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This image is from Hamburger, Max I., et al. “Many Gout Patients Treated By Rheumatologists Do Not Meet Established Treatment Goals Despite Long-Term Urate Lowering Therapy: Results Of a Gout Patient Encounter Survey.” Arthritis and Rheumatism. Vol. 65. 111 RIVER ST, HOBOKEN 07030-5774, NJ USA: WILEY-BLACKWELL, 2013.

127 rheumatologists submitted 2,380 patient encounter forms. Patients were mostly male (79%) with mean age of 61 years. 68% of encounters were ACR scenarios 1-3, 4% were 4-6 and 28% were 7-9. 24% of patients were on Higher Dose ULT. Among those on Higher Dose ULT, 50% had an SUA >6 mg/dl, including 36% in ACR scenarios 1-3, 28% in 4-6 and 68% in 7-9. Despite elevated SUA levels, 45% of encounters did not result in a dose increase or change in ULT at the visit. Figure 1 shows that many patients have an SUA >6 mg/dl, even after 6 months on Higher Dose ULT.

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