Performance of a Supervised Nurse-led Outpatient Clinic for Difficult-to-manage Gout Patients at a Tertiary Center

Abstract Background Gout is the among the most prevalent arthritides worldwide and is associated with high morbidity, cardiovascular risk, and substantial healthcare burden. Despite effective urate-lowering therapies (ULT), many patients remain undertreated, particularly those with severe or complex disease. Nurse-led gout management has improved outcomes in primary care, but data in multimorbid tertiary center populations are lacking. Objective To evaluate the effectiveness of a supervised nurse-led gout clinic in achieving and maintaining serum urate (UA) targets in a tertiary hospital cohort. Methods In this observational study at University Hospital Bern (May 2023–Jan 2026), 69 patients with confirmed gout were enrolled. Patients were assigned to UA targets of