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Cited 2 time in webofscience Cited 4 time in scopus
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Patient Perspectives and Preferences Regarding Gout and Gout Management Impact on Adherenceopen access

Authors
Chung, Min KyungKim, Sung SooCheon, Yun HongHong, Seung JaeChoi, Hyo JinSeo, Mi RyoungHwang, JiwonAhn, Joong KyongLee, Sang HeonMin, Hong KiCha, Hoon SukLee, Shin SeokLee, JenniferMoon, Ki WonLee, Chang KeunKim, Hyun OkSuh, Young SunShim, Seung CheolKang, Seong WookKim, JinhyunChoi, Sang TaeSong, Jung SooLee, Jisoo
Issue Date
16-Aug-2021
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Gout; Disease Management; Perspective; Patient Preference
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.36, no.32
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
36
Number
32
URI
https://scholarworks.bwise.kr/gnu/handle/sw.gnu/3374
DOI
10.3346/jkms.2021.36.e208
ISSN
1011-8934
Abstract
Background: Patient-centered management is becoming increasingly important in gout, but there are limited studies exploring patients' perspectives and preferences. We aimed to investigate patients' perspectives and preferences regarding gout and gout management, and their impacts on adherence to urate lowering therapy (ULT). Methods: A paper-based survey was performed in patients with gout seen at the rheumatology outpatient clinics of 16 tertiary hospitals. The survey included questions regarding demographics, comorbidities, gout attacks, current treatment and adherence, and patients' perspectives and preferences regarding gout and gout management. Multivariate regression analysis was performed to determine the factors associated with ULT adherence. Results: Of 809 surveyed patients with gout, 755 (94.5%) were using ULT. Among those using ULT, 89.1% had >= 80% adherence to ULT. Majority of the patients knew management strategies to some extent (94.8%), perceived gout as a life-long disease (91.2%), and were making efforts toward practicing at least one lifestyle modification (89.2%). Most patients (71.9%) obtained information about gout management during their clinic visits. Approximately half of the patients (53.6%) preferred managing their disease with both ULT and lifestyle modification, 28.4% preferred ULT only, and 17.4% preferred lifestyle modification only. Adherence was better in patients with older age (odds ratio [OR], 1.03), those with better knowledge of gout management strategies (OR, 3.56), and those who had preference for ULT (OR, 2.07). Conclusion: Patients' perspectives and management preferences had high impacts on adherence to ULT in gout. Consideration of patients' perspectives and preferences is important for achieving the desired clinical outcome in gout.
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