Gout Flare Severity From the Patient Perspective : A Qualitative Interview Study

© 2020, American College of Rheumatology..

OBJECTIVE: The patient experience of a gout flare is multidimensional. To establish the most appropriate methods of flare measurement, there is a need to understand the complete experience of a flare. This qualitative study aimed to examine what factors contribute to the severity of a flare from the patient perspective.

METHODS: Face-to-face interviews were conducted with patients with gout. Participants were asked to share their experience with their worst gout flare and contrast it to their experience of a less severe or mild flare. Interviews were audio recorded and transcribed verbatim. Data were analyzed using a reflexive thematic approach.

RESULTS: In total, 22 participants with gout (17 male participants, mean age 66.5 years) were interviewed at an academic center in Auckland, New Zealand. Four key themes were identified as contributing to the severity of a flare: 1) flare characteristics (pain intensity, joint swelling, redness and warmth, duration, and location); 2) impact on function (including walking, activities of daily living, wearing footwear, and sleep); 3) impact on family and social life (dependency on others, social connection, and work); and 4) psychological impact (depression, anxiety, irritability, and sense of control).

CONCLUSION: A wide range of interconnecting factors contribute to the severity of a gout flare from the patient perspective. Capturing these domains in long-term gout studies would provide a more meaningful and accurate representation of cumulative flare burden.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:74

Enthalten in:

Arthritis care & research - 74(2022), 2 vom: 26. Feb., Seite 317-323

Sprache:

Englisch

Beteiligte Personen:

Garcia-Guillen, Andrea [VerfasserIn]
Stewart, Sarah [VerfasserIn]
Su, Isabel [VerfasserIn]
Taylor, William J [VerfasserIn]
Gaffo, Angelo L [VerfasserIn]
Gott, Merryn [VerfasserIn]
Slark, Julia [VerfasserIn]
Horne, Anne [VerfasserIn]
Dalbeth, Nicola [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 14.02.2022

Date Revised 14.02.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/acr.24475

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315968397