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Issue 32 Synovium (Spring 2011)
It becomes increasingly challenging to do all that is necessary, patient-centred, evidence-based and health-promoting and to maximise the QoF points within the 10 minutes of consultation time traditionally allocated in primary care. So we are grateful that BMJ occasionally reminds us how to consult effectively and efficiently for common problems within those 10 precious minutes. The recent article on gout1 was a good case in point. We are disappointed, however, that the use of low-dose colchicine (reported in Synovium 30) as an effective regime that is much more tolerable than traditional dosing, and much safer than those anti-inflammatory drugs, was not recommended as the treatment of choice.
1. Cayley WE Jr. Gout [10-minute consultation]. BMJ 2010 Nov 15;341:c6155.
Note: Among other useful topics covered recently was hallux valgus: Choa R, Sharp R, Mahtani KR. Hallux valgus [10-minute consultation]. BMJ 2010 Sep 27;341;c5130.