ArticleSeminars in arthritis and rheumatism2011
Health care utilization in patients with gout.
Article in Seminars in arthritis and rheumatism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Clinical Visit Frequencies in Rheumatology: A Systematic Literature Review.Arthritis care & research · 2023Pooled it
- Effects of Discontinuation of Urate-Lowering Therapy: A Systematic Review.Journal of general internal medicine · 2018Pooled it
- Health-related quality of life in gout: a systematic review.Rheumatology (Oxford, England) · 2013Pooled it
- Improvements in Health-Related Quality of Life With Treat-to-Target Urate-Lowering Therapy in Gout: A Post Hoc Analysis of a Randomized Multicenter Trial.Arthritis care & research · 2026Trial
- Rilonacept in the treatment of acute gouty arthritis: a randomized, controlled clinical trial using indomethacin as the active comparator.Arthritis research & therapy · 2013Trial
- Clinical characteristics and risk factors associated with bone erosion in patients with tophi.Advances in rheumatology (London, England) · 2024Article
- Risk Factors for Postsurgical Gout Flares after Thoracolumbar Spine Surgeries.Journal of clinical medicine · 2022Article
- Intervention for a Digital, Cognitive, Multi-Domain Alzheimer Risk Velocity Study: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2022Article
- Pharmacist-managed titration of urate-lowering therapy to streamline gout management.Rheumatology international · 2019Article
- Health care utilization in patients with gout: a prospective multicenter cohort study.BMC musculoskeletal disorders · 2017Article
- Time Trends, Predictors, and Outcome of Emergency Department Use for Gout: A Nationwide US Study.The Journal of rheumatology · 2016Article
- Disease Control, Health Resource Use, Healthcare Costs, and Predictors in Gout Patients in the United States, the United Kingdom, Germany, and France: A Retrospective Analysis.Rheumatology and therapy · 2016Article
- Gout-related inpatient utilization: a study of predictors of outcomes and time trends.Arthritis research & therapy · 2016Article
- Comparative effectiveness of urate lowering with febuxostat versus allopurinol in gout: analyses from large U.S. managed care cohort.Arthritis research & therapy · 2015Article
- Diagnosis and Treatment of Acute Gout at a University Hospital Emergency Department.The open rheumatology journal · 2015Article
- Inpatient gout: a review.Current rheumatology reports · 2014Review
- Clinical and health care use characteristics of patients newly starting allopurinol, febuxostat, and colchicine for the treatment of gout.Arthritis care & research · 2013Article
- Trends in physician diagnosed gout and gout therapies in the US: results from the national ambulatory health care surveys 1993 to 2009.Arthritis research & therapy · 2013Article
- Determinants of inequity in health care services utilization in markazi province of iran.Iranian Red Crescent medical journal · 2013Article
- Tophi and frequent gout flares are associated with impairments to quality of life, productivity, and increased healthcare resource use: Results from a cross-sectional survey.Health and quality of life outcomes · 2012Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo study health care utilization patterns in patients with gout.
methodsIn a gout population from primary care and rheumatology clinics in 3 U.S. metropolitan cities, we collected data on gout-related utilization (primary care, rheumatology, urgent care, emergency room, and other) in the past year. We evaluated the association of comorbidities, age, gender, gout characteristics (time since last gout attack and tophi), and gout severity ratings (mean of serum uric acid, patient-rated, and physician-rated gout severity) and with emergency/urgent care and primary care utilization using regression and correlation analyses.
resultsOf the 296 patients who reported visiting at least 1 type of health practitioner for gout in the past year, the percentage of patients utilizing the service at least once and annual utilization rates among utilizers were as follows: primary care physician, 60%, 3.0 ± 3.4; nurse practitioner/physician assistant, 26%, 2.7 ± 2.5; rheumatologist, 51%, 3.7 ± 5.7; urgent care, 23%, 2.1 ± 2.2; emergency room, 20%, 2.0 ± 1.7; and hospitalization, 7%, 2.1 ± 1.4. Higher overall gout severity was associated with greater use of each resource type and with overall gout-related utilization. Nonemergency/nonurgent care utilization (primary care physician, nurse practitioner, physician's assistant, and rheumatologist for gout) was the strongest predictor of gout-related emergency/urgent care utilization. Patients with more comorbidities had greater gout-related primary care utilization.
conclusionsOverall gout severity was associated with all types of gout-related utilization. This may help to screen high utilizers for targeted behavioral and therapeutic interventions. Having a higher number of comorbid conditions was a risk factor for higher gout-related primary care utilization.
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Registered trials
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