• Michael E Zychowicz, Richard S Pope, and Elke Graser.
• Duke University School of Nursing, Durham, North Carolina, USA.
• J Am Acad Nurse Pract. 2010 Nov 1; 22 Suppl 1: 623-36.

PurposeTo enable clinicians to initiate appropriate steps for long-term management of gout, including controlling acute exacerbations and pain and sustaining target serum uric acid (SUA) levels to control hyperuricemia as the underlying metabolic disorder.Data SourcesIncorporation of pertinent rheumatology and primary care literature seeking a comprehensive overview about the disease state of gout and its symptoms, comorbidities, and impact on quality of life, with a key focus on the role of serum uric acid, evidence-based approaches to long-term management of gout, and the importance of a functioning clinician-patient relationship.ConclusionsGout is increasingly recognized as a prevalent chronic disease state requiring appropriate long-term management while controlling for risk factors and comorbid conditions. Effective treatment options can help gout patients achieve therapeutic SUA targets to control gout flares and prevent potentially destructive disease manifestations. Patient education is an important element in achieving treatment goals and ensuring adherence.Implications For PracticeEffective treatment plans for any gout patient must be guided by a long-term approach that focuses on sustained control of hyperuricemia, while providing continuous control of chronic disease. Patient education can be a key element in this process.©2010 The Author(s) Journal compilation ©2010 American Academy of Nurse Practitioners.

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