Validation of gout diagnosis in electronic primary care medical records: A population-based study

•Primary care electronical medical record data can be used for the study of gout.•Gout patients managed in primary care are under-treated, both in drug and in dosage.•The use of point-of-care ultrasound should improve in the future the diagnose of gout in primary care settings. The main objective of...

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Published in:Joint, bone, spine : revue du rhumatisme bone, spine : revue du rhumatisme, 2023-12, Vol.90 (6), p.105628-105628, Article 105628
Main Authors: Pou, Maria A., Martinez-Laguna, Daniel, Estebanez, Jose L., Aivar, Meritxell, Gayarre, Raquel, Conesa, Angels, Hoyo, Jordi, Carbonell, Cristina, Reyes, Carlen, Diaz-Torne, Cesar
Format: Article
Language:English
Subjects:
Cross-Sectional Studies
Diagnosis
Electronic Health Records
Electronic medical record
Electronics
Gout
Gout - diagnosis
Gout - drug therapy
Gout - epidemiology
Gout Suppressants
Humans
Primary Health Care
Uric Acid
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Summary:•Primary care electronical medical record data can be used for the study of gout.•Gout patients managed in primary care are under-treated, both in drug and in dosage.•The use of point-of-care ultrasound should improve in the future the diagnose of gout in primary care settings. The main objective of the study was to see the concordance between the diagnosis of gout recorded in primary care electronic medical records and the ACR/EULAR 2015 classification criteria. A cross-sectional study was conducted using electronic medicals records in 7 primary care centres of Barcelona. Patients’ data to study clinical diagnose and management was gathered from the primary care electronic medical records of the Catalonian health institute (Institut Català de la Salut, ICS) and phone interview. Patients were considered to have gout if they scored 8 or more points on the EULAR/ACR 2015 classification criteria for gout. In total, 70.9% of the patients with a gout diagnosis met ACR/EULAR 2015 criteria. Adding a hyperuricemia in a blood test in the EMR increased the percentage to 78.9%. 29.8% of the gout patients were not receiving urate-lowering therapy. 62.3% of the treated patients did not achieve the target uricemia (
ISSN:1297-319X
1778-7254
DOI:10.1016/j.jbspin.2023.105628