“I can’t bend it and it hurts like mad”: direct observation of gout consultations in routine primary health care

Dowell, Anthony; Morris, Caroline; Macdonald, Lindsay; Stubbe, Maria

doi:10.1186/s12875-017-0662-9

BMC Primary Care

Table 5 Contextual information about 18 individual patient’s gout consultations (n = 31)

From: “I can’t bend it and it hurts like mad”: direct observation of gout consultations in routine primary health care

Consultation Identifier*	Patient age (years)	Practitioner	Incidental or presenting complaint (PC)	Initiator of gout conversation	Point of consultation gout first mentioned	Discussion length; context	Gout medicines mentioned	Lifestyle advice/diet mentioned	Uric acid levels mentioned
DS-GP01–04	41–50	GP	Incidental	Patient	Early	Short; no current symptoms	Yes	Yes	Yes
DS-NS10–01	41–50	Nurse	Incidental	Practitioner	Late	In passing^#	No	Yes	Yes
DS-NS14-02a	51–60	Nurse	Incidental	Practitioner	Late	In passing^#	No	Yes	No
DS-GP19-02b	51–60	GP	Incidental	Patient	Start	Substantive; no current symptoms	Yes	Yes	Yes
DS-NS14-02b	51–60	Nurse	Incidental	Patient	Start	Short; No current symptoms	Yes	Yes	No
DS-GP29–01	41–50	GP	Incidental	Patient	Start	Substantive; acute flare, new diagnosis	Yes	Yes	Yes
DS-NS13-01a	31–40	Nurse	Incidental	Patient	Middle	Short; patient thought they had gout	No	Yes	Yes
DS-NS13-01b	31–40	Nurse	Incidental	Practitioner	Early	Short; following up discussion of previous visit where patient thought they had gout	Yes	No	No
DS-GP18–01	31–40	GP	Incidental	Practitioner	Middle	Substantive; discussion of preventive therapy	Yes	No	No
DS-HP06-01a	31–40	Dietitian	Incidental	Patient	Start	Short; struggling with gout	Yes	Yes	No
DS-HP07-01a	31–40	Podiatrist	Incidental	Patient	Start	Substantive; no current symptoms	Yes	Yes	No
DS-NS13-01c_GP18	31–40	Nurse & GP	Incidental	Patient	Start	Substantive; acute flare	Yes	No	No
DS-HP06-01b	31–40	Dietitian	Incidental	Practitioner	Start	Substantive; acute flare	Yes	Yes	No
DS-HP07-01b	31–40	Podiatrist	Incidental	Practitioner	Start	Substantive; no current symptoms	Yes	No	No
DS-NS13-01d_GP18	31–40	Nurse & GP	Incidental	Patient	Early	Substantive; acute flare subsiding	Yes	No	Yes
DS-NS13-04d_GP21	61–70	Nurse & GP	Incidental	Patient	Start	Short; mention of recent flare	No	No	Yes
DS-NS25–01	51–60	Nurse	Incidental	Practitioner	Early	In passing^#	Yes	No	No
DS-NS27–02	41–50	Nurse	Incidental	Practitioner	Close	In passing^#	Yes	No	Yes
DS-HP10-02a	41–50	Podiatrist	Incidental	Patient	Middle	Short; making conversation	Yes	No	No
DS-HP10-02b	41–50	Podiatrist	Incidental	Patient	Middle	Short; making conversation	Yes	Yes	Yes
IS-GP02–03	41–50	GP	Incidental	Practitioner	Start	Substantive; no current symptoms	Yes	No	No
IS-GP02–14	41–50	GP	PC	Patient	Start	Substantive; acute flare, pre-existing diagnosis	Yes	No	Yes
IS-GP03–06	61–70	GP	Incidental	Practitioner	Late	In passing^#	Yes	No	Yes
IS-GP07–05	61–70	GP	Incidental	Practitioner	Start	In passing^#	Yes	No	No
IS-GP07–06	41–50	GP	Incidental	Practitioner	Middle	In passing^#	Yes	No	No
TS-GP03–08	51–60	GP	Incidental	Practitioner	Middle	In passing^#	Yes	No	No
TS-GP03–12	61–70	GP	Incidental	Practitioner	Start	In passing^#	Yes	No	No
TS-GP03–17	61–70	GP	Incidental	Practitioner	Middle	Short; gout considered before being eliminated	Yes	No	No
TS-GP08–10	51–60	GP	Incidental	Practitioner	Early	In passing^#	Yes	No	Yes
TS-GP09–05	41–50	GP	PC	Patient	Start	Substantive; acute flare, pre-existing diagnosis	Yes	Yes	No
TS-GP14–04	61–70	GP	Incidental	Practitioner	Middle	Substantive; no current symptoms	Yes	No	No

GP General practitioner
^*Consultations prefixed by DS were part of the Diabetes Study, IS the Interaction Study and TS the Tracking Study; a brief description of each study is shown in Table 1
^#In the context of general patient review / medicines and/or blood test review

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