Feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis: a quality improvement among rheumatologists cohort
<p>Abstract</p> <p>Background</p> <p>Quality improvement is important to facilitate valid patient outcomes. Standardized examination procedures may improve the validity of US.</p> <p>The aim of this study was to investigate the learning progress for rheumato...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-03-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2474/13/35 |
| _version_ | 1818029241353109504 |
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| author | Ellegaard Karen Torp-Pedersen Søren Christensen Robin Stoltenberg Michael Hansen Annette Lorenzen Tove Jensen Dorthe V Lindegaard Hanne Juul Lars Røgind Henrik Bülow Per Chrysidis Stavros Kowalski Marcin Danneskiold-Samsoe Bente Bliddal Henning |
| author_facet | Ellegaard Karen Torp-Pedersen Søren Christensen Robin Stoltenberg Michael Hansen Annette Lorenzen Tove Jensen Dorthe V Lindegaard Hanne Juul Lars Røgind Henrik Bülow Per Chrysidis Stavros Kowalski Marcin Danneskiold-Samsoe Bente Bliddal Henning |
| author_sort | Ellegaard Karen |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Quality improvement is important to facilitate valid patient outcomes. Standardized examination procedures may improve the validity of US.</p> <p>The aim of this study was to investigate the learning progress for rheumatologists during training of US examination of the hand in patients with rheumatoid arthritis (RA).</p> <p>Methods</p> <p>Rheumatologists with varying degrees of experience in US were instructed by skilled tutors. The program consisted of two days with hands-on training followed by personal US examinations performed in their individual clinics. Examinations were sent to the tutors for quality control. The US examinations were evaluated according to a scoring sheet containing 144 items. An acceptable examination was defined as > 80% correct scores.</p> <p>Results</p> <p>Thirteen rheumatologists participated in the study. They included a total of 104 patients with RA. Only few of the initial examinations were scored below 80%, and as experience increased, the scores improved (<it>p </it>= 0.0004). A few participants displayed decreasing scores.</p> <p>The mean time spent performing the standardized examination procedure decreased from 34 min to less than 10 minutes (<it>p </it>= 0.0001).</p> <p>Conclusion</p> <p>With systematic hands-on training, a rheumatologist can achieve a high level of proficiency in the conduction of US examinations of the joints of the hand in patients with RA. With experience, examination time decreases, while the level of correctness is maintained. The results indicate that US may be applied as a valid measurement tool suitable for clinical practice and in both single- and multi-centre trials.</p> |
| first_indexed | 2024-12-10T05:16:33Z |
| format | Article |
| id | doaj.art-e283570319144b7ab77e0027de349107 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-10T05:16:33Z |
| publishDate | 2012-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-e283570319144b7ab77e0027de3491072022-12-22T02:00:57ZengBMCBMC Musculoskeletal Disorders1471-24742012-03-011313510.1186/1471-2474-13-35Feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis: a quality improvement among rheumatologists cohortEllegaard KarenTorp-Pedersen SørenChristensen RobinStoltenberg MichaelHansen AnnetteLorenzen ToveJensen Dorthe VLindegaard HanneJuul LarsRøgind HenrikBülow PerChrysidis StavrosKowalski MarcinDanneskiold-Samsoe BenteBliddal Henning<p>Abstract</p> <p>Background</p> <p>Quality improvement is important to facilitate valid patient outcomes. Standardized examination procedures may improve the validity of US.</p> <p>The aim of this study was to investigate the learning progress for rheumatologists during training of US examination of the hand in patients with rheumatoid arthritis (RA).</p> <p>Methods</p> <p>Rheumatologists with varying degrees of experience in US were instructed by skilled tutors. The program consisted of two days with hands-on training followed by personal US examinations performed in their individual clinics. Examinations were sent to the tutors for quality control. The US examinations were evaluated according to a scoring sheet containing 144 items. An acceptable examination was defined as > 80% correct scores.</p> <p>Results</p> <p>Thirteen rheumatologists participated in the study. They included a total of 104 patients with RA. Only few of the initial examinations were scored below 80%, and as experience increased, the scores improved (<it>p </it>= 0.0004). A few participants displayed decreasing scores.</p> <p>The mean time spent performing the standardized examination procedure decreased from 34 min to less than 10 minutes (<it>p </it>= 0.0001).</p> <p>Conclusion</p> <p>With systematic hands-on training, a rheumatologist can achieve a high level of proficiency in the conduction of US examinations of the joints of the hand in patients with RA. With experience, examination time decreases, while the level of correctness is maintained. The results indicate that US may be applied as a valid measurement tool suitable for clinical practice and in both single- and multi-centre trials.</p>http://www.biomedcentral.com/1471-2474/13/35UltrasonographyRheumatoid ArthritisWrist |
| spellingShingle | Ellegaard Karen Torp-Pedersen Søren Christensen Robin Stoltenberg Michael Hansen Annette Lorenzen Tove Jensen Dorthe V Lindegaard Hanne Juul Lars Røgind Henrik Bülow Per Chrysidis Stavros Kowalski Marcin Danneskiold-Samsoe Bente Bliddal Henning Feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis: a quality improvement among rheumatologists cohort BMC Musculoskeletal Disorders Ultrasonography Rheumatoid Arthritis Wrist |
| title | Feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis: a quality improvement among rheumatologists cohort |
| title_full | Feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis: a quality improvement among rheumatologists cohort |
| title_fullStr | Feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis: a quality improvement among rheumatologists cohort |
| title_full_unstemmed | Feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis: a quality improvement among rheumatologists cohort |
| title_short | Feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis: a quality improvement among rheumatologists cohort |
| title_sort | feasibility of a standardized ultrasound examination in patients with rheumatoid arthritis a quality improvement among rheumatologists cohort |
| topic | Ultrasonography Rheumatoid Arthritis Wrist |
| url | http://www.biomedcentral.com/1471-2474/13/35 |
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