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Standards of care for people with gout
Arthritis and Musculoskeletal Alliance
Gout is a painful and disabling inflammatory arthritis whose incidence and prevalence is increasing, especially in the elderly. It is the most common form of inflammatory arthritis in men aged over 40 and affects 1–2% of adults in developed countries
Gout is one of a few ‘curable’ types of arthritis. Management encompasses two phases, firstly the control of pain and joint inflammation in the acute attack and secondly, when appropriate, the lowering of blood uric acid levels to a target normal level and the resorption of tophaceous deposits
Less than one-third of people with gout are prescribed medications to lower their uric acid level and often those prescribed treatment do not receive an adequate dose. Concordance with treatment is often poor and people with gout are often provided with insufficient or inaccurate information about their condition and its management
Management of asthma in adults over 65 years of age
Development group: Gruffydd-Jones, McArthur, Murphy, Russell & Wise. This management algorithm was developed by a multidisciplinary expert panel: Gruffydd-Jones K et al with the support of a grant from Teva UK Limited.