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[奥地利痛风的诊断与管理。结合欧洲抗风湿病联盟(EULAR)建议对当前实践的调查]

[Diagnosis and management of gout in Austria. Survey of current practice considering the EULAR recommendations].

作者信息

Sautner J

机构信息

2. Med. Abteilung, Niederösterreichisches Zentrum für Rheumatologie, Karl Landsteiner Institut für klinische Rheumatologie, Landesklinikum Weinviertel Stockerau, Landstr. 18, 2000, Stockerau, Österreich,

出版信息

Z Rheumatol. 2014 Nov;73(9):836-42. doi: 10.1007/s00393-014-1371-6.

Abstract

BACKGROUND AND OBJECTIVES

Gout shows an increasing incidence and has become a major health problem in the Western world. Despite effective treatment options, neither diagnosis nor therapeutic efforts can be regarded sufficient to date. It was of interest to investigate current handling of gout among Austrian rheumatologists.

MATERIAL AND METHODS

In 2012, a survey of Austrian rheumatologists concerning diagnosis and management of hyperuricemia and gout was performed. With the consent of the Austrian Society of Rheumatology, 574 society members (343 via electronic mail, 23 via mail) were sent a questionnaire consisting of 17 questions. This is the first survey assessing the management of gout among Austrian rheumatologists.

RESULTS

The overall response rate was 22.1 %. Of all the contacted members (email and mail), 19.9 % answered the questionnaire electronically and only 5.6 % by mail. The adherence to the EULAR recommendations for gout ranged between 69 and 95 % (median 84 %).

CONCLUSION

Among Austrian rheumatologists, the knowledge about gout, its diagnostic and imaging procedures, management and therapeutic goals is good and mainly in line with current international recommendations. To improve the management of patients with gout and hyperuricemia, a more frequent referral to rheumatologists could be beneficial.

摘要

背景与目的

痛风的发病率呈上升趋势,已成为西方世界的一个主要健康问题。尽管有有效的治疗方案,但迄今为止,无论是诊断还是治疗措施都还不够充分。调查奥地利风湿病学家目前对痛风的处理方式很有意义。

材料与方法

2012年,对奥地利风湿病学家进行了一项关于高尿酸血症和痛风的诊断与管理的调查。在奥地利风湿病学会的同意下,向574名学会成员(343名通过电子邮件,23名通过邮寄)发送了一份包含17个问题的问卷。这是首次评估奥地利风湿病学家对痛风管理情况的调查。

结果

总体回复率为22.1%。在所有被联系的成员(电子邮件和邮寄)中,19.9%通过电子方式回答了问卷,只有5.6%通过邮寄方式回答。对欧洲抗风湿病联盟(EULAR)痛风推荐意见的遵循率在69%至95%之间(中位数为84%)。

结论

在奥地利风湿病学家中,对痛风及其诊断、影像学检查、管理和治疗目标的了解良好,且主要符合当前国际推荐意见。为改善痛风和高尿酸血症患者的管理,更频繁地转诊至风湿病学家处可能有益。

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