Gout hospitalizations on the rise due to lack of prescribed urate-lowering treatment

By: Dr. Victor Marchione | Arthritis | Monday, June 19, 2017 - 06:00 AM

goutGout is a condition caused by a buildup of uric acid, normally around the joint in the big toe. This condition leads to swelling of the toe along with severe pain, which can be crippling to patients. A main treatment goal to reduce gout flare-ups is to eliminate uric acid in the body. Uric acid is a by-product of purines that is found in many foods that we eat. Aside from changing one’s diet to exclude foods that are high in purines, doctors may also prescribe medications i to rid the body of excess urate.

Unfortunately, this lack or urate-lowering treatment is resulting in greater hospital visits for gout patients.

In Sweden alone, hospitalizations between 2000 and 2012 for gout increased from 12.2 percent to 16.7 percent per 100,000 adults. Increases in hospitalizations for gout was the highest in males, especially those over the age of 65. Along with an increase in hospital visits, days spent in the hospital for gout also increased from an average of three days to five days.

Lead author of the study, Dr. Mats Dehlin, explained, “The incidence of hospitalisation for primary gout has increased substantially in Sweden over the last decade, and this is reflected in the associated health care costs. Although we would expect more hospitalisations due to the increasing incidence of gout among an aging population, the problem is being exacerbated by the fact that only one fourth of hospitalised patients were on the recommended ULT preceding their admission.”

Gout is a highly prevalent form of arthritis worldwide and cases have been increasing drastically in North America. Dr. Dehlin added, “It is important to collect these data from different parts of the world as there will be variations in gout prevalence and the course of the disease, due to cultural, ethnic and genetic factors.”

Diet tips to manage gout

As mentioned, the foods we eat can contribute to gout flare ups, so it’s important that you eat the right foods to reduce the symptoms. Foods to avoid entirely in a gout diet include seafood, red meat, sugary beverages, and alcohol. Additionally, persons with gout should limit or completely avoid the following, as these foods are known to be high in purines. Some foods, although containing purines, can still be enjoyed in moderation. These are grouse, mutton, bacon, salmon, turkey, partridge, trout, goose, haddock, and pheasant. If you choose to enjoy these items, you should curb your intake to four to six ounces a day.

Although meat is the primary culprit for gout attacks, patients should also limit their consumption of refined carbohydrates, including white bread, cakes, candy, and pasta—you can consume whole grain pasta, though.

Now that you are aware of what foods to limit or avoid, here is a list of foods that can easily be enjoyed even if you have gout:

  • Beans and lentils
  • Legumes
  • Fluids, especially water
  • Low-fat or fat-free dairy (16-24 oz. daily)
  • Whole grains (like oats, brown rice, and barley)
  • Quinoa
  • Sweet potatoes
  • Fruits and vegetables
  • Spinach
  • Peas
  • Asparagus
  • Cauliflower
  • Mushrooms
  • Plant oils
  • Cherries
  • Coffee
  • Water

Not only will these foods reduce your risk of gout attacks, but they can also aid in and promote weight loss, which may be of great help to many gout patients.

Related: Gout diet: What to eat and what to avoid


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Related Reading:

Purine-rich foods: Foods to avoid to reduce the risk of gout

14 Natural remedies for gout pain relief

Sources:

https://www.eular.org/congresspressreleases/Gout_hospitalisation_exacerbated_by_failure_to_prescribe_recommended_urate-lowering_treatment__OP0262_and_OP0268.pdf

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