RT Journal Article
SR Electronic
T1 A Delphi Exercise to Identify Characteristic Features of Gout — Opinions from Patients and Physicians, the First Stage in Developing New Classification Criteria
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 498
OP 505
DO 10.3899/jrheum.121037
VO 40
IS 4
A1 Rebecca L. Prowse
A1 Nicola Dalbeth
A1 Arthur Kavanaugh
A1 Adewale O. Adebajo
A1 Angelo L. Gaffo
A1 Robert Terkeltaub
A1 Brian F. Mandell
A1 Bagus P.P. Suryana
A1 Claudia Goldenstein-Schainberg
A1 Cèsar Diaz-Torne
A1 Dinesh Khanna
A1 Frederic Lioté
A1 Geraldine Mccarthy
A1 Gail S. Kerr
A1 Hisashi Yamanaka
A1 Hein Janssens
A1 Herbert F. Baraf
A1 Jiunn-Horng Chen
A1 Janitzia Vazquez-Mellado
A1 Leslie R. Harrold
A1 Lisa K. Stamp
A1 Mart A. Van De Laar
A1 Matthijs Janssen
A1 Michael Doherty
A1 Maarten Boers
A1 N. Lawrence Edwards
A1 Peter Gow
A1 Peter Chapman
A1 Puja Khanna
A1 Philip S. Helliwell
A1 Rebecca Grainger
A1 H. Ralph Schumacher
A1 Tuhina Neogi
A1 Tim L. Jansen
A1 Worawit Louthrenoo
A1 Francisca Sivera
A1 William J. Taylor
YR 2013
UL http://www.jrheum.org/content/40/4/498.abstract
AB Objective. To identify a comprehensive list of features that might discriminate between gout and other rheumatic musculoskeletal conditions, to be used subsequently for a case-control study to develop and test new classification criteria for gout. Methods. Two Delphi exercises were conducted using Web-based questionnaires: one with physicians from several countries who had an interest in gout and one with patients from New Zealand who had gout. Physicians rated a list of potentially discriminating features that were identified by literature review and expert opinion, and patients rated a list of features that they generated themselves. Agreement was defined by the RAND/UCLA disagreement index. Results. Forty-four experienced physicians and 9 patients responded to all iterations. For physicians, 71 items were identified by literature review and 15 more were suggested by physicians. The physician survey showed agreement for 26 discriminatory features and 15 as not discriminatory. The patients identified 46 features of gout, for which there was agreement on 25 items as being discriminatory and 7 items as not discriminatory. Conclusion. Patients and physicians agreed upon several key features of gout. Physicians emphasized objective findings, imaging, and patterns of symptoms, whereas patients emphasized severity, functional results, and idiographic perception of symptoms.