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Doctors Don’t Always Agree on Gout’s Origins and Treatment

Doctors Don’t Always Agree on Gout’s Origins and Treatment

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How do rheumatologists and primary care physicians differ in treating patients with gout? A survey funded by Ironwood Pharmaceuticals, the maker of Zurampic (lesinurad), shows that while they generally agree on most matters, there are differences in their definition of the disease and its treatment — which can be life-threatening for some patients.
The survey, which was conducted by Edelman Intelligence between Aug. 16 - 22, 2016, includes feedback from 250 primary care providers and 100 rheumatologists.
The survey shows that instead of managing the disease from a comprehensive standpoint, patients too often tend to seek care only during flares. And, as a result, half of patients are not meeting their serum uric acid (SUA) level targets (<6 mg/dl (360 μmol/l).
Poor education and misconceptions about disease management continue to contribute to ineffective disease management, said Paul Doghramji, M.D., a family physician from Collegeville, Penn., who is a consultant for Ironwood.
“What I find most concerning about these findings is that we as physicians agree gout is not only a painful, often debilitating disease, but can have long-term consequences like permanent joint damage. Moreover, studies are showing a good deal of association between gout and comorbid conditions such as cardiovascular disease and kidney disease. Yet clinicians who treat patients with gout are only getting about half of those patients to their target sUA levels,” Dr. Doghramji said.
This slideshow highlights the survey findings.

This survey was funded by Ironwood Pharmaceuticals.

Dr. Paul Doghramji, M.D., is a consultant for Ironwood.

The complete survey results are posted online at:  www.goutisserious.com

1. Physician Survey Executive Summary. Ironwood Pharmaceuticals. 2016.
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