Discuss the incidence and prevalence of Gout, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the disease

Discuss the incidence and prevalence of Gout, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the disease.

MODEL ANSWER 

The prevalence and incidence of gout varies widely around the world, with developed countries generally having higher prevalence than developing PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER combination of genetic and environmental factors contributes to the development of gout, according to a review of literature published in the November issue of Nature Reviews PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER the most common form of inflammatory arthritis, is caused by the deposition of monosodium urate crystals in and around thePLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER to this review of contemporary epidemiology of gout since 2007, the reported prevalence of gout worldwide ranges from 0.1% to approximately 10%, and the incidence PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER per 1,000 person-years. Prevalence of gout worldwide PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER is common in most countries in North America and Western Europe, with prevalence in the 1–4% range. In the United States, 3.9% of the adult PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER(age ≥20 years) self-reported gout between 2007–2008, according to one study cited in the review.

​“The prevalence of gout in PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER affluent countries seems to be increasing in recent decades. However, only a few studies give reliable data on secular trends in gout prevalence. The US NHANES study PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER a significantly higher age-adjusted prevalence (3.9%) in 2007–2008 than the estimate in 1988–1994 (2.9%). This trend paralleled an observed increase in PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER,” the authors wrote.

In a larger study of PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER patients aged 45–64 years who were followed from 1987 to 2012, estimated the incidence of gout at 0.84 per cases 1,000 person-years. But the highest prevalence worldwide is reported in Taiwanese aboriginals and Maori, with some PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER of more than 10%. Gout is reportedly rare in former Soviet Union regions, Guatemala, Iran, Malaysia, Philippines, Saudi Arabia, rural Turkey and African countries, PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER authors note. The prevalence of gout in more affluent countries seems to be increasing in recent decades. This trend parallels an observed PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER in hyperuricaemia. Although there are sparse data on the prevalence of gout in developing countries, in general, gout prevalence appears to be……….PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER…….

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