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Table 2 Main themes ranked by nominal group technique (NGT) participants

From: Gout and comorbidity: a nominal group study of people with gout

Theme Score
NGT1, 3 people: 3 male; 3 African-American; 18 votes
 A. When gout attacks it affects my movement, to walk and work 9
 B. Before I got on the treatment, that I am on right now, the medicine made me sick (allopurinol associated nausea and allergic reaction) 5
 C. Negative response to blood pressure treatment 2
 D. Someone I know lost a lot of weight due to active gout that affected his other conditions 1
 E. During a gout attack, gout test and potassium levels went high and had to be treated 1
NGT2, 10 people; 4 male, 6 female; 4 white, 5 African-American, 1 Asian; 60 votes
 A. It affects everyday body and brain functions, movement, physical or mental; it makes me less independent 18
 K. Problem with misdiagnosis: It took a longer time frame for diagnosis of the actual problem in my joints, which is psoriatic arthritis, not gout 7
 F. More Depression/anxiety due to gout 4
 E. Pain of gout increases your blood pressure and messes with the heart condition 4
 G. Specific diet advise differs between conditions, leading to contradictions, low protein for gout vs. high protein for other conditions; With restriction for diabetes and gout, what is left to eat? 4
 B. I have kidney problems they had to take me off colchicine, since it was causing kidney problems; I was put on colchicine, caused gastric problems, has to be stopped 10
 G. I am diabetic, trying to avoid carbs; proteins that want to take to help regulate my diet, are problematic with gout; I was prescribed fish oil for lowering cholesterol but can’t take that due to gout 3
 J. Had problems with weight gain due to fluid retention due to gout; excessive weight gain due to steroids caused sleep apnea 3
 E. I have pulmonary hypertension, heart failure, it does not help 3
 C. It interferes with other medications and makes me tired- I take so much medicine 2
 H. Kidney stones were calcium oxalate only, now they are urate and calcium oxalate since I got gout 2
NGT3, 5 people; 2 male, 3 female; 4 white, 1 African-American; 30 votes
 I. My joints are so sore now all the time, wondering if they are damaged due to (gout) flares 8
 B. Some of the gout medications such as prednisone can cause weight gain, diabetes and affect eyesight; NSAIDs cause bleeding 8
 E. I did not have high blood pressure until I was diagnosed with gout- not sure it caused it 9
 J. Having gout makes me immobile, which makes it hard for me to loose weight 4
 K. New diagnosis of rotator cuff for the last 3 weeks: Gout caused it to be misdiagnosed 1
NGT4, 5 people; 4 male, 1 female; 1 white, 3 African-American, 1 Asian; 30 votes
 B. Gout treatment, in particular, prednisone caused weight gain; acid reflux due to pain medications for gout 12
 H. Gout putting you at risk for other conditions 7
 J. Immobility and inability to exercise due to gout 5
 K. Gout being confused with other conditions – I was tested for leg clots many times 4
 E. Higher dose of allopurinol made my diabetes worse 2
NGT5, 4 people; 3 male, 1 female; 3 white, 1 African-American; 24 votes
 B. Gout medicines over long period time cause renal failure, stomach upset, stomach ulcers, hip necrosis 19
 H. Gout crystals caused me the “kidney problem”- kidney damage – “They are like razor knives, they cut your tissue – your kidney, other organs” 3
 L. The medication I take caused me to get my liver checked often 2
NGT6, 7 people; 7 male; 4 white, 2 African-American, 1 Hispanic; 42 votes
 A. It affects my ability to work- “No body goes to work with gout, you have to be wheel-chaired in” 12
 L. Very expensive disease to control- Colchicine went from a few dollars a month to high price and co-pay overnight 8
 B. Side effects- Indocin can mess up your liver; Colchicine and me don’t agree 9
 J. It affects my ability to do my work-out regimen, I work out 3-4 times a week 5
 F. It affects my ability to concentrate and stay focused- When I am in such abstract pain, I can’t do anything 3
 L. Frequent regular visits to the doctor and the lab to monitor various levels of everything to adjust medications - Access to doctors is an issue, when I have to travel, if something happens, whom do I call? 3
 E. It totally incapacitates me and causes me to be hospitalized 1
 I. Used to have Achilles tendinitis which was due to gout- Had one surgery for my broken ankle and then others due to arthritis I had due to my gout crystals damaging my joints 1
NGT7, 6 people; 1 male 5 female; 3 white, 3 African-American; 36 votes
 A. Since you can not walk because of your pain, you are going to gain weight, and it will impact heart, lungs and body conditioning 19
 F. Makes me depressed 7
 E. It affects my eczema, when it is (gout flare) in my foot, the foot is itching all the time, and it bleeds if I itch it; it affects my blood pressure 7
 B. A lot of gout medications affect kidneys and liver, especially the pain medication, so you can’t take a lot of it 3
NGT8 2 people; 1 male, 1 female; 2 African-American; 12 votes
 B. Gout medication – I was allergic to allopurinol; ibuprofen and Aleve scarred my kidney 7
 C. Some of the medicines I can not take with my gout medicine- they interact- Gleevac and colchicine 5
NGT9; 3 people; 3 male; 3 white: 12 votes (1 patient left before the vote)
 H. Gout is causing other health conditions- I think it (can) lead to heart disease, diabetes, cholesterol problems, artery stiffness and clogging 4
 E. It has affected sleep and that affects my overall health- Flares as well as when the gout hurts all the time 2
 B. At the back of my mind, I am concerned about the fact that the medicine is affecting my body 1
 A. Limits going to work, activity, socializing and going out 5
 I. Joints wear out quicker because of gout- I had two joints repaired, in wrist and ankle 0
  1. Each patient gave 3 points to the highest rank, 2 points to the second highest and 1 point to the third highest rank. In most cases, the number of total votes is the number of patients × 6, except in one case when the patient left before voting, due to transportation issues (NGT9)