Evidence map›Paper›PMID 40736605›Full record

ReviewCurrent rheumatology reports2025

Quality Care Assessment in Gout.

Timothy S H Kwok, Priyanka Chandratre

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current rheumatology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Timothy S H KwokDivision of Rheumatology, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Timothysh.kwok@utoronto.ca.ORCID http://orcid.org/0000-0003-0354-4794
Priyanka ChandratreDivision of Rheumatology, Department of Medicine, The Ottawa Hospital University of Ottawa, Ottawa, Canada.ORCID http://orcid.org/0009-0009-2260-4079

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewDespite the availability of effective pharmacotherapy to lower serum urate (SUA) levels and consequently reduce the likelihood of flares, gout remains a poorly managed condition. Quality of care assessments are of paramount importance in evaluating the performance of health systems and providers in managing gout, spanning patient (micro), provider or team (meso), and organizational or system-wide (macro) levels. This review focuses on the conceptual underpinnings on how quality of care in gout management is defined and assessed, highlighting methodological challenges, study approaches and contemporary findings. RECENT

findingsWe illustrate the advantages and pitfalls on the use of quality indicators as the reference by which gout clinical care is deemed to be "optimal". We further introduce pertinent processes/intermediaries of gout care under a conceptual framework for quality assessment. Overall, quality of gout care requires significant improvement, with widespread deficiencies across key parameters including urate lowering therapy (ULT) adherence (micro-level), SUA monitoring (meso-level) and treatment to target SUA levels on a population basis (macro-level). There are large care gaps across processes, intermediaries and outcomes of gout care. Since accurate quality assessment forms the foundational pillar of subsequent quality improvement, this review serves as a reference to advance quality of gout care assessments. Further initiatives are required to enhance ULT adherence, in particular, which is a key intermediary step to optimal gout care and yet remains suboptimal on a population level. The integration of Learning Health Systems is emerging as a promising platform for improving the quality of gout care.

Indexed as

GoutGout SuppressantsQuality Assurance, Health CareQuality of Health CareHumansQuality Indicators, Health CareUric AcidGout SuppressantsUric AcidGoutHealth careQuality indicatorsQuality of health careRheumatology

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.