How do Family Practitioners Treat Gout?
Ergebnisse einer Befragung in NRWgerman translation / full article
Results of a Survey in NRW
Introduction: Gout is a common disease in Germany. At the time of this study no published German guideline for the treatment of gout existed. In order to get a general idea of the current treatment of gout by family practitioners (FPs) we conducted a survey.
Methods: We sent a standardised questionnaire to 375 family practitioniers in North Rhine-Westphalia.
Results: There is high concordance with international guidelines as to the treatment of acute gout (nonsteroidal antiinflammatory drugs, systemic corticosteroids or oral colchicine). Furthermore 93 % of all interviewed FPs discuss nonpharmacological treatment with their patients. Asking for the rate of allopurinol prescriptions we found that 6 % of all patients receive this drug. 59 % of all FPs declared to prescribe allopurinol if serum urate is 8 mg/dl even in patients without gout symptoms. 40 % precsribed no Allopurinol in asymptomatic patients.
Conclusions: Treatment of acute and chronic gout shows a wide range of therapeutic approaches. Hyperuricemic but asymptomatic patients were considerably overmedicated in comparison to international guidelines. Our findings underline the need of guidelines for the management of gout in family medicine.