A study1 of the diagnosis and treatment
of gout in England revealed that less than 10% of patients diagnosed as having
gout were referred to rheumatologists, making it a disease most often treated
by primary care physicians. The rates of gout reported in primary care practices
varied enormously, as did treatment of patients diagnosed as having this condition.
Despite centuries of study of gout and the availability of effective treatment
for most patients, the proper diagnosis and treatment of gout are still problematic.
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