ArticleBMJ open2019
What factors contribute to uncontrolled gout and hospital admission? A qualitative study of inpatients and their primary care practitioners.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Guilt, Shame and Self-Perceived Burden among Older Adults with Multiple Long-Term Conditions: A Scoping Review.Journal of health psychology · 2026Review
- Keeping gout on target with nurse-supported urate self-monitoring.Nature reviews. Rheumatology · 2026Article
- 'All I Do Is Sit in a Chair Until the Pain Fades'-Experiences of Living With Gout.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Determinants of Self-Management Behavior in Gout: A Scoping Review.Arthritis care & research · 2025Article
- Support needs of gout patients and suitability of eHealth to address these needs.Rheumatology advances in practice · 2024Article
- Moving the Needle in Gout Management: The Role of Culture, Diet, Genetics, and Personalized Patient Care Practices.Nutrients · 2022Review
- Hospital admission risk stratification of patients with gout presenting to the emergency department.Clinical rheumatology · 2022Article
- Gout, Hyperuricaemia and Crystal-Associated Disease Network (G-CAN) common language definition of gout.RMD open · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo provide deeper insight into why patients are admitted to hospital with gout and discover potential targets for better disease control.
designData from semi-structured interviews were analysed using a thematic analysis approach. PARTICIPANTS AND
settingEleven inpatients from a tertiary institution in the Australian Capital Territory of Australia and their respective general practitioners (GPs) were invited to participate in the semi-structured interviews.
resultsDespite significant pain and disability that accompanied acute flares, patients continue to experience shame in seeking treatment and regarded gout as being not particularly important. Other barriers included patients' poor continuity of care with and lack of confidence in GPs, suboptimal management in outpatient and inpatient settings, poor understanding of disease and treatment, and misconceptions held by both patients and physicians leading to uncontrolled disease activity.
conclusionsBarriers to optimal gout management including patient and health practitioner factors have produced a complex effect which has led to a cycle of treatment avoidance behaviours and recurrent hospitalisations for severe acute gout flares. These barriers could be addressed using a multipronged approach guided by the chronic care model which has been applied in a variety of other chronic diseases with improved patient and professional-level outcomes. Managing gout according to best practice for chronic disease is more likely to prevent recurrent hospitalisations and improve health outcomes in patients with gout.
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