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Viewpoints in Gout and Hyperuricemia

Viewpoints in Gout and Hyperuricemia



Time to Complete

30 minutes


April 27, 2018


June 30, 2019
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Maximum Credits

0.50 / AMA PRA Category 1 Credit(s)TM
0.50 / CE for Pharmacists (0.05 CEUs)

Accredited Provider

Jointly provided by Haymarket Medical Education and the University of Wisconsin-Madison Division of Pharmacy Professional Development

Commercial Supporter

Supported by an educational grant from Ironwood Pharmaceuticals, Inc.

Program Description

Gout is a common and chronic disease, affecting more than 8 million individuals in the United States; its prevalence has increased in recent decades and will continue to increase as the population ages. It is now known that hyperuricemia can not only precipitate gout but also lead to a host of serious health consequences if left undiagnosed, untreated, or undertreated. Thus, evidence-based recommendations advise that, for chronic gout, serum urate levels should be lowered with the use of both pharmacologic and nonpharmacologic measures and maintained below a specific target, which should be individualized for each patient. As understanding of the pathophysiology of hyperuricemia and gout has increased, more precisely targeted therapeutic approaches have emerged and promise to improve outcomes and QoL, especially in patients with gout that is considered refractory to traditional therapies.

This article will provide learners with an overview of the current state of gout management, inclusive of diagnosis and treatment. The e-article will encourage learners to reflect on their own practice relative to how they manage the care of patients with gout and to identify areas in which they require education to improve their knowledge, competence, practice, and, by extension, health outcomes for their patients.

Intended Audience

Family medicine and internal medicine (IM) clinicians (MDs/DOs, physician assistants [PAs], nurse practitioners [NPs]), pharmacists, rheumatologists, and nephrologists

Educational Objectives

After completing the activity, the participant should be better able to:

  • Implement appropriate strategies for diagnosing gout
  • Utilize individualized, evidence-based approaches to gout management
  • Counsel patients with gout regarding lifestyle interventions and the importance of therapeutic adherence

Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, the University of Wisconsin-Madison, and Haymarket Medical Education (HME) require that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational activities.


Michael Pillinger, MD
Professor of Medicine and Biochemistry and Molecular Pharmacology
Director, Crystal Disease Study Group
Director, Masters of Science in Clinical Investigation
Director, Rheumatology Training
New York University School of Medicine
New York, NY

Dr. Pillinger is a consultant to Horizon Pharmaceuticals and Ironwood Pharmaceuticals, Inc.

Accredited Provider Disclosures

The staff of Haymarket Medical Education have nothing to disclose with regard to commercial support.

The staff of the University of Wisconsin-Madison Interprofessional Continuing Education Partnership (ICEP) have nothing to disclose with regard to commercial support.

Publishing Staff Disclosures

Krista Sierra and Susan Basilico of Haymarket Medical Education have nothing to disclose with regard to commercial support.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Haymarket Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Haymarket Medical Education designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)TM .   Physicians should only claim those credits commensurate with the extent of their participation in the activity.




CE for Pharmacists

Accreditation Statement

In support of improving patient care, the University of Wisconsin-Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Designation Statement

A total of 0.50 hours (0.05 CEUs) of pharmacy CE credit will be provided for successful completion of this knowledge-based program. To receive CE credit, you must complete the program; complete the evaluation; and complete the post-test with a minimum score of 70%. Verification of completion will be provided to NABP within 60 days of completion of this program. No credit will be provided 60 days after this program expires. Universal Program #JA0000359-9999-19-023-H01-P.

Disclosure of Unlabeled Use

This CME activity will not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient's medical condition.


The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Haymarket Medical Education, University of Wisconsin-Madison, and Ironwood. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

If you have any questions relating to the accreditation of this activity, please contact:
For CME –
For CPE -


To obtain credit, a score of 70% or better on the post-test is required. Please proceed until you have successfully completed this activity and completed the post-test and evaluation, and for CME credit only, that you have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/Exam History, which you can access at any time.

For CPE credit, your credit will automatically be provided to NABP. Please verify that your credit has been recorded by checking your NABP profile after 1 business day.

If you have any other questions relating to your certificate or other issues with the activity, please contact

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Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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