Abstract
We performed a prospective study of all patients diagnosed with gout and who received treatment in Sarawak General Hospital from 1 July 2010 to 31 December 2010. There was a total of 138 patients in our study of which 92 (66.7%) were from the indigenous populations. They have a mean age of 56.5 ± 12.5 years with a mean duration of illness of 11.6 ± 8.7 years. The mean lag time between symptom onset to the diagnosis of gout was 2.8 ± 4.8 years and a mean lag time to appropriate treatment of gout of 8.8 ± 8.4 years. Sixty-six (47.8%) patients have family history of gout. The common complications of gout in our patients were tophi (47.1%), joint deformities (39.1%), kidney stones (16.7%), and uric acid nephropathy (0.7%). Hospitalization occurred in 93 (67.4%) patients. Gout is a serious medical problem in our centre. Gout affects middle-aged men, especially the indigenous populations. Almost half of our patients have a family history of gout and have tophi formations. Our gout patients have a significant delay in diagnosis and appropriate treatment, thus contributing to more complications and hospitalizations in our centre. There is an urgent need to educate both patients and healthcare workers on gout and its treatment to reduce the burden of chronic gout in Sarawak.
References
Roddy E, Doherty M (2010) Epidemiology of gout. Arthritis Res Ther 12(6):223 (Epub 2010 Dec 21)
Brook RA, Forsythe A, Smeeding JE, Lawrence Edwards N (2010) Chronic gout: epidemiology, disease progression, treatment and disease burden. Curr Med Res Opin 26(12):2813–2821 (Epub 2010 Nov 4)
Nan H, Qiao Q, Dong Y, Gao W, Tang B, Qian R, Tuomilehto J (2006) The prevalence of hyperuricemia in a population of the coastal city of Qingdao, China. J Rheumatol 33:1346–1350
Chou CT, Pei L, Chang DM, Lee CF, Schumacher HR, Liang MH (1994) Prevalence of rheumatic diseases in Taiwan: a population study of urban, suburban, rural differences. J Rheumatol 21:302–306
Klemp P, Stansfield SA, Castle B, Robertson MC (1997) Gout is on the increase in New Zealand. Ann Rheum Dis 56:22–26
Health Facts Sarawak (2006) Sarawak State Health Department (Information and Documentation Unit)
Wallace SL, Robinson H, Masi AT, Decker JL, Mccarty DJ (1977) Preliminary criteria for the classification of the acute arthritis of primary gout. Arthritis Rheum 20:895–900
Kim KY, Ralph Schumacher H, Hunsche E, Wertheimer AI, Kong SX (2003) A literature review of the epidemiology and treatment of acute gout. Clin Ther 25:1593–1617
Shah A, Keenan RT (2010) Gout, hyperuricemia, and the risk of cardiovascular disease: cause and effect? Curr Rheumatol Rep 12(2):118–124
Kuo CF, See LC, Luo SF, Ko YS, Lin YS, Hwang JS, Lin CM, Chen HW, Yu KH (2010) Gout: an independent risk factor for all-cause and cardiovascular mortality. Rheumatology (Oxford) 49(1):141–146 (Epub 2009 Nov 20)
Roddy E, Mallen CD, Hider SL, Jordan KP (2010) Prescription and comorbidity screening following consultation for acute gout in primary care. Rheumatology (Oxford) 49(1):105–111 (Epub 2009 Nov 17)
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We would like to acknowledge the support of the Ministry of Health, Malaysia, for technical support of the study.
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Teh, C.L., Cheong, Y.K., Ling, H.N. et al. A profile of gout patients in Sarawak. Rheumatol Int 33, 1079–1082 (2013). https://doi.org/10.1007/s00296-011-2245-8
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DOI: https://doi.org/10.1007/s00296-011-2245-8