Are Doctors the Best People to Manage Gout? Is There a Role for Nurses and Pharmacists?

  • Zahira Latif
  • Abhishek Abhishek
Crystal Arthritis (L Stamp, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Crystal Arthritis


Purpose of Review

To discuss alternate models of long-term gout management

Recent Findings

Nurse-led care of gout appears to improve the uptake of and adherence to urate-lowering treatment in a research setting. Less impressive improvements were achieved with pharmacist-led remote management of gout; however, both strategies were more effective than usual primary care provider management of gout.


Individualised education about gout, patient involvement in decision-making, and access to trained support in managing side-effects and gout flares can improve the uptake of fine and adherence to urate-lowering treatment. This may be best achieved with nurse-led care of gout. However, further research is required to evaluate if the model of nurse-led care of gout can be implemented in routine clinical practice and in different healthcare systems.


Gout Urate-lowering treatment Nurse-led care Pharmacist-led care 


Compliance with Ethical Standards

Conflicts of Interest

Dr. Abhishek has received departmental research grants from AstraZeneca and Oxford Immunotech and has received speaker fees from Menarini pharmaceuticals.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Academic RheumatologyUniversity of Nottingham, Nottingham City HospitalNottinghamUK

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