The Validity of Gout Diagnosis in Primary Care: Results from a Patient Survey

J Rheumatol. 2019 Nov;46(11):1531-1534. doi: 10.3899/jrheum.180989. Epub 2019 Apr 1.

Abstract

Objective: Validate primary care diagnosis of gout by the Mexico and the Netherlands classification criteria.

Methods: Questionnaires on gout characteristics were sent to all individuals aged ≥ 18 with ≥ 1 International Classification of Diseases, 10th ed. diagnosis of gout at 12 primary care centers.

Results: Positive predictive values for gout diagnosis ranged from 71% for the Netherlands criteria to 80% for the Mexico criteria. Maximum inflammation within 24 h was the most common reported symptom (86%).

Conclusion: The vast majority of gout cases in primary care fulfill classification criteria and are valid for research purposes.

Keywords: DIAGNOSTIC CRITERIA; GOUT.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Gout / classification*
  • Gout / diagnosis*
  • Gout / epidemiology
  • Humans
  • Inflammation
  • Male
  • Middle Aged
  • Primary Health Care*
  • Prognosis
  • Surveys and Questionnaires
  • Sweden / epidemiology
  • Synovial Fluid / chemistry
  • Uric Acid / analysis
  • Uric Acid / blood

Substances

  • Uric Acid