Managing Gout In Primary Care
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Managing Gout In Primary Care
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Author : Fernando Perez-Ruiz
language : en
Publisher: Springer
Release Date : 2014-05-29
Managing Gout In Primary Care written by Fernando Perez-Ruiz and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-29 with Medical categories.
This handbook discusses developments and the future of gout treatment, which looks promising. Gout has been a well-known disease for over 2000 years, and is the most common cause of joint inflammation in adult males. It has become apparent that no therapeutic target based on hyperuricemia outcome had been defined. Very few controlled trials were available to test the efficacy and safety of treatments, and no research on diagnosis and management had been done despite data showing that patients with gout were generally improperly treated even in the hands of specialists. In the last 10 years, good-quality evidence on gout impact and management has grown exponentially, renal transporters have been recently identified, and a number of new drugs have been approved or are under current development.
Management Of Gout
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Author : Paul G. Shekelle
language : en
Publisher:
Release Date : 2016
Management Of Gout written by Paul G. Shekelle and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.
OBJECTIVES: To review the evidence base for treating patients with gout, both acute attacks and chronic disease. The review specifically focuses on the management of patients with gout in the primary care setting. DATA SOURCES: We searched Medline, EMBASE, the Cochrane Collection, and the Web of Science using the search terms "gout," and "gouty," and terms for tophi (from January 1, 2010 to April 23, 2015, or at least one year prior to the search dates for the most recent systematic reviews). We also obtained relevant references from 28 recent systematic reviews that cover nearly all of the Key Questions. We searched Clinicaltrials.gov and the Web of Science for recently completed studies and unpublished or non-peer-reviewed study findings. Searches were not limited by language of publication. REVIEW METHODS: We used standard systematic review methods including duplicate screening and data extraction from relevant studies, and existing tools to assess the quality of previously published systematic reviews, the risk of bias of individual studies, and the strength of evidence across studies. RESULTS: High-strength evidence supports the use of colchicine, nonsteroidal anti-inflammatory drugs (NSAIDs), and systemic corticosteroids to reduce pain in patients with acute gout. Moderate-strength evidence supports the use of animal-derived ACTH formulation for this condition. Moderate-strength evidence supports the finding that low-dose colchicine is as effective as higher-dose colchicine for treating acute gout attacks, and has fewer side effects. Evidence is insufficient from randomized controlled trials that assess symptomatic outcomes for specific dietary therapies. The evidence is also insufficient to support or refute the effectiveness of particular Traditional Chinese Medicine practices (e.g., herbal mixtures, acupuncture, and moxibustion) for symptomatic outcomes. High-strength evidence supports that urate lowering therapy (ULT, with allopurinol or febuxostat) reduces serum urate level. However low-strength evidence supports the finding that treating to a specific target serum urate level reduces the risk of gout attacks. High-strength evidence supports the finding that ULT does not reduce the risk of acute gout attacks within the first 6 months after initiation. However, moderate-strength evidence supports a role for ULT in reducing the risk of acute gout attacks after about 1 year of treatment. Low-strength evidence supports treating to a specific target serum urate level to reduce the risk of gout attacks. High-strength evidence supports the finding that prophylactic therapy with low-dose colchicine or low dose NSAIDs reduces the risk of acute gout attacks when beginning ULT. No criteria for when to discontinue ULT have been validated. CONCLUSIONS: Effective treatments for acute gout include colchicine, NSAIDs, and corticosteroids/animal-derived ACTH formulation. Urate lowering therapy achieves its goal of lowering serum urate levels. Urate lowering should lead to a reduction in gout attacks, but the benefits and harms of long term urate lowering therapy have yet to be directly demonstrated. Patient preferences and other clinical circumstances are likely to be important in decisions about treating patients with gout.
Gout
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Author : Robert Terkeltaub
language : en
Publisher: Professional Communications
Release Date : 2011
Gout written by Robert Terkeltaub and has been published by Professional Communications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Medical categories.
The new 2nd edition provides an overview of gout and its etiology, along with specific information about clinical features and diagnosis of gout. Management of acute gouty arthritis is covered in detail, as well as dietary and nonpharmacologic treatment appraoches. Pharmacologic uric acid-lowering therapy is detailed, and therapeutic algorithms are provided to assist in formulating a disease management plan.
Exercise Gout How To Stay Active
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Author : HR Research Alliance
language : en
Publisher: HR Research Alliance
Release Date :
Exercise Gout How To Stay Active written by HR Research Alliance and has been published by HR Research Alliance this book supported file pdf, txt, epub, kindle and other format this book has been release on with Health & Fitness categories.
Living with gout doesn't mean you have to give up on an active, fulfilling life. In this guide you'll find tips on managing gout through exercise and lifestyle changes. This informative and motivational guide provides a wealth of knowledge and practical advice to help you stay active and healthy, even with joint pain. Overview: Understanding Gout This chapter delves into what gout is, its causes, symptoms, and the role of uric acid in joint health. It debunks common myths and provides scientific insights to help readers understand their condition better. The Importance of Staying Active Explore the numerous benefits of exercise for gout sufferers, including reducing inflammation, improving joint function, and enhancing overall well-being. The chapter also covers the mental health benefits of staying active. Preparing for Exercise Learn about the importance of consulting healthcare providers before starting an exercise routine, setting realistic goals, and taking necessary safety precautions to prevent injury. Types of Exercises for Gout Management This chapter covers a variety of exercise options, including low-impact aerobic exercises, strength training, and flexibility exercises like yoga and Pilates, tailored specifically for those with gout. Creating an Exercise Routine Discover how to design a balanced exercise plan that combines different types of workouts, adapts to individual needs, and maintains consistency and motivation. Nutrition and Hydration Understand the dietary considerations for managing gout, including foods to avoid and include, the importance of hydration, and the potential benefits and risks of nutritional supplements. Managing Gout Flare-Ups Learn how to recognize early signs of a flare-up, adjust exercise routines accordingly, and implement long-term management strategies to prevent future attacks. Real-Life Success Stories Be inspired by the real-life success stories of individuals who have managed their gout through exercise and lifestyle changes, and gain practical tips and advice from the community. Advanced Strategies and Techniques Explore innovative exercise methods, emerging therapies, and the integration of alternative therapies like acupuncture and massage for comprehensive gout management. Staying Active for Life This chapter emphasizes maintaining long-term motivation, adapting to life changes, and staying informed about the latest research and advocacy efforts related to gout. Understanding and Managing Comorbidities Address the common comorbid conditions that often accompany gout, such as hypertension and diabetes, and learn how to tailor exercise and management strategies accordingly. Psychological Aspects of Chronic Pain Examine the impact of chronic pain on mental health and discover coping mechanisms, stress management techniques, and strategies for building a resilient mindset. Home-Based Exercise Programs Find guidance on creating effective home workout routines, maintaining motivation for home exercise, and utilizing technology to support your fitness journey. The Role of Family and Social Support Learn how to involve family and build a supportive social network to enhance your exercise routine and overall well-being, and engage in community activities for additional support. This guide is an essential resource for anyone looking to manage gout effectively and lead a more active, healthier life.
Gout Management
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Author : Owen Jones
language : en
Publisher: Tektime
Release Date : 2023-05-02
Gout Management written by Owen Jones and has been published by Tektime this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-05-02 with Medical categories.
Gout is a painful and chronic form of arthritis that affects millions of people worldwide. It is caused by the build-up of uric acid crystals in the joints, leading to inflammation and intense pain. While gout has been recognised for centuries, there is still much to be learned about the disease, including its causes, triggers, and treatment options. In this comprehensive guide, we will delve into the history of gout, its science and diagnosis, the different types of gout, and how to prevent and manage gout flares. We will explore the most common medications used to treat gout, including allopurinol and colchicine, as well as natural remedies that may provide relief. We will also examine the relationship between gout and other health conditions, such as heart disease and diabetes. Whether you are living with gout or supporting someone who is, this book aims to provide a thorough understanding of the disease and its management. By exploring the latest research and sharing coping strategies, we hope to empower readers to take control of their health and live well with gout. I hope that you will find the information helpful, useful and profitable. Translator: Owen Jones PUBLISHER: TEKTIME
Gout
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Author : Naomi Schlesinger
language : en
Publisher: Elsevier Health Sciences
Release Date : 2018-06-08
Gout written by Naomi Schlesinger and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-08 with Medical categories.
Concise and clinically focused, Gout, by Drs. Naomi Schlesinger and Peter E. Lipsky, provides a one-stop overview of recent developments regarding this common form of inflammatory arthritis. Impacting an estimated 8.3 million people in the U.S. alone, gout is seen frequently by both primary care physicians as well as rheumatologists. This resource provides detailed coverage of the epidemiology, causes, diagnosis, management, and treatment of patients with both acute and chronic gout. Addresses key topics such as genetics, hyperuricemia, comorbidities of gout, treatment guidelines for acute and chronic gout, classification and diagnosis, and imaging. Discusses future outlooks for improving pharmacological and nonpharmacological treatment options, including an overview of drugs in the pipeline. Consolidates today’s available information on this timely topic into one convenient resource.
Gout Management
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Author : Christine Sorbas
language : en
Publisher: epubli
Release Date : 2023-11-19
Gout Management written by Christine Sorbas and has been published by epubli this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-11-19 with Health & Fitness categories.
In this enlightening and comprehensive guide, readers are invited to explore the world of gout from a holistic perspective. This book is not just a medical reference; it's a journey through understanding, treating, and ultimately thriving despite this challenging condition. The journey begins with a clear, concise explanation of what gout is, delving into its causes and the complexities behind this often misunderstood condition. The author skillfully demystifies gout, breaking down its medical background into understandable terms. This sets the stage for a deeper exploration of both medical and natural approaches to combatting gout, offering a balanced view that respects traditional medicine while embracing the power of natural remedies. A pivotal section of the book is dedicated to the importance of a healthy lifestyle in managing gout. Here, the author emphasizes that combating this condition goes beyond medication—it's about holistic well-being. The heart of the book is the 6-week course of treatment, a step-by-step guide that empowers readers to take control of their health. Each week focuses on a different aspect, from understanding and avoiding triggers to developing healthy eating habits and incorporating exercise and relaxation into daily life. The guide is practical, easy to follow, and filled with actionable advice. The social component of living with gout is also addressed, acknowledging the emotional and psychological aspects of dealing with a chronic condition. This section is particularly insightful, offering strategies for maintaining social connections and emotional health. The book culminates in a culinary guide, a treasure trove of gout-friendly recipes. From appetizers and salads to satisfying main courses, these recipes are designed to delight the palate while keeping gout at bay. They prove that a diet for managing gout doesn't have to be restrictive or bland but can be enjoyable and full of variety.
It S Complicated Talking About Gout Medicines In Primary Care Consultations A Qualitative Study
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Author : Grand Rapids Grand Rapids Press
language : en
Publisher:
Release Date : 2017-07-26
It S Complicated Talking About Gout Medicines In Primary Care Consultations A Qualitative Study written by Grand Rapids Grand Rapids Press and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-26 with categories.
Gout is the most common form of inflammatory arthritis. It is associated with substantial co-morbidity and often managed in primary care. A greater understanding of the communication process between patients and healthcare professionals provides one way of improving the management of this condition. This paper describes communication about gout medicines and treatment between patients and primary care health professionals during routine consultations. Proceeds from the sale of this book go to support an elderly disabled person.
Gout
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Author : Nicola Dalbeth
language : en
Publisher: Oxford University Press
Release Date : 2016-01-07
Gout written by Nicola Dalbeth and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-01-07 with Medical categories.
Gout has become increasingly prevalent in recent years, and is now the most common form of inflammatory arthritis. There have been significant developments in our understanding of the basic biology of gout over the last decade, and major advances in therapeutics have provided successful treatments for acute attacks and long-term prevention, offering clinicians effective treatment options for their patients. Part of the Oxford Rheumatology Library series, Gout provides an up-to-date summary of the pathogenesis, clinical features, and treatment approaches to this condition. The main focus is on key aspects of the biology of the disease, relevant diagnostic tools, and principles of gout management. Practical information is included to guide safe and effective prescribing of gout medications. Chapters on imaging and the future of gout management are also included. The three authors are experts in the basic biology and therapeutics of gout, and have summarized key practice points in a concise and readable manner, making this comprehensive yet practical volume an essential resource for all rheumatologists and general practitioners.
Chalk Talks In Internal Medicine
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Author : Somnath Mookherjee
language : en
Publisher: Springer Nature
Release Date : 2020-09-30
Chalk Talks In Internal Medicine written by Somnath Mookherjee and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-09-30 with Education categories.
This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today’s physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts. A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners’ misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks. Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician’s assistants, nurse practitioners, and all others who teach and learn internal medicine.