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논문 기본 정보

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학술저널
저자정보
Chung Min Kyung (Division of Rheumatology Department of Internal Medicine Ewha Womans University College of Medicine) Kim Sung Soo (Division of Rheumatology Department of Internal Medicine Gangneung Asan Hospital University of Ulsa) Cheon Yun-Hong (Division of Rheumatology Department of Internal Medicine Gyeongsang National University Hospital Ji) Hong Seung-Jae (Division of Rheumatology Department of Internal Medicine Kyung Hee University Hospital School of Me) Choi Hyo Jin (Division of Rheumatology Department of Internal Medicine Gil Medical Center Gachon University Colle) Seo Mi Ryoung (Division of Rheumatology Department of Internal Medicine Gil Medical Center Gachon University Colle) Hwang Jiwon (Division of Rheumatology Department of Internal Medicine Samsung Changwon Hospital Sungkyunkwan Uni) Ahn Joong Kyong (Division of Rheumatology Department of Internal Medicine Kangbuk Samsung Hospital Sungkyunkwan Univ) Lee Sang-Heon (Division of Rheumatology Department of Internal Medicine Konkuk University Medical Center Seoul Kor) Min Hong Ki (Division of Rheumatology Department of Internal Medicine Konkuk University Medical Center Seoul Kor) Cha Hoon-Suk (Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Kore) Lee Shin-Seok (Division of Rheumatology Department of Internal Medicine Chonnam National University Medical School) Lee Jennifer (Division of Rheumatology Department of Internal Medicine College of Medicine Seoul St. Mary's Hospi) Moon Ki Won (Division of Rheumatology Department of Internal Medicine Kangwon National University School of Medi) Lee Chang-Keun (Division of Rheumatology Department of Internal Medicine Asan Medical Center University of Ulsan Co) Kim Hyun-Ok (Division of Rheumatology Department of Internal Medicine Gyeongsang National University College of) Suh Young Sun (Division of Rheumatology Department of Internal Medicine Gyeongsang National University College of) Shim Seung-Cheol (Division of Rheumatology Department of Internal Medicine School of Medicine Chungnam National Unive) Kang Seong Wook (Division of Rheumatology Department of Internal Medicine School of Medicine Chungnam National Unive) Kim Jinhyun (Division of Rheumatology Department of Internal Medicine School of Medicine Chungnam National Unive) Choi Sang Tae (Division of Rheumatology Department of Internal Medicine Chung-Ang University School of Medicine Se) Song Jung Soo (Division of Rheumatology Department of Internal Medicine Chung-Ang University School of Medicine Se) Lee Jisoo (Division of Rheumatology Department of Internal Medicine Ewha Womans University College of Medicine)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.32
발행연도
2021.1
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1 - 9 (9page)

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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.
#Gout #Disease Management #Perspective #Patient Preference

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참고문헌 (25)

참고문헌 신청
Chen-Xu M / 2019 / Contemporary prevalence of gout and hyperuricemia in the United States and decadal trends : the National Health and Nutrition Examination Survey, 2007–2016 / Arthritis Rheumatol 71(6):991~999 google schola Mattiuzzi C / 2020 / Recent updates on worldwide gout epidemiology / Clin Rheumatol 39(4):1061~1063 google schola Jin Su Park / 2020 / Trends of Gout Prevalence in South Korea Based on Medical Utilization: A National Health Insurance Service Database (2002∼2015) / 대한류마티스학회지 27(3):174~181 dbpia Richette P / 2017 / 2016 updated EULAR evidence-based recommendations for the management of gout / Ann Rheum Dis 76(1):29~42 google schola Kiltz U / 2017 / Treat-to-target(T2T)recommendations for gout / Ann Rheum Dis 76(4):632~638 google schola

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