essential and that really stops uric acid deposition . Perhaps this is the 'cure' they were talking about.
    (4)Of course , it is again risk of polypharmacy and patient may not like to take tablet everyday. That is exactly why we tailor the treatment in individual case.

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  • Vinci Ho

    Correction
    ... how liberal we have been using xanthine oxidase inhibitors ....(not uricosuric drugs)

    Apology

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  • Hi, any body can help me with most effective prophylactic treatment for gout.... Thanks a lot

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