Table 1. Demographics of Eligible Members and Members Who Submitted Questionnaires for 2018 and 2020.

From: Changes in Practitioners’ Attitudes toward the Recommendations for Clinical Questions of the Japanese Guideline for Management of Hyperuricemia and Gout, Third Edition between 2018 and 2020 in the Questionnaire’s Surveys: Involving Their Attitude toward the New Questionnaires in 2020

Members who responded in 2018 Eligible members in 2018 Members who responded in 2020 Eligible members in 2020
(n=74) (n=463) (n=61) (n=439)
n (%) n (%) n (%) n (%)
Age ~39 9 (12.2%) 51 (11.0%) 3 (4.9%) 51 (11.7%)
40~49 10 (13.5%) 73 (15.8%) 10 (16.4%) 69 (15.8%)
50~59 23 (31.1%) 127 (27.4%) 22 (36.1%) 134 (30.7%)
60~69 25 (33.8%) 99 (21.4%) 21 (34.4%) 115 (26.4%)
70~ 7 (9.5%) 50 (10.8%) 5 (8.2%) 59 (13.5%)
Unknown 0 (0.0%) 63 (13.6%) 0 (0.0%) 8 (1.8%)
Sex Women 4 (5.4%) 69 (14.9%) 3 (5.0%) 66 (15.1%)
Men 70 (94.6%) 394 (85.1%) 58 (95%) 370 (84.9%)
Specialty Internal Medicine 4 (5.4%) 191 (41.3%) 7 (11.5%) 207 (47.5%)
Rheumatology 13 (17.6%) 45 (9.7%) 14 (23.0%) 25 (5.7%)
Nephrology 17 (23.0%) 49 (10.6%) 11 (18.0%) 47 (10.8%)
Cardiology 16 (21.6%) 35 (7.6%) 14 (23.0%) 23 (5.3%)
Orthopedic surgery 6 (8.1%) 33 (7.1%) 2 (3.3%) 28 (6.4%)
Diabetes, Metabolism and Endocrinology 10 (13.5%) 32 (6.9%) 7 (11.5%) 34 (7.8%)
Hematology and Oncology 3 (4.1%) 13 (2.8%) 3 (5.0%) 10 (2.3%)
Others 5 (6.8%) 65 (14.0%) 3 (5.0%) 62 (14.2%)
Affiliation University 35 (47.3%) 198 (42.8%) 24 (39.3%) 156 (35.8%)
Hospital 23 (31.1%) 128 (27.6%) 24 (39.3%) 138 (31.7%)
Clinic 15 (20.3%) 130 (28.1%) 13 (21.3%) 138 (31.7%)
Others 1 (1.4%) 7 (1.5%) 0 (0%) 4 (0.9%)
Table 2. Details on the Ten Common Questionaries Regarding the Use and Attitudes Toward CPGs between 2018 and 2020 and Proportions of Agreement and/or Disagreement among Responders in 2020.

From: Changes in Practitioners’ Attitudes toward the Recommendations for Clinical Questions of the Japanese Guideline for Management of Hyperuricemia and Gout, Third Edition between 2018 and 2020 in the Questionnaire’s Surveys: Involving Their Attitude toward the New Questionnaires in 2020

Items No Questionnaire of the Use Toward CPG Agree to ① Agree to ② Agree to ③ Agree to ④ Agree to ⑤
n (%) n (%) n (%) n (%) n (%)
1 Which agent among NSAIDs, glucocorticoids, and colchicine is most favorable for gout flares? ①NSAID, ②glucocorticoid, ③colchicine, ④three agents are equal, ⑤I do not know. 31 (50.8) 3 (4.9) 8 (13.1) 14 (23.0) 5 (8.2)
Items No Questionnaire of the Use of and Attitudes Toward CPG Strongly agree and Agree groups Disagree, Strongly disagree, and Other groups
Number (%) Number (%)
2 Do you use ULA to preserve renal function in hyperuricemic patients with kidney disease? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 53 (86.9) 8 (13.1)
3 Do you use ULA to improve patient prognosis and reduce the cardiovascular event risk in hyperuricemic patients with hypertension? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 27 (44.3) 34 (55.7)
4 Is your target serum urate level for treating gout patients with tophi less than 6 mg/dl? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 57 (93.4) 4 (6.6)
5 Do you use ULA to improve the patient’s prognosis in hyperuricemic patients with heart failure? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 23 (37.7) 38 (62.3)
6 Do you use colchicine coverage to prevent recurrence of gout flares in gout patients when initiating ULA? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 33 (54.1) 28 (45.9)
7 Do you provide dietary education to asymptomatic hyperuricemic patients? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 42 (68.9) 19 (31.1)
8 Do you use the guidelines for the management and treatment of hyperuricemia and gout in your daily practice? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 53 (86.9) 8 (13.1)
9 Do you find the recommendations for CQ 1 to 7 useful in your daily practice? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 55 (90.2) 6 (9.8)
10 Did this guideline help you identify a theme for your clinical research or an important clinical issue for future CQs? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 49 (80.3) 12 (19.7)
Table 3. Details on the Seven New Questionaries in 2020 regarding the Use and Attitudes toward CPGs and Proportions Of Agreement and/or Disagreement among Responders in 2020.

From: Changes in Practitioners’ Attitudes toward the Recommendations for Clinical Questions of the Japanese Guideline for Management of Hyperuricemia and Gout, Third Edition between 2018 and 2020 in the Questionnaire’s Surveys: Involving Their Attitude toward the New Questionnaires in 2020

Items No Questionnaire on the Use of and Attitudes Toward CPG Strongly agree and Agree groups (%) Disagree, Strongly disagree, and Other groups (%)
11 Are the algorithms of this guideline comprehensive? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 56 (91.8) 5 (8.2)
12 Did you change your therapeutic approach after using this guideline? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 41(67.2) 20 (32.8)
13 Did you gain more confidence in the treatment of hyperuricemia and gout after using this guideline? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 45 (73.8) 16 (26.2)
14 Do you use this guideline to inform your decision-making with patients? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 43 (70.5) 18 (29.5)
15 Do you think this guideline may restrict the discretion of the physician? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 15 (24.6) 46 (75.4)
16 Do you use this guideline for educating medical students and medical interns? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 31 (50.8) 30 (49.2)
17 Do you use this guideline to communicate with medical staff? ①strongly agree, ②agree, ③disagree, ④strongly disagree, ⑤ I do not know. 28 (45.9) 33 (54.1)
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