{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T20:21:05Z","timestamp":1769113265831,"version":"3.49.0"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,5,25]],"date-time":"2017-05-25T00:00:00Z","timestamp":1495670400000},"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":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the beliefs and knowledge of gout management in new medical graduates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A survey on gout management was sent to new medical graduates during their orientation week, New South Wales, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 15 hospital networks, 11 agreed to participate. From these, 168 graduates responded (23.7% response rate). Most (81.1%) felt that gout was a serious disease, 51.2% answered that they had been taught adequately to manage acute gout, only 37.2% for chronic gout. In an acute gout flare, 63.4% answered they would continue urate lowering therapy and 67.2% were aware of first\u2010line pharmacological management options; 28% answered the correct dosing regimen for colchicine. Chronic management was answered poorly. Only 42.0% stated they would titrate allopurinol dosing to a target urate level; 23.5% would check the urate level monthly. More than half, 56.8%, were aware that medical prophylaxis is indicated when initiating urate lowering therapy. Of this subgroup, 46.7% (25.9% overall) knew that non\u2010steroidal anti\u2010inflammatory drugs and colchicine were recommended and 28.4% (15.4% overall) answered the correct timeframe of use. Close to one\u2010third (35.0%), were aware of febuxostat, probenecid and benzbromarone as second\u2010line urate lowering therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings of this study suggest that new graduates\u2019 knowledge of gout management, especially chronic management, is suboptimal. Many felt their teaching on gout management inadequate; this is a potential target for intervention. Up to date university education which covers chronic management may lead to better clinical outcomes for this burdensome disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.13097","type":"journal-article","created":{"date-parts":[[2017,5,25]],"date-time":"2017-05-25T17:15:52Z","timestamp":1495732552000},"page":"517-522","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A survey on the beliefs and knowledge of gout management in new medical graduates \u2010 New South Wales, Australia"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9393-2987","authenticated-orcid":false,"given":"Matthew","family":"Terrill","sequence":"first","affiliation":[{"name":"Rheumatology Department Wollongong Hospital Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Riordan","sequence":"additional","affiliation":[{"name":"Rheumatology Department Wollongong Hospital Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2015.91"},{"key":"e_1_2_8_3_1","first-page":"342","article-title":"Australian and New Zealand recommendations for the diagnosis and management of gout: integrating systematic literature review and expert opinion in the 3e Initiative","volume":"18","author":"Graff SW","year":"2015","journal-title":"Int J Rheum Dis"},{"key":"e_1_2_8_4_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_8_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-7-200510040-00009"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.703389"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-201687"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2010.02165.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.12578"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kep332"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.150310"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-014-2783-z"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2011-200801"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-201676"},{"key":"e_1_2_8_15_1","first-page":"1765","article-title":"Rising burden of gout in the UK but continuing suboptimal management: a nationwide population study","volume":"71","author":"Kuo C","year":"2014","journal-title":"Ann Rheum Dis"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-016-3212-2"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.150607"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ket215"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.078469"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e328335eee3"},{"key":"e_1_2_8_21_1","first-page":"2837","volume-title":"Harrison's Principles of Internal Medicine","author":"Schumacher HR","year":"2012"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.055269"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21772"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21773"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja14.00953"},{"key":"e_1_2_8_26_1","article-title":"Updated EULAR evidence\u2010based recommendations for the management of gout","author":"Richette P","year":"2016","journal-title":"Ann Rheum Dis"},{"key":"e_1_2_8_27_1","unstructured":"Health Education and Training Institute(2015)Prevocational Training Networks as at January 2016. 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