Winnard Doone, Kake Tony, Gow Peter, Barratt-Boyes Caran, Harris Victoria, Hall Devi-Ann, Mason Henare, Merriman Tony, Dalbeth Nicola
Counties Manukau District Health Board, Private Bag 94052, South Auckland Mail Centre, Manukau City, New Zealand.
N Z Med J. 2008 May 23;121(1274):79-85.
Epidemiologic and recent qualitative research suggests that the impact of under-treated gout is far more significant than many health professionals realise. The magnitude of this impact for Maaori and Pacific men of working age has been identified as a particular concern by the recently formed Maaori Gout Action Group in Counties Manukau District Health Board (South Auckland, New Zealand). The Group has identified that to achieve modern management of gout, those with gout need to be supported by primary care practitioners who are aware of the need for early intervention with allopurinol, as well as whaanau/families and communities who understand the impact and causes of gout and the lifestyle changes that are needed alongside long-term allopurinol. The Group wishes to support further research into the impact and causes of gout, particularly for Maaori, and to develop strategic alliances to ensure that the treatment and prevention of gout is advocated by those working with conditions such as diabetes and cardiovascular disease where gout is a frequent comorbidity.
流行病学研究和近期的定性研究表明，痛风治疗不足所产生的影响远比许多医疗专业人员意识到的要严重得多。最近成立的毛利痛风行动小组（位于新西兰南奥克兰的曼努考县地区卫生局）已明确指出，工作年龄的毛利人和太平洋岛民男性所受的这种影响程度尤其令人担忧。该小组已确定，要实现痛风的现代管理，痛风患者需要得到初级保健医生的支持，这些医生要意识到需要尽早使用别嘌醇进行干预，同时也需要家人/家庭和社区的支持，他们要了解痛风的影响和病因以及长期服用别嘌醇所需的生活方式改变。该小组希望支持对痛风的影响和病因进行进一步研究，特别是针对毛利人，并建立战略联盟，以确保与糖尿病和心血管疾病等病症打交道的人员倡导痛风的治疗和预防，因为痛风在这些病症中常常是合并症。
