Table 1.

Standards, criteria and targets used in gout audit

Theme of care	Guideline statement	Criteria	Standards
Assessment of gout patients	All patients presenting with acute gout should have SUA, renal function and glucose assessed 4-6wk after acute attack [3]	1.1 Adult patients with a diagnosis of gout have ever had a recorded SUA	≥90%
		1.2 Adult patients with a diagnosis of gout have ever had a recorded eGFR	≥90%
		1.3 Adult patients with a diagnosis of gout have had a recorded serum glucose since diagnosis	≥90%
Management of recurrent gout	The therapeutic goal of urate lowering therapy…is achieved by maintaining the SUA below the saturation point for urate (≤360 μmol/l) [4]	2.1 Adult patients currently prescribed (prescription in the last 2 months) allopurinol have a SUA measured in the last year	≥90%
		2.2 Adult patients currently prescribed (prescription in the last 2 months) allopurinol have an SUA ≤ 360 μmol/l	≥80%
Monitoring of gout patients	Annual measurements of plasma renal function and SUA [3]	3.1 Adult patients with a diagnosis of gout have had a SUA in the last year	≥90%
		3.2 Adult patients with a diagnosis of gout have had a eGFR measured in the last year	≥90%
Lifestyle advice	All patients with gout should be given advice about diet, alcohol restriction, weight management and fluid intake.[3,4]	4.1 Adult patients with a diagnosis of gout with evidence of advice regarding diet recorded	≥90%
	[It is recognised that such information may be provided in written format in a patient information leaflet]	4.2 Adult patients with a diagnosis of gout with evidence of advice regarding alcohol recorded	≥90%
		4.3 Adult patients with a diagnosis of gout with evidence of advice regarding fluid intake recorded	≥90%
		4.4 Adult patients with a diagnosis of gout have a record of BMI	≥90%
Addressing comorbidities	Associated comorbidities and cardiovascular risk factors should be addressed as an important part of the management of gout [4]	5.1 Adult patients with a diagnosis of gout have a recorded CVD risk assessment score	≥90%
		5.2 Adult patients with a diagnosis of gout and a 10 yr risk of CVD ≥20% are prescribed lipid lowering therapy	≥75%
	Diuretic therapy should be stopped if possible in patients with a diagnosis of gout [3,4]	5.3 Adult patients with a diagnosis of gout currently taking diuretics	<25%

CVD, Cardiovascular disease; eGFR, Estimated glomerular filtration rate; SUA, Serum uric acid.