{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T18:12:34Z","timestamp":1783793554067,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T00:00:00Z","timestamp":1462492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To review the assessment and management of gout by general practitioners (<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s) and medical officers (<jats:styled-content style=\"fixed-case\">MO<\/jats:styled-content>s) within the Illawarra Network, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A survey was sent to <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s and <jats:styled-content style=\"fixed-case\">MO<\/jats:styled-content>s within the Illawarra Network.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 110 <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s, 45 responded. Of 129 <jats:styled-content style=\"fixed-case\">MO<\/jats:styled-content>s, 42 responded. The overall response was 32.6%. On analysis, 65.1% felt their knowledge of gout to be adequate and 61.6% thought they had been educated well. In acute assessment, 59.1% of <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s responded that the diagnosis of gout best be confirmed with a joint aspiration and 36.4% clinical suspicion. Differing, 85.7% of <jats:styled-content style=\"fixed-case\">MO<\/jats:styled-content>s chose a joint aspiration. In acute management, if colchicine were used, 59.1% of <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s would give 1 mg followed by 0.5 mg an hour later, then 0.5 mg twice daily, compared to 9.5% of <jats:styled-content style=\"fixed-case\">MO<\/jats:styled-content>s, while 20.5% of <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s would use 1 mg twice daily. Chronic management was answered poorly. After an acute attack, urate lowering therapy (<jats:styled-content style=\"fixed-case\">ULT<\/jats:styled-content>) would be started 14 days after by 47.7% of <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s, compared to 69.0% of <jats:styled-content style=\"fixed-case\">MO<\/jats:styled-content>s. <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s were more likely to start <jats:styled-content style=\"fixed-case\">ULT<\/jats:styled-content> within 7 days (52.3% <jats:italic>vs<\/jats:italic>. 31.0%). With dosing of <jats:styled-content style=\"fixed-case\">ULT<\/jats:styled-content>, 45.3% would treat to target, while 46.5% would dose to the creatinine clearance. Prophylactic therapy with <jats:styled-content style=\"fixed-case\">ULT<\/jats:styled-content> would be started by 81.8%, although only 17.4% would continue it for 3\u20136 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is poor adherence to recommended practice for dosing of colchicine in acute gout. Also in the management of chronic gout, in particular, the timing of starting ULT and the use of prophylaxis when initiating ULT.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12875","type":"journal-article","created":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T20:20:14Z","timestamp":1462566014000},"page":"990-995","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A survey of the assessment and management of gout in general practitioners and medical officers within the Illawarra Network, Australia"],"prefix":"10.1111","volume":"20","author":[{"given":"Matthew","family":"Terrill","sequence":"first","affiliation":[{"name":"Rheumatology Department Wollongong Hospital Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Riordan","sequence":"additional","affiliation":[{"name":"Rheumatology Department Wollongong Hospital Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,6]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"8","article-title":"An update on the management of gout","volume":"51","author":"Best Practice Journal, New Zealand","year":"2013","journal-title":"Best Pract J"},{"key":"e_1_2_7_3_1","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_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.078469"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.071530"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-014-2783-z"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.12578"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2010.02165.x"},{"key":"e_1_2_7_9_1","first-page":"2837","volume-title":"Harrison's Principles of Internal Medicine","author":"Schumacher HR","year":"2012"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.055269"},{"key":"e_1_2_7_11_1","first-page":"2050","article-title":"A survey of current evaluation and treatment of gout","volume":"33","author":"Schlesinger N","year":"2006","journal-title":"J Rheumatol"},{"key":"e_1_2_7_12_1","first-page":"147","article-title":"A Survey of the Management of Gout in Primary Care","volume":"101","author":"Owens D","year":"2008","journal-title":"Ir J Med Sci"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100670050005"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.070755"},{"key":"e_1_2_7_15_1","first-page":"306","article-title":"A Survey on the Current Evaluation and Treatment of Gout in Buenos Aires, Argentina","volume":"8","author":"Faraa N","year":"2012","journal-title":"Reumatoliga Clinicia"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1756-185X.2009.01431.x"},{"key":"e_1_2_7_17_1","first-page":"2041","article-title":"The management of gout at an academic healthcare center in Beijing: a physician survey","volume":"33","author":"Fang W","year":"2006","journal-title":"J Rheumatol"},{"key":"e_1_2_7_18_1","first-page":"621","article-title":"Diagnosis and treatment of gout in Mexico City. 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