Table 2.

Quotes supporting the “minimal or no gout symptoms” theme

Subthemes	Quotes
Absence of pain due to gout flares	“The flare ups are rare ‐ it's under control as in you know, you're not having the repeat pain the repeat flare ups” (participant 4, M).
	“I don't have the pain that you get with gout” (participant 15, M).
	“Now I don't get it…no flare ups or anything” (participant 19, F).
	“Well, I haven't had a gout flare for 12 months at least. I get the occasional little twinge, but you know that doesn't stop me from doing anything” (participant 7, M).
Good physical function	“You know before it would be hard to hold something, hold a cup or anything cause of the pain but now I can do anything, I even knit” (participant 5, F).
	“[I can be active] I get up and go to meetings and I play golf once a week, I get up at my beach and I muck around and do my work and activity. I'm very fortunate so doesn't impact me at all as long as I can keep it under control” (participant 12, M).
	“At the height of the gout when its active or flares up, you can't do anything. You're pretty much chair bound, because to walk or to put pressure on it was just basically the pain was just too hard. So, it [remission]….just allows you [to go on] with normal life” (participant 17, M).
Smaller or no tophi	“I feel like I'm in remission I feel like it's you know well treated and definitely the tophi are improving so that's a positive indicator” (participant 3, M).
	“You definitely haven't gotten in remission if you are getting tophi” (participant 8, M).

Abbreviations: F, female; M, male.