{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T03:54:06Z","timestamp":1783137246813,"version":"3.54.6"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2007,5,25]],"date-time":"2007-05-25T00:00:00Z","timestamp":1180051200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[2007,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine evidence\u2010based quality indicators (QIs) in US veterans with gout diagnosis, and to examine the effect of demographics, heath care utilization\/access, comorbid conditions, or physican characteristics as predictors of quality of gout care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using the Minneapolis Veterans Affairs electronic medical record system, we identified a cohort of veterans receiving medication to treat gout between January 1, 1999 and December 31, 2003, and evaluated 3 recently published evidence\u2010based QIs for gout management: QI 1 = allopurinol dose &lt;300 mg in gout patients with renal insufficiency, QI 2 = uric acid check within 6 months of starting a new allopurinol prescription, and QI 3 = complete blood count and creatine kinase check every 6 months for gout patients receiving prolonged colchicine therapy. We calculated the proportion of patients whose therapy adhered to each QI and to all applicable indicators (overall physician adherence). Logistic regression analysis examined association of overall physician adherence with sociodemographics, health care utilization, comorbidity, and provider characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 3,658 patients with a diagnosis of gout, 663 patients qualified for examination of \u22651 QI. Of these 663 patients, therapy in only 144 (22%) adhered to all applicable QIs; 59 (78%) of 76 adhered to QI 1, 155 (24%) of 643 adhered to QI 2, and 18 (35%) of 52 adhered to QI 3. Overall physician adherence to QIs was significantly lower in older veterans and in those with more inpatient visits per year, but was higher in those with more primary care visits or more health care providers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Suboptimal physician adherence to QIs was seen for all 3 QIs tested in this cohort of veterans with gout. These findings can guide quality improvement efforts.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.22767","type":"journal-article","created":{"date-parts":[[2007,5,28]],"date-time":"2007-05-28T01:46:41Z","timestamp":1180316801000},"page":"822-829","source":"Crossref","is-referenced-by-count":166,"title":["Quality of care for gout in the US needs improvement"],"prefix":"10.1002","volume":"57","author":[{"given":"Jasvinder A.","family":"Singh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James S.","family":"Hodges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Toscano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven M.","family":"Asch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,5,25]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"2403","article-title":"Epidemiology of gout: is the incidence rising?","volume":"29","author":"Arromdee E","year":"2002","journal-title":"J Rheumatol"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2002.33911"},{"key":"e_1_2_7_4_2","first-page":"1582","article-title":"Increasing prevalence of gout and hyperuricemia over 10 years among older adults in a managed care population","volume":"31","author":"Wallace KL","year":"2004","journal-title":"J Rheumatol"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20438"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp030733"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa022615"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.00105"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.8.984"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-12-200412210-00010"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1762.2000.00353.x"},{"key":"e_1_2_7_12_2","first-page":"346","article-title":"A survey of allopurinol dosage prescribing","volume":"108","author":"McClintock AD","year":"1995","journal-title":"N Z Med J"},{"key":"e_1_2_7_13_2","first-page":"1813","article-title":"Evaluation of allopurinol use in patients with gout","volume":"46","author":"Zell SC","year":"1989","journal-title":"Am J Hosp Pharm"},{"key":"e_1_2_7_14_2","first-page":"562","article-title":"Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet\u2010accessible error reporting system","volume":"33","author":"Mikuls TR","year":"2006","journal-title":"J Rheumatol"},{"key":"e_1_2_7_15_2","first-page":"104","article-title":"Frequency and predictors of inappropriate management of recurrent gout attacks in a longitudinal study","volume":"33","author":"Neogi T","year":"2006","journal-title":"J Rheumatol"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20102"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh679"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.051649"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.rhu.0000209882.50228.9f"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(01)80036-3"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.21.3252"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1159\/000180580"},{"key":"e_1_2_7_24_2","first-page":"S269","article-title":"Opioid dependence in patients with back pain","volume":"42","author":"Mahowald MI","year":"1999","journal-title":"Arthritis Rheum"},{"key":"e_1_2_7_25_2","first-page":"477","article-title":"State prevalence of self\u2010reported doctor\u2010diagnosed arthritis and arthritis\u2010attributable activity limitation: United States, 2003","volume":"55","author":"Centers for Disease Control and Prevention (CDC)","year":"2006","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199809000-00005"},{"key":"e_1_2_7_27_2","first-page":"37","article-title":"Accuracy of computerized outpatient diagnoses in a Veterans Affairs general medicine clinic","volume":"8","author":"Szeto HC","year":"2002","journal-title":"Am J Manag Care"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1999.10198.x"}],"container-title":["Arthritis Care &amp; 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