학술논문
Ultrasonography in rheumatology: time to learn from patient views.
Document Type
Academic Journal
Author
Mayordomo L; Department of Rheumatology, Hospital Universitario Valme, Sevilla, Spain.; Molina-Collada J; Department of Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.; Uson J; Department of Rheumatology, Hospital Universitario de Móstoles, Madrid, Spain.; García Vivar ML; Department of Rheumatology, Hospital Universitario Basurto, Bilbao, Spain.; Áñez Sturchio GA; Department of Rheumatology, Hospital Universitario Vall d'Hebrón, Barcelona, Spain.; Corrales A; Department of Rheumatology, Hospital Universitario Marqués de Valdecilla, Santander, Spain.; Castillo-Gallego C; Department of Rheumatology, Hospital Universitario Torrecárdenas, Almería, Spain.; Hernández FF; Department of Rheumatology, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain.; Vicente-Rabaneda EF; Department of Rheumatology, Hospital Universitario de La Princesa, IIS-Princesa, Madrid, Spain.; Jiménez Núñez FG; Department of Rheumatology, Hospital Regional Universitario de Málaga, Málaga, Spain.; Vázquez Gómez I; Department of Rheumatology, Hospital Universitario Doctor Peset, Valencia, Spain.; Alcalde Villar M; Department of Rheumatology, Hospital Universitario Severo Ochoa, Madrid, Spain.; Moragues C; Department of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain.; Castro Corredor D; Department of Rheumatology, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain.; Toyos Sáenz de Miera FJ; Department of Rheumatology, Hospital Universitario Virgen Macarena, Sevilla, Spain.; De Agustín JJ; Department of Rheumatology, Hospital Universitario Vall d'Hebrón, Barcelona, Spain.; Expósito Molinero MR; Department of Rheumatology, Hospital Universitario Basurto, Bilbao, Spain.; Alegre Sancho JJ; Department of Rheumatology, Hospital Universitario Doctor Peset, Valencia, Spain.; Coronel L; Department of Rheumatology, Hospital Universitario Vall d'Hebrón, Barcelona, Spain.; Ramírez Huaranga MA; Department of Rheumatology, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain.; Ruiz-Montesino MD; Department of Rheumatology, Hospital Universitario Virgen Macarena, Sevilla, Spain.; Collado-Ramos P; Department of Rheumatology, Hospital Universitario Severo Ochoa, Madrid, Spain.; González Peñas M; Department of Rheumatology, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain.; Miguélez R; Department of Rheumatology, Hospital Universitario de Móstoles, Madrid, Spain.; Flores Fernández E; Department of Rheumatology, Hospital Universitario Doctor Peset, Valencia, Spain.; Valera-Ribera C; Department of Rheumatology, Hospital Universitario Doctor Peset, Valencia, Spain.; Naredo E; Department of Rheumatology and Joint and Bone Research Unit, Hospital Universitario Fundación Jiménez Díaz, IIS-FJD, Madrid, Spain. enaredo@ser.es.
Source
Publisher: Springer Country of Publication: Germany NLM ID: 8211469 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-9949 (Electronic) Linking ISSN: 07703198 NLM ISO Abbreviation: Clin Rheumatol Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: The objective of this observational, descriptive, cross-sectional, multicentre study was to assess the perceived quality and grade of satisfaction expressed by patients with chronic arthropathies regarding the use of musculoskeletal (MSK) ultrasonography by rheumatologists as an integrated clinical care tool.
Methods: All Spanish rheumatology departments with MSK ultrasonography incorporated in their healthcare services were invited to participate in the study. A Spanish-language survey was offered to fill out anonymously to all consecutive patients with chronic arthropathies under follow-up in the rheumatology outpatient clinics who attended their centre for a period of 3 months. The survey consisted of three sections. The first section contained patients' demographics, disease data, frequency of performing rheumatological ultrasound and information about who performed their ultrasound assessments. The second section consisted of 14 questions about patient's experience and opinion on different aspects of the management, performance and perceived usefulness of performing ultrasound, to be answered on a Likert scale 1-5. The third section of the survey was addressed to the rheumatologist ultrasonographers.
Results: Nine hundred and four patients from 16 university hospital rheumatology departments completed the survey. All questions reached an overall favourable response ≥ 80%. Patients who reported usual ultrasound examinations in their rheumatology care and those in which it was their attending rheumatologist who performed the ultrasound assessments responded more favourably.
Conclusion: Our encouraging patient-centred results may be useful in facilitating the implementation of rheumatological ultrasound in rheumatology care worldwide. Key Points • This is the largest multicentre survey carried out in patients with chronic joint diseases designed to assess their experience and perceived benefits with the use of ultrasonography performed by rheumatologists in daily practice. • Musculoskeletal ultrasound incorporated into rheumatology care was very well accepted and valued by most patients. • The patients perceived that ultrasonography helps not only their rheumatologist but also themselves to better understand their condition. • The patients believed that ultrasonography helps them accept and comply with the proposed treatment.
(© 2023. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR).)
Methods: All Spanish rheumatology departments with MSK ultrasonography incorporated in their healthcare services were invited to participate in the study. A Spanish-language survey was offered to fill out anonymously to all consecutive patients with chronic arthropathies under follow-up in the rheumatology outpatient clinics who attended their centre for a period of 3 months. The survey consisted of three sections. The first section contained patients' demographics, disease data, frequency of performing rheumatological ultrasound and information about who performed their ultrasound assessments. The second section consisted of 14 questions about patient's experience and opinion on different aspects of the management, performance and perceived usefulness of performing ultrasound, to be answered on a Likert scale 1-5. The third section of the survey was addressed to the rheumatologist ultrasonographers.
Results: Nine hundred and four patients from 16 university hospital rheumatology departments completed the survey. All questions reached an overall favourable response ≥ 80%. Patients who reported usual ultrasound examinations in their rheumatology care and those in which it was their attending rheumatologist who performed the ultrasound assessments responded more favourably.
Conclusion: Our encouraging patient-centred results may be useful in facilitating the implementation of rheumatological ultrasound in rheumatology care worldwide. Key Points • This is the largest multicentre survey carried out in patients with chronic joint diseases designed to assess their experience and perceived benefits with the use of ultrasonography performed by rheumatologists in daily practice. • Musculoskeletal ultrasound incorporated into rheumatology care was very well accepted and valued by most patients. • The patients perceived that ultrasonography helps not only their rheumatologist but also themselves to better understand their condition. • The patients believed that ultrasonography helps them accept and comply with the proposed treatment.
(© 2023. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR).)