Keywords: gout, daily practice, patient-centered management of gout, contextual factors

"Optimizing the management of patients with gout in daily practice"

This thesis explored several aspects relevant for the management of gout in clinical practice. The different studies contribute to the paradigm of the 21st century that management of gout context and patients’ experiences should be considered. Furthermore, it showed that a treatment focused on serum uric acid with urate-lowering therapy might have some advantages, but also at the expense of more healthcare visits. In addition, this thesis resulted in development of support tools to facilitate shared-decision making and improve adherence to urate-lowering therapy. The studies in this dissertation have contributed to the achievement of a culture shift in patient-tailored management and patient-centered care. Even if it accounts only for a small proportion of gout patients, addressing more patient-tailored management and patient-centered care may lead to better health- and patient-centered outcomes, and thereby a better public health.

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Language: Dutch