Document Detail


A national survey of Veterans Affairs rheumatologists for relevance of quality of care indicators for gout management.
MedLine Citation:
PMID:  20235197     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the relevance of current gout quality indicators (QIs).
METHODS: Members of the Veterans Affairs (VA) Rheumatology Consortium were invited to participate in an online survey and provide opinions (rank 0-10) regarding existing gout QIs. Opinions sought on each QI were 1) relevance to US veterans, 2) likelihood to improve gout care, and 3) ease of electronic capture. Participants were also asked to rank their top 3 gout QIs.
RESULTS: Participating VA rheumatologists were mainly men, with a mean age of 51.3 years, and experienced in the management of gout. All 10 gout QIs were considered relevant, with a score of 8.2 or higher. The initiation of urate-lowering therapy, monitoring of urate levels after initiation of urate-lowering therapy, and treatment of acute gout with antiinflammatory agents scored the highest with regard to likelihood of improving gout care, with the first 2 QIs also thought to be the most relevant. Adjustment of initial allopurinol dosing in patients with renal impairment and in those receiving concurrent azathioprine/6-mercaptopurine were perceived as the QIs most amenable to electronic capture. The top-ranked QIs were initiation of urate-lowering therapy with frequent gout attacks, serum urate monitoring after initiation of urate-lowering therapy, and adjustment of initial allopurinol dose to renal function.
CONCLUSION: In a national survey of VA rheumatologists, most gout QIs were thought to be highly relevant. QIs related to initiation of urate-lowering therapy, serum urate monitoring, and initial dosing of allopurinol were ranked the most important for veterans with gout.
Authors:
Jasvinder A Singh; Michael D Alpert; Gail Kerr
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Arthritis care & research     Volume:  62     ISSN:  2151-4658     ISO Abbreviation:  Arthritis Care Res (Hoboken)     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2010-10-19     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  101518086     Medline TA:  Arthritis Care Res (Hoboken)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1306-11     Citation Subset:  IM    
Affiliation:
Birmingham VA Medical Center and University of Alabama, Birmingham, AL 45294, USA. Jasvinder.md@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude of Health Personnel*
Evidence-Based Medicine
Female
Gout / therapy*
Gout Suppressants / therapeutic use
Humans
Male
Middle Aged
Military Medicine
Practice Guidelines as Topic
Quality Indicators, Health Care / standards*
Quality of Health Care / standards*
Rheumatology / statistics & numerical data*
United States
United States Department of Veterans Affairs
Grant Support
ID/Acronym/Agency:
1-KL2-RR024151-01/RR/NCRR NIH HHS; K12 RR023263-03/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Gout Suppressants
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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