Una encuesta sobre la evaluación y el tratamiento actual de la gota en Buenos Aires, Argentina

Fara, Nauan; Mellado, Janitzia Vázquez; Sequeira, Gabriel; Kerzberg, Eduardo

doi:10.1016/j.reuma.2012.05.008

Cited by 5 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Desde el punto de vista físico, el tono muscular está en relación con las características viscolásticas del músculo y la base de sustentación del cuerpo o la extremidad. Normalmente, se dice que las lesiones a nivel periférico producen una disminución del tono (hipotonía) y las lesiones a nivel central un aumento del tono (hipertonía), aunque hay excepciones como sucede con las lesiones cerebelosas (central) que cursa con hipotonía (14,15).…”

Section: Evaluación Del Tonounclassified

Evaluación y exploración de la mano neurológica

Rodríguez Menéndez

2020

Terapia De Mano Basada en El Razonamiento Y La Práctica Clínica

View full text Add to dashboard Cite

show abstract

Section: Evaluación Del Tonounclassified

Evaluación y exploración de la mano neurológica

Rodríguez Menéndez

2020

Terapia De Mano Basada en El Razonamiento Y La Práctica Clínica

View full text Add to dashboard Cite

show abstract

Management of gout in general practice—a systematic review

2014

View full text Add to dashboard Cite

This systematic review aims to summarise published evidence that assessed the management of gout in regard to the following: prescription of urate lowering therapy (ULT), monitoring of serum urate levels (sUA) and allopurinol dosing in patients with renal impairment, lifestyle advice and acute management of gout. Studies investigating the management of gout in general practice (GP) were identified by searching PubMed and Scopus databases. To be eligible for inclusion, studies had to be focused on the GP setting alone. Studies were also excluded if they examined diagnosis without exploring management of gout. Editorials and reviews were excluded. A total of nine studies were identified. Eight studies explored the proportion of gout patients currently on ULT. Six out of the eight studies revealed that ULT was prescribed in less than 50 % of gout patients. Four studies considered the monitoring of sUA levels in gout patients. The results were generally similar throughout studies indicating sub-optimal management. Only two studies examined the monitoring of sUA levels specifically in patients who were prescribed ULT. The two studies showed 28 and 38 % of patients on ULT had their sUA levels monitored. Two studies examined the dosing of allopurinol in renally impaired patients and revealed that 74-78 % of renally impaired patients had an appropriate allopurinol dose of less than 300 mg. This systematic review suggests that gout is sub-optimally managed in general practice. However, more studies with a larger sample size focusing on active patients are required to provide more definitive evidence.

show abstract

Gout treatment: survey of Brazilian rheumatology residents

et al. 2017

View full text Add to dashboard Cite

To assess the current practices in gout management among Brazilian rheumatology residents. We performed a cross-sectional online survey among all the rheumatology residents and those rheumatologists who had just completed their training (post-residency (PR)) regarding their approach to gout management. Results were compared with the 2012 American College of Rheumatology (ACR) gout guidelines and with the responses of a previous survey with a representative sample of practicing Brazilian rheumatologists (RHE). We received 224 responses (83%) from 271 subjects. Among all respondents, the first-choice treatment for gout flares was the combination of a nonsteroidal anti-inflammatory drug + colchicine for otherwise healthy patients. A target serum urate <6 mg/dL for patients without tophi was reported by >75%. Less than 70% reported starting allopurinol at low doses (≤100 mg/day) for patients with normal renal function and <50% reported maintaining urate-lowering therapy indefinitely for patients without tophi. Among residents and PR, the residency stage was the main predictor of concordance with the ACR guidelines, with PR achieving the greatest rates. Reported practices were commonly concordant with the 2012 ACR gout guidelines, especially among PR. However, some important aspects of gout management need improvement. These results will guide the development of a physician education program to improve the management of gout patients in Brazil.

show abstract

Una encuesta sobre la evaluación y el tratamiento actual de la gota en Buenos Aires, Argentina

Cited by 5 publications

References 11 publications

Evaluación y exploración de la mano neurológica

Evaluación y exploración de la mano neurológica

Management of gout in general practice—a systematic review

Gout treatment: survey of Brazilian rheumatology residents

Contact Info

Product

Resources

About