Table 7.
Gout Value Chain
| Screening/Preventing | Diagnosing | Preparing | Intervening | Recovering/Rehabbing | Monitoring |
|---|---|---|---|---|---|
| signs/symptoms | Specifying/Ordering Labs/Tests | Intervention Education | Ordering/Administering Drug Therapy | Therapy Fine Tuning | Monitoring /Managing to Avoid Complications |
| Genes | Confusing Conditions | side effects | Treatment | Non-pharmacological Interventions | acute attacks |
| A BC G2 | pseudogout | compliance | efficacy | rest | Lifestyle Modifications |
| SLC 2A9 | Interpreting Test Results | Existing Medications | side effects | topical ice | Complications |
| SLC 22A12 | Consulting with Experts | interactions/counter effects | compliance | reduce alcohol / red meat intake / soft drinks | kidney stones |
| Preventive Strategies | PCP / GP | Contact Further Resources | Performing Procedures | encourage cherry / skim milk powder intake | recurrent gout |
| diet / exercise | Rheumatologist | paid | avoid low temps / dehydration | advanced gout | |
| Medical History | Determining Treatment Plan | non-paid | increase vitamin C / omega-3 fatty acids | Monitoring Therapy Compliance | |
| family history | NSAIDS | Choosing Care Team | bariatric surgery | ULT | |
| etiology | ULT (dosage) | rheumatologist / gout specialist | Inpatient Recovery | ||
| Risk Factors | Acute vs. Chronic | Inpatient / Outpatient Rehab | |||
| behavioral causes | Medical History | Developing Discharge Plan | |||
| current medications | confirmatory signs / symptoms |