Details

Autor(en) / Beteiligte

• Wong, Peter K. K.
• Ng, Beverly C. K.
• Mitchell, James
• Han, Joanne
• Lam, Cinda
• Spencer, David
• Cai, Ken
• Manolios, Nicholas

Titel

The disproportionately large contribution of the Māori and Pacific Islander community to the healthcare burden of gout in Western Sydney

Ist Teil von

• Internal medicine journal, 2023-08, Vol.53 (8), p.1450-1457

Ort / Verlag

Melbourne: John Wiley & Sons Australia, Ltd

Erscheinungsjahr

2023

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• Background Gout is a common chronic inflammatory disorder due to monosodium urate deposition, which results in severe inflammatory arthritis. It is particularly common in those of Māori or Pacific Islander heritage. There is a significant number of this at‐risk ethnic group in western Sydney. Aims To determine the healthcare burden of gout in Western Sydney. Methods We characterised patients managed in the emergency departments (EDs) of the four Western Sydney Local Health District (WSLHD) hospitals and those admitted for gout as the primary or secondary diagnosis from 1 January 2017 to 31 December 2018. Results There were 472 patients managed in ED on 552 occasions at a direct cost to the LHD of A$367 835. Those of Māori or Pacific Islander ethnicity comprised 25.2% (n = 119/472), while half (n = 39/80) of those managed in ED for gout on two or more occasions were of Māori or Pacific Islander ethnicity. Overall, 310 patients were admitted with gout as the principal diagnosis on 413 occasions at a cost of A$1.73 million. Seventy‐five (24.2%) of the 310 patients were of Māori or Pacific Islander heritage. A total of 584 WSLHD inpatients had gout as a secondary diagnosis. This was associated with 714 admissions. Conclusions The disproportionately large healthcare burden of gout in Western Sydney from the relatively small Māori and Pacific Islander population needs attention. Urgent culturally appropriate interventions to address gout are required to address this inequality.