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Despite the well known, well publicized treat-to-target (T2T) goal of a serum uric acid (SUA) level < 6 mg/dl, this goal is seldom achieved (< 40%) in clinical practice and patient adherence has been unacceptably low. A recent study shows that nurse-led care led to better outcomes in gout including patient acceptability, long-term adherence, and less flares.
The Nottingham Gout Treatment Trial phase-II (NGTT-II) compared gout care and outcomes amongst patients receiving nurse-led or general practitioner (GP)-led care.
A total of 438 gout participants were surveyed about their gout knowledge, satisfaction with health-care practitioner, urate-lowering treatment being undertaken, and gout flares ⩾1 year after their final visit. Nurse-led care participants were asked about their preference for receiving gout treatment from either a GP or a nurse.
Patients receiving nurse-led care had significantly better satisfaction, gout knowledge, fewer flares and were more likely to be taking urate-lowering treatment.
The majority of respondents preferred receiving nurse-led care (41-63%) ovver GP care (5-20%) for the treatment of their gout.