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Table 3 Attainment of standards relating to assessment of gout patients

From: Improvement in the management of gout is vital and overdue: an audit from a UK primary care medical practice

Criterion

Standard

Attainment (n = 305)

1.1 Adult patients with a diagnosis of gout have ever had a recorded SUA

≥90%

226 (74%)

1.2 Adult patients with a diagnosis of gout have ever had a recorded eGFR

≥90%

34 (11%)

1.3 Adult patients with a diagnosis of gout have had a recorded serum glucose since diagnosis

≥90%

162 (53%)

2.1 Adult patients currently prescribed (prescription in the last 2 months) allopurinol have a SUA in the last year

≥90%

26 (34%)

2.2 Adult patients currently prescribed (prescription in the last 2 months) allopurinol have an SUA of ≤360 μmol/l

≥80%

29 (38%)

See Figure 1 and Figure 2

3.1 Adult patients with a diagnosis of gout have a SUA in the last year

≥90%

68 (22%)

3.2 Adult patients with a diagnosis of gout have had an eGFR in the last year

≥90%

27 (9%)

4.1 Adult patients with a diagnosis of gout with evidence of advice regarding diet recorded

>50%

Diet discussed

43 (14%)

4.2 Adult patients with a diagnosis of gout with evidence of advice regarding alcohol recorded

>50%

Alcohol intake discussed

18 (6%)

Alcohol type discussed

9 (3%)

Advised about alcohol intake

17 (6%)

4.3 Adult patients with a diagnosis of gout with evidence of advice regarding fluid intake recorded

>50%

Maintain fluid intake 2 L/day

42 (14%)

4.4 Adult patients with a diagnosis of gout have a record of BMI

≥90%

BMI documented

304 (100%)

--

--

'Lifestyle advice’ documented

7 (2%)

--

--

PIL given

11 (4%)

5.1 Adult patients with a diagnosis of gout have a recorded CVD risk assessment score

≥90%

305

105 (34%)

5.2 Adult patients with a diagnosis of gout and a 10 yr risk of CVD ≥20% are prescribed lipid lowering therapy

≥75%

56

30 (54%)

5.3 Adult patients with a diagnosis of gout currently taking diuretics

<25%

73 (24%)

  1. BMI, Body mass index; PIL, Patient information leaflet.