Hot Tips in Rheumatology - General Practice Conference & Medical ...

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The most significant quality gaps ingout pharmacotherapy are:1. Delayed initiation of urate-loweringtherapy (ULT)2. Inadequate dosing of ULT3. Failure to document response to ULT4. Failure to use gout flare prophylaxisduring initiation of ULT5. Initiation of ULT during acute gout flares
Delayed initiation of urateloweringtherapy (ULT)• Once patient starts to get recurrent and incapacitatingattacks, initiate Allopurinol but NOT at 300mg once daily.Recommend starting at 100mg once daily even if normalrenal function, less in patients with impaired renalfunction.• Educate patient to improve compliance, i.e. Allopurinol is apreventer and might precipitate gout during initiation (Ialways tell patients that one of the best ways toexacerbate gout would be to stop and start Allopurinolintermittently but once a patient is established on it and istaking the correct dose and is compliant, he/she shouldnot get gout again).
Page 1 and 2: Dr Daniel ChingRheumatology Therape
Page 3 and 4: Disclosures• Advisory Boards and
Page 5 and 6: Take Home Message 1:Ankylosing Spon
Page 7 and 8: If only two symptoms and …• 0 f
Page 9 and 10: NB: No blood tests in the alarmsign
Page 11 and 12: Prescription and comorbidityscreeni
Page 13 and 14: Opportunities for improvingmedicati
Page 15: Concise Report:Gout: an independent
Page 19 and 20: Failure to document response toULT
Page 21 and 22: Failure to use gout flareprophylaxi
Page 24 and 25: • 2-hourly dosing of Colchicine t
Page 26 and 27: High vs low dosing of oralColchicin
Page 28 and 29: Conclusion:• Low-dose Colchicine
Page 30 and 31: Benzbromarone• A uricosuric agent
Page 32 and 33: Renewal• Treatment remains approp
Page 34: New treatments for gout:• Febuxos
Page 37 and 38: Choosing Wisely1. Don’t test ANA
Page 39 and 40: Methotrexate in low doses(weekly) i
Page 41 and 42: Consider getting into the habit ofw
Page 43 and 44: Recommendation for vaccinationsin r
Page 45: Pharmac criteria1. Patient has Rayn
Page 48 and 49: NumberRheumatological Diagnosis of
Page 50 and 51: S Kalke, B Dasgupta.The accuracy of
Page 52 and 53: Numbernoneone-ten11-fifteen16-2021-
Page 54 and 55: SE Gabriel et al.A&R 1997; 40: 1873
Page 56 and 57: NumberDuration of Prednisone Treatm
Page 58 and 59: Number1009080706050403020100Atypica
Page 60 and 61: CONCLUSIONS2. Methotrexate was effi
Page 63 and 64: Back up Slidesfor Gout
Page 65 and 66: Gout• A common debilitating arthr
Page 67 and 68:
Epidemiology of Gout in WomenV. Bho
Page 69 and 70:
Back up Slidesfor PMR/GCA
Page 71 and 72:
Results• 183 referrals were ident
Page 73 and 74:
% of Patients Referred for eachcond
Page 75:
• V Kyle, B Hazleman. Ann Rheum D
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