Home > Review Articles > Ethnicity data > Interventions designed to improve uptake of allopurinol for gout treatment in Aotearoa New Zealand

Interventions designed to improve uptake of allopurinol for gout treatment in Aotearoa New Zealand

Making Education Easy

From Māori Health Review Issue 103
Authors:
  • Ofanoa S et al.
Summary:

Gout interventions in New Zealand do not sustain retention, completion, and engagement for certain population groups, particularly Māori and Pasifika, according to a recent scoping review. Intervention studies aiming to improve allopurinol uptake for gout treatment were identified via a systematic search of Medline, Scopus, Embase, CINAHL Plus and grey literature, and 18 were included in the review. Interventions were clustered into three domains: multifaceted or multi-practitioner; gout app; and online booklets or fact sheets. Most interventions used multifaceted or multi-practitioner approaches, and these approaches were able to improve serum urate levels. The gout app was only able to improve patients’ awareness and understanding of gout and medications. Online fact sheets and booklets need more active utilisation by health professionals to improve patient health literacy.

Comment:
Great to see a review of all the evidence in one place for gout prevention treatment – especially for people like me who see it every day in clinic. There is increasing evidence for considering allopurinol in people with elevated urate and high cardiovascular risk too. Given higher cardiovascular disease rates for Māori and Pacific people, we need to address the gaps identified here.
Reference: J Prim Health Care. 2023;15(1):48-58.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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