Patient Perspectives and Preferences Regarding Gout and Gout Management Impact on AdherencePatient Perspectives and Preferences Regarding Gout and Gout Management: Impact on Adherence
- Authors
- Chung, Min Kyung; Kim, Sung Soo; Cheon, Yun Hong; Hong, Seung Jae; Choi, Hyo Jin; Seo, Mi Ryoung; Hwang, Jiwon; Ahn, Joong Kyong; Lee, Sang Heon; Min, Hong Ki; Cha, Hoon Suk; Lee, Shin Seok; Lee, Jennifer; Moon, Ki Won; Lee, Chang Keun; Kim, Hyun Ok; Suh, Young Sun; Shim, Seung Cheol; Kang, Seong Wook; Kim, Jinhyun; Choi, Sang Tae; Song, Jung Soo; Lee, 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, pp 1 - 9
- Pages
- 9
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 36
- Number
- 32
- Start Page
- 1
- End Page
- 9
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/49560
- DOI
- 10.3346/jkms.2021.36.e208
- ISSN
- 1011-8934
1598-6357
- 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > College of Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/49560)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.