{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T06:32:14Z","timestamp":1763620334474},"reference-count":21,"publisher":"The Journal of Rheumatology","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>Management of gout is frequently suboptimal. The aim of this study was to determine the proportion of patients presenting to Christchurch Hospital for a gout flare and to determine whether management for both acute flares and urate lowering was in accordance with international recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>A retrospective audit was undertaken of all admissions to Christchurch Hospital from June 1, 2013, to May 31, 2014, in which gout was coded as a primary or secondary discharge diagnosis. Information including demographics, comorbidities, concomitant medications, treatment of acute gout, and urate lowering was collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>A total of 235 acute admissions for gout in 216 individuals were identified. Eleven individuals had 2 admissions and 4 individuals had 3 admissions. In 95\/235 admissions (40.4%), gout was the primary diagnosis. Gout accounted for 95\/77,321 (0.12%) of acute admissions. The treatment of acute gout was prednisone monotherapy in 170\/235 (72.3%) of admissions. Serum urate was measured at some point during 123\/235 (52.3%) of admissions, with only 19\/123 (15.4%) at target urate level (&lt; 0.36 mmol\/l). At 60 of the 235 admissions, urate-lowering therapy was already being prescribed. Nine out of 175 patients (5.1%) not treated with urate-lowering therapy at admission commenced allopurinol and 32\/174 (18.4%) had commencement of urate-lowering therapy recommended in the discharge plan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Rates of admission for gout are similar to that observed in other studies. Failure to initiate, change, or recommend alterations in urate-lowering therapy to achieve target urate in people with gout admitted to hospital represents a significant lost opportunity to improve longterm gout management.<\/jats:p><\/jats:sec>","DOI":"10.3899\/jrheum.170387","type":"journal-article","created":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:20:23Z","timestamp":1501633223000},"page":"1493-1498","source":"Crossref","is-referenced-by-count":11,"title":["Management of Gout in a Hospital Setting: A Lost Opportunity"],"prefix":"10.3899","volume":"44","author":[{"given":"Sarah","family":"Wright","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter T.","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Frampton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John L.","family":"O\u2019Donnell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafi","family":"Raja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa K.","family":"Stamp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2262","published-online":{"date-parts":[[2017,8,1]]},"reference":[{"key":"2018112909372727000_44.10.1493.1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ker361"},{"key":"2018112909372727000_44.10.1493.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2012.01.020"},{"key":"2018112909372727000_44.10.1493.3","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1007\/s11926-014-0458-z","article-title":"Inpatient gout: a review","volume":"16","author":"Fisher","year":"2014","journal-title":"Curr Rheumatol Rep"},{"key":"2018112909372727000_44.10.1493.4","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1002\/acr.23012","article-title":"Trends in gout and rheumatoid arthritis hospitalizations in Canada from 2000 to 2011","volume":"69","author":"Rai","year":"2017","journal-title":"Arthritis Care Res"},{"key":"2018112909372727000_44.10.1493.5","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kes253"},{"key":"2018112909372727000_44.10.1493.6","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1002\/acr.22741","article-title":"Development of preliminary remission criteria for gout using Delphi and 1000Minds Consensus Exercises","volume":"68","author":"de Lautour","year":"2016","journal-title":"Arthritis Care Res"},{"key":"2018112909372727000_44.10.1493.7","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2016-209707"},{"key":"2018112909372727000_44.10.1493.8","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21772"},{"key":"2018112909372727000_44.10.1493.9","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21773"},{"key":"2018112909372727000_44.10.1493.10","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1111\/1756-185X.12578","article-title":"Inpatient management of gout in a New Zealand hospital: a retrospective audit","volume":"19","author":"Kennedy","year":"2016","journal-title":"Int J Rheum Dis"},{"key":"2018112909372727000_44.10.1493.11","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1111\/j.1445-5994.2010.02165.x","article-title":"Acute gout management during hospitalization: a need for a protocol","volume":"41","author":"Gnanenthiran","year":"2011","journal-title":"Intern Med J"},{"key":"2018112909372727000_44.10.1493.12","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1111\/j.1756-185X.2011.01642.x","article-title":"Improved management of acute gout during hospitalization following introduction of a protocol","volume":"15","author":"Kamalaraj","year":"2012","journal-title":"Int J Rheum Dis"},{"key":"2018112909372727000_44.10.1493.13","unstructured":"Ministry of Health New Zealand . 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