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Trial registered on ANZCTR
Registration number
ACTRN12614001177640
Ethics application status
Approved
Date submitted
1/10/2014
Date registered
10/11/2014
Date last updated
7/06/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of a package of care on outcomes in patients with gout
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Scientific title
Effect of a package of care on serum urate levels in gout patients in a rural general practice setting
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Secondary ID [1]
285426
0
NIL
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Gout
293185
0
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Condition category
Condition code
Musculoskeletal
293459
293459
0
0
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Other muscular and skeletal disorders
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Inflammatory and Immune System
293640
293640
0
0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Patients with gout receive a package of care from the GP which represents best clinical practice (based on ACR and EULAR guidelines). This will include
1. medication for acute gout as well as long term urate lowering therapy - this may be no different from the historical controls other than more focus on achieving appropriate treatment targets
2. education about the causes and management of gout - unknown what the controls received
3. screening for co-morbidities associated with gout including heart disease, diabetes and kidney disease - unknown what the controls received.
There is no specified treatment period as this is individualised The only proceedures outside of nornal clinical practice are that we will monitor whether patients take allopurinol (one form of urate lowering medication) through blood tests.
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Intervention code [1]
290351
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Not applicable
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Comparator / control treatment
Will will compare outcomes with retrospective data from the same medical practice. Treatment in the historical control group was at the discretion of the treating general practitioner. The audit will determine how appropriate and successful this was. Historical data will be collected from 1/1/2012-31/12/2012 -
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Control group
Historical
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Outcomes
Primary outcome [1]
293278
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Number of patients on urate lowering therapy from medication records and though blood tests
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Assessment method [1]
293278
0
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Timepoint [1]
293278
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12 months
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Primary outcome [2]
293279
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Number of patients with serum urate <0.36mmol/l
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Assessment method [2]
293279
0
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Timepoint [2]
293279
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12 months
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Secondary outcome [1]
310705
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Number of gout patients screened for comorbidities associated with gout from medical records
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Assessment method [1]
310705
0
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Timepoint [1]
310705
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12 months
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Eligibility
Key inclusion criteria
Gout
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Unwilling to provide consent
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/11/2014
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Actual
5/01/2015
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Date of last participant enrolment
Anticipated
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Actual
6/10/2015
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Date of last data collection
Anticipated
15/09/2016
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Actual
31/12/2016
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Sample size
Target
90
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Accrual to date
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Final
68
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Recruitment outside Australia
Country [1]
6386
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New Zealand
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State/province [1]
6386
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Canterbury
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Funding & Sponsors
Funding source category [1]
290031
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Government body
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Name [1]
290031
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Health Research Council of New Zealand
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Address [1]
290031
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PO Box 5541
Wellesley Street
Auckland 1141
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Country [1]
290031
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New Zealand
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Funding source category [2]
290032
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Hospital
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Name [2]
290032
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Canterbury District Health Board
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Address [2]
290032
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Private Bag 4710
Christchurch 8014
New Zealand
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Country [2]
290032
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
POBox 4345
Christchurch 8014
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Country
New Zealand
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Secondary sponsor category [1]
288723
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None
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Name [1]
288723
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Address [1]
288723
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Country [1]
288723
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291738
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Health and Disability Ethics Committee of New Zealand
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Ethics committee address [1]
291738
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PO Box 5013 Wellington 6011
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Ethics committee country [1]
291738
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New Zealand
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Date submitted for ethics approval [1]
291738
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05/10/2014
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Approval date [1]
291738
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28/10/2014
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Ethics approval number [1]
291738
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14/CEN/163
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Summary
Brief summary
Gout is a common problem particularly in New Zealand. The majority of patients with gout are managed in primary care. Guidelines for management are well established and there are effective medications to prevent gout, but few patients achieve treatment targets, leading to painful gout attacks and eventual joint damage. We have implemented an integrated package of care, designed to be delivered in general practice that incorporates education, gout treatment and appropriate screening and management of important co-morbidities associated with gout such as heart disease and diabetes. Herein we will examine the effetcs of the package of care in a rural general practice setting, Kaikoura. We will determine whether more patients reach treatment targets and are screened for and where appropriate receive treatment for co-morbidities. Outcomes will be compared to retrospective data from the same medical practice.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
51810
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Prof Lisa Stamp
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Address
51810
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POBox 4345
University of Otago, Christchurch
Christchurch 8014
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Country
51810
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New Zealand
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Phone
51810
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+ 64 3 364 0253
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Fax
51810
0
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Email
51810
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[email protected]
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Contact person for public queries
Name
51811
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Lisa Stamp
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Address
51811
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POBox 4345
University of Otago, Christchurch
Christchurch 8014
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Country
51811
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New Zealand
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Phone
51811
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+ 64 3 364 0253
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Fax
51811
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Email
51811
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[email protected]
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Contact person for scientific queries
Name
51812
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Lisa Stamp
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Address
51812
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POBox 4345
University of Otago, Christchurch
Christchurch 8014
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Country
51812
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New Zealand
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Phone
51812
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+ 64 3 364 0253
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Fax
51812
0
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Email
51812
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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