Author,year, country | Design | N | Duration, months | Details of intervention | Outcomes |
---|---|---|---|---|---|
Goldfien et al, 2014US17 | Observ | 100 | 11 | Pharmacist+ rheumatologist provided education by phone; employed standard gout medication to lower SU levels | SU levels ≤6 mg/dl achieved and maintained at least 3 months for 78/95 patients |
Goldfien et al, 2016US16 | RCT | 77 | 6 | Telephone-based programme to manage SU. Implementation of protocol, adjusting standard gout management; patient adherence monitored | SU levels at ≤6.0 mg/dl at 26 weeks in 35% of intervention cf 13% control group |
Whiteman et al, 2018UK31 | Observ [Abstract] | 52 | 23 | Education about gout and its treatment. Offered ongoing monitoring until SU at target | 38/52 patients discharged from service. Average SU level decreased from 7.7 mg/dl to 4.9 mg/dl |
Mikuls et al, 2019US32 | RCT clustered | 1,412 | 24 | Randomised by site. Intervention telephone interactive voice recognition system to assess adherence, encourage SU and other lab monitoring, provide patient-focused gout education, and adjust allopurinol dosing versus usual care | Better adherence to ULT 50% cf 37% usual care. SU <6 mg/dl intervention 30% cf 15% usual care |
Huang et al, 2019US18 | QIP | 36 | 12 | 19 referred patients received pharmacist education and ULT titration programme cf with 28 non-referred | SU improved intervention (8.8–6.1 mg/dl for intervention cf 7.6 to 6.8 mg/dl for usual care. 32% intervention and 25% usual care achieved target |
Cf = Compare. Observ = observational. Qual = qualitative. QIP = quality improvement project. RCT = randomised controlled trial. SU = serum urate. ULT = urate lowering therapy. Vs = versus. Wk = week.