Nurse-Led Care Efficacious, Cost-Effective for Gout

Share this content:
Nurse-Led Care Efficacious, Cost-Effective for Gout
Nurse-Led Care Efficacious, Cost-Effective for Gout

MONDAY, Oct. 29, 2018 (HealthDay News) -- For patients with gout, nurse-led care is efficacious and cost-effective compared with usual care led by general practitioners (GPs), according to a study published Oct. 20 in The Lancet.

Michael Doherty, M.D., from the University of Nottingham in the United Kingdom, and colleagues randomly assigned 517 adults who had experienced a gout flare in the last 12 months to receive nurse-led care (255 patients), which included provision of individualized information and engaging patients in shared decision making, or to continue with GP-led usual care (262 patients). Patients were assessed at baseline and after one and two years.

The researchers found high uptake of and adherence to urate-lowering therapy in association with nurse-led care. Compared with those receiving usual care, more patients receiving nurse-led care had serum urate concentrations less than 360 µmol/L at two years (95 versus 30 percent; risk ratio, 3.18). All secondary outcomes favored the nurse-led group at two years. Per quality-adjusted life year gained, the cost for the nurse-led intervention was £5,066 at two years.

"Although nurses delivered this care, the principles of patient education, treat-to-target urate-lowering strategy, and regular follow-up and monitoring are applicable to any health professional who treats people with gout. Although this takes more time with the patient to start with, long-term this becomes very cost-effective," Doherty said in a statement.

Several authors disclosed ties to the pharmaceutical industry.

Abstract/Full Text
Editorial

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

FDA Approves First Customizable Insulin Pump

FDA Approves First Customizable Insulin Pump

Product works by delivering insulin under the skin at set or variable rates

Sepsis Common in Terminal Hospitalizations, Discharges

Sepsis Common in Terminal Hospitalizations, Discharges

Most common underlying causes of death in sepsis are solid and hematologic cancers, chronic heart disease

Fewer Older Men Assessed, Treated for Osteoporosis

Fewer Older Men Assessed, Treated for Osteoporosis

Fewer older men than women, even with higher risk, undergo DXA screening, 25(OH)D measurement

is free, fast, and customized just for you!




Already a member?

Sign In Now »