The development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / Nasrul Mustafa
Background: The treat-to-target serum uric acid (SUA) approach is recommended in gout management according to the 2016 European League Against Rheumatism (EULAR) guidelines. Instruction for initiation and dose escalation for urate-lowering therapy may confuse the patient. Objectives: We aimed to dev...
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my-uitm-ir.951372024-08-21T01:55:24Z The development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / Nasrul Mustafa 2023 Mustafa, Nasrul Examination. Diagnosis. Including radiography Background: The treat-to-target serum uric acid (SUA) approach is recommended in gout management according to the 2016 European League Against Rheumatism (EULAR) guidelines. Instruction for initiation and dose escalation for urate-lowering therapy may confuse the patient. Objectives: We aimed to develop and validate the Gout Treat-To-Target booklet and to assess its effectiveness as an intervention in improving gout outcomes compared to standard practice alone. Methods: This study was conducted in two phases; Phase I involved the development and validation of the Gout Treat-To-Target booklet and Phase JI was a single-centre interventional study on the effectiveness of validated Gout Treat To-Target booklet in improving gout outcome. Patient were seen at two-monthly interval. Result: 50 patients were recruited. The mean age of the patient was 46.5 years old. The mean gout duration was 11.2 years and tophi were found in 50% of patients. The patients were randomized via stratified block randomization into two groups; the intervention group (24 patients) and the control group (26 patients). with a. All patient received formal education of at least secondary school. 50% of patients had tophi. The baseline mean SUA was 559.8 (77.9) µmol/L in the intervention group and 605.4 (90.6) µmol/L in the control group. At 16 weeks, 20 patients (41.6%) achieve target SUA. We found three factors associated with the achievement of serum uric acid (SUA); use of the Gout Treat-To-Target booklet, lower baseline SUA and presence of tophi. Conclusion: The Gout Treat-To-Target booklet was validated for use in clinical practice. It is an effective tool to achieve the desired SUA level in 41 % of patients at 16 weeks, in addition to standard clinical practice. Faculty of Medicine 2023 Thesis https://ir.uitm.edu.my/id/eprint/95137/ https://ir.uitm.edu.my/id/eprint/95137/1/95137.PDF text en public masters Universiti Teknologi MARA Faculty of Medicine |
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Universiti Teknologi MARA |
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UiTM Institutional Repository |
| language |
English |
| topic |
Examination Diagnosis Including radiography |
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Examination Diagnosis Including radiography Mustafa, Nasrul The development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / Nasrul Mustafa |
| description |
Background: The treat-to-target serum uric acid (SUA) approach is recommended in gout management according to the 2016 European League Against Rheumatism (EULAR) guidelines. Instruction for initiation and dose escalation for urate-lowering therapy may confuse the patient. Objectives: We aimed to develop and validate the Gout Treat-To-Target booklet and to assess its effectiveness as an intervention in improving gout outcomes compared to standard practice alone. Methods: This study was conducted in two phases; Phase I involved the development and validation of the Gout Treat-To-Target booklet and Phase JI was a single-centre interventional study on the effectiveness of validated Gout Treat To-Target booklet in improving gout outcome. Patient were seen at two-monthly interval. Result: 50 patients were recruited. The mean age of the patient was 46.5 years old. The mean gout duration was 11.2 years and tophi were found in 50% of patients. The patients were randomized via stratified block randomization into two groups; the intervention group (24 patients) and the control group (26 patients). with a. All patient received formal education of at least secondary school. 50% of patients had tophi. The baseline mean SUA was 559.8 (77.9) µmol/L in the intervention group and 605.4 (90.6) µmol/L in the control group. At 16 weeks, 20 patients (41.6%) achieve target SUA. We found three factors associated with the achievement of serum uric acid (SUA); use of the Gout Treat-To-Target booklet, lower baseline SUA and presence of tophi. Conclusion: The Gout Treat-To-Target booklet was validated for use in clinical practice. It is an effective tool to achieve the desired SUA level in 41 % of patients at 16 weeks, in addition to standard clinical practice. |
| format |
Thesis |
| qualification_level |
Master's degree |
| author |
Mustafa, Nasrul |
| author_facet |
Mustafa, Nasrul |
| author_sort |
Mustafa, Nasrul |
| title |
The development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / Nasrul Mustafa |
| title_short |
The development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / Nasrul Mustafa |
| title_full |
The development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / Nasrul Mustafa |
| title_fullStr |
The development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / Nasrul Mustafa |
| title_full_unstemmed |
The development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / Nasrul Mustafa |
| title_sort |
development and effectiveness evaluation of gout treat-to target booklet intervention in improving gout outcome / nasrul mustafa |
| granting_institution |
Universiti Teknologi MARA |
| granting_department |
Faculty of Medicine |
| publishDate |
2023 |
| url |
https://ir.uitm.edu.my/id/eprint/95137/1/95137.PDF |
| _version_ |
1811768810302078976 |