Gout Arthritis

Arthritis New Zealand advocates for:

  1. All District Health Board (DHBs) to implement measures relating to gout arthritis.
  2. Gout arthritis training for primary care practitioners and across all DHBs.
  3. Ensuring that people who have had two or more gout arthritis attacks in a year are prescribed preventative medication.
  4. Reductions in numbers of people presenting to the Accident and Emergency Departments of hospitals with gout arthritis related problems.
  5. More consumer education in high risk areas. Arthritis New Zealand has developed a Continuing Professional Development (CPD) endorsed educational resource for health practitioners on gout arthritis.

Background

New Zealand has the highest per capita prevalence of gout arthritis in the world and gout arthritis is now the second most common form of arthritis in New Zealand. Māori and Pacific people have a greater genetic predisposition to develop gout arthritis than other ethnicities.  

Gout arthritis is caused by a build-up of uric acid in your blood, which forms sharp crystals in the joints. Gout is an easily managed form of arthritis – effective medications are already funded by the Government. Research evidence shows most gout arthritis is genetic in origin, although diet and other lifestyle factors can precipitate or exacerbate attacks in people with gout arthritis. 

Gout arthritis is underdiagnosed and undertreated. In primary care there is currently a lack of effective/inadequate management of gout arthritis:

  • Māori and Pacific peoples have higher rates of gout arthritis than other ethnicities. Māori and Pacific men are affected at a younger age than other groups.
  • The most at-risk populations (Māori and Pacific men) have the lowest rates of use of medicines that work to prevent gout attacks.
  • Gout contributes to unemployment and time off work.

Most gout arthritis can be managed in primary care with effective medication that lowers the amount of uric acid in the body.  For example, allopurinol is an effective preventative treatment that works for most people and is already subsidised by PHARMAC. Gout arthritis is a life-long condition therefore treatment must be long term, like the treatment of high blood pressure or diabetes. The aim of treatment is to have people with gout reduce their uric acid level to the 0.36mmol/L uric acid target to prevent further gout attacks.

Impact of Gout Arthritis

Gout is more than an intensely painful condition that can lead to joint damage and prevents people from working and participating in their communities. People with gout are also more likely than those without gout to die at a younger age due to cardiovascular and renal complications. Research has shown that those with hyperuricaemia (too much uric acid in their blood) and chronic kidney disease, that are taking urate lowering medicine, have significantly reduced risk of cardiovascular events and renal failure, compared to those not taking the medication. Another study found that patients with gout and diabetes who were taking urate-lowering medicine had significantly lower risk of heart attacked or stroke.

In New Zealand, 40% of people with gout have diabetes and/or cardiovascular disease. Despite this, many patients consider gout to be a condition that merely requires analgesics (pain killers) to control and are not aware of the potential long-term consequences. Raising community awareness about gout is an important role for health professionals in primary care.

One of the challenges of prevention is supporting people to maintain their treatment, even when they are asymptomatic. While diet and lifestyle changes such as maintaining a healthy weight are helpful in reducing risks associated with gout (as with diabetes and cardiovascular disease), urate-lowering medication is usually required to prevent future episodes.

Benefits of treating gout arthritis:

  • Prevention of gout arthritis attacks reduces the impact on health system spending in both primary and secondary care due to less frequent GP visits and reduced hospital admissions.
  • Social and economic benefits due to higher social and work participation.
  • Fewer people receiving a benefit through the benefits system.

Our commitment

Arthritis New Zealand is committed to addressing the health inequity in the management and treatment of gout arthritis for Māori and Pacific people. We have developed tailored education and support services in regions where funding has been provided, however many areas continue to have unmet need. Gout arthritis advice and information can also be accessed through our national 0800 663 463 phone line, Facebook and our website. Your Arthritis

Arthritis New Zealand

Facebook Feed

Beware of Phishing!

As the world went more digital in the wake of the pandemic, so did scammers. There are many types of scams out to try and catch us, and one common one is Email Phishing. Phishing is when someone tries to get personal information (like bank account numbers and passwords), from a large audience, so they can use it to impersonate or defraud people. These emails can look very real, and some will even use the branding and logos of a legitimate organisation to make the email seem genuine.

If you suspect or doubt the authenticity of any email correspondence you receive from Arthritis New Zealand, please phone 0800 663 463 and ask to speak to Joanne Taylor.

Read more about Email Phishing:

www.netsafe.org.nz/phishing/
...

View on Facebook

Enter the iconic Rotorua Marathon 2020 and make every step count by fundraising for Arthritis New Zealand!

The event caters for runners and walkers of all levels, with the Full Marathon (42.2km), Red Stag Timber off-road Half Marathon (21km) as well as a 10km and 5.5km fun run.

If you would like to ‘Race for Good’ for Arthritis New Zealand please select us as your preferred charity in registration and we will be in touch.

Enter today: www.rotoruamarathon.co.nz/
...

View on Facebook

Arthritis New Zealand

Twitter Feed

Stilettos, sex and sleep- although not in that order 😉- lovely conversation 🎙️with @normanswan about high heeled shoes and pain exacerbation in hip #osteoarthritis @RadioNational https://www.abc.net.au/radionational/programs/healthreport/template/12401966

Volunteer with an organisation that has core values that resonate with your own, and gain valuable work experience at the same time.
#volunteers
https://www.arthritis.org.nz/2020/06/19/volunteer-to-gain-valuable-work-experience/

Valerie Milne is a Researcher and has been key in advising us on the development of our peer support programme for the newly diagnosed.

#arthritis #volunteers

https://www.arthritis.org.nz/2020/06/19/volunteering-to-see-that-newly-diagnosed-people-get-more-support/

Peg and Jacob are board members and both have inflammatory arthritis. Read about why they chose to be involved in the organisation and what volunteering means to them…
https://www.arthritis.org.nz/2020/06/19/why-volunteer-to-make-the-lives-of-people-with-arthritis-better/
#nvw2020 #volunteersweek2020

https://www.arthritis.org.nz/2020/06/19/it-company-that-helped-reduce-costs/
"By moving the email of Arthritis New Zealand to Office 365, GoCloud reduced the associated cost by over $50,000.”
#nvw2020 #volunteersweek2020

https://www.arthritis.org.nz/2020/06/18/volunteering-an-essential-part-of-fulfilling-cultural-responsibility/
"For many Māori, mahi aroha is carried out for the benefit of whanau and iwi, it is often seen as an essential part of fulfilling their cultural responsibility to the wider collective."
#nvw2020 #volunteersweek2020

"Being involved with Arthritis New Zealand has taught me that no goal is unattainable with the right mindset and perseverance."
Find out how volunteer camp leader Matt, and the paediatric rheumatology team help people with arthritis. https://bit.ly/318BtjE
#nvw2020 #volunteers

https://bit.ly/2zTR632
Meet Tessa, Hannah and Laura. Tessa and Hannah help us look after some social media groups and Laura did a few video clips sharing her personal tips for managing her arthritis. Thank you for helping us raise awareness!
#nvw2020 #volunteers

Join @HQSCNZ @PHARMACnz @ArthritisNZ and Health Literacy NZ at 7pm on 1 July 2020, for a free webinar on equitable approaches to gout management in Aotearoa New Zealand. Find out more or register at: https://bit.ly/2UXK5pr. #gout #webinar

#nvw2020
Why do our volunteers volunteer?

Local support groups are wonderful, supportive places to meet others with Arthritis in your local community.

Here are some stories from people who volunteer in local support groups… https://www.arthritis.org.nz/2020/06/18/support-group-volunteers/

Load More...

Translate »

Share This

Share this post with your friends!