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Musculoskeletal ultrasonography in routine rheumatology practice: data from Central and Eastern European countries.


ABSTRACT: The main aim was to gain structured insight into the use of musculoskeletal ultrasonography (MSUS) in routine rheumatology practices in Central and Eastern European (CEE) countries. In a cross-sectional, observational, international, multicenter survey, a questionnaire was sent to investigational sites in CEE countries. Data on all subsequent routine MSUS examinations, site characteristics, MSUS equipment, and investigators were collected over 6 months or up to 100 examinations per center. A total of 95 physicians at 44 sites in 9 countries provided information on a total of 2810 MSUS examinations. The most frequent diagnoses were rheumatoid arthritis (RA) and spondyloarthritis (34.8 and 14.9 % of cases, respectively). Mean number of joints examined was 6.8. MSUS was most frequently performed for diagnostic purposes (58 %), particularly in patients with undifferentiated arthritis, suspected soft tissue disorders, or osteoarthritis (73.0-85.3 %). In RA patients, 56.3 % of examinations were conducted to monitor disease activity. Nearly all investigations (99 %) had clinical implications, while the results of 78.6 % of examinations (51.6-99.0 %) were deemed useful for patient education. This first standardized multicountry survey performed in CEEs provided a structured documentation of the routine MSUS use in participating countries. The majority of MSUS examinations were performed for diagnostic purposes, whereas one-third was conducted to monitor disease activity in RA. A majority of examinations had an impact on clinical decision making and were also found to be useful for patient education.

SUBMITTER: Mandl P 

PROVIDER: S-EPMC4873522 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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Musculoskeletal ultrasonography in routine rheumatology practice: data from Central and Eastern European countries.

Mandl Peter P   Baranauskaite Asta A   Damjanov Nemanja N   Hojnik Maja M   Kurucz Reka R   Nagy Orsolya O   Nemec Petr P   Niedermayer Dora D   Perić Porin P   Petranova Tzvetanka T   Pille Andres A   Rednic Simona S   Vlad Violeta V   Zlnay Martin M   Balint Peter V PV  

Rheumatology international 20160229 6


The main aim was to gain structured insight into the use of musculoskeletal ultrasonography (MSUS) in routine rheumatology practices in Central and Eastern European (CEE) countries. In a cross-sectional, observational, international, multicenter survey, a questionnaire was sent to investigational sites in CEE countries. Data on all subsequent routine MSUS examinations, site characteristics, MSUS equipment, and investigators were collected over 6 months or up to 100 examinations per center. A tot  ...[more]

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