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Clin Rheumatol. 2000;19(1):21-5.

How is gout managed in primary care? A review of current practice and proposed guidelines.

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  • 1Department of Rheumatology and Clinical Audit, Withington Hospital, Didsbury, Manchester, UK.


Twelve practices with a total list of 74,111 patients were audited; 429 patients were identified with a diagnosis of gout. A wide variation in various clinical and laboratory assessments was detected. Similar variations were also noted regarding dietary advice and medical treatment. Monitoring of patients was infrequent. As a result of this audit, guidelines are proposed to improve the diagnosis and management of gout in the community.

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