Patients prefer gout treatment from nurse to GP
Most patients treated by nurses for gout were more satisfied, had greater knowledge, stuck to their medication and had fewer flares than those treated by a GP, researchers say
Most patients treated by nurses for gout were more satisfied, had greater knowledge, stuck to their medication and had fewer gout flares than those treated by a GP, researchers say
Nurse-led care for gout is more accepted by patients, improves long-term adherence and reduces gout flares, according to the findings of a two-year trial on its effectiveness and cost compared with GP-led care.
Gout is a common inflammatory arthritis that affects 2.5% of the UK population. Treatment is with urate-lowering drugs but is often sub-optimal, as is patient adherence.
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This study investigated patient satisfaction, medication adherence, gout knowledge and gout flares among participants who had received nurse-led or GP-led care of gout. A postal questionnaire sent to 438 participants 12 months after their last contact during the trial, held in Nottingham, had an 82% response rate.
Participants who received nurse-led care reported significantly higher levels of satisfaction, gout knowledge and medication adherence, and had fewer gout flares than those who received greater GP-led care.
Two thirds of those who received nurse-led care reported a preference for receiving gout treatment from a nurse, while 20% indicated a preference for a GP.
Fuller A, Jenkins W, Doherty M et al (2019) Nurse-led care is preferred over GP-led care of gout and improves gout outcomes: results of Nottingham Gout Treatment Trial follow-up study, Rheumatology. doi.org/10.1093/rheumatology/kez333
Vari Drennan is professor of healthcare and policy research at Kingston University and St George’s, University of London