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A roadmap for education to improve the quality of care in gout

Ogdie, Alexis R; Hoch, Susan; Dunham, Jonathan; Von Feldt, Joan M

Current Opinion in Rheumatology: March 2010 - Volume 22 - Issue 2 - p 173–180
doi: 10.1097/BOR.0b013e328335eee3
Crystal deposition diseases: Edited by John Sundy

Purpose of review To describe obstacles to optimum management of gout by primary care physicians and to propose educational interventions to improve care.

Recent findings In the past, gout education has been hampered by infrequency of continuing medical education courses, loss of excitement for a disease in which therapies have not changed (until recently), insufficient evidence-based medicine, and the lack of motivation by physicians to re-learn this disease once in active practice. We identify 10 common myths that impede appropriate treatment of gout, identify gaps in evidence-based medicine that perpetuate those myths, and propose opportunities to improve education on these myths. It is through better gout-centered education that quality of care in gout can be enhanced. Residency may be one of the key points of intervention. As more evidence-based medicine publications address the optimum management of gout, national re-education can occur. More outreach by community rheumatologists to primary care physicians through educational programs and improved referral letters can help re-educate practitioners. Lastly, an often overlooked engine to change physician practices is consumer education, but current patient education programs are lacking.

Summary Novel education interventions for physician trainees, primary care physicians, and patients are proposed to improve the care of patients with gout.

Division of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA

Correspondence to Joan M. Von Feldt, MD, MSEd, Professor of Medicine, Division of Rheumatology, University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19014, USA Tel: +1 215 662 4659; fax: +1 215 662 4500; e-mail:

© 2010 Lippincott Williams & Wilkins, Inc.