Document Detail


Impact of musculoskeletal ultrasound in an outpatient rheumatology clinic.
MedLine Citation:
PMID:  22972772     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the impact of musculoskeletal ultrasound (MSUS), as a complementary method to clinical assessment, on rapid diagnosis and therapeutic decisions in a busy outpatient rheumatology clinic. METHODS: Sixty patients with different musculoskeletal complaints were included. Three expert rheumatologists made the clinical examination (CE) and filled a standardized clinical report sheet with the following parameters: general and /or local diagnoses planned systemic and /or local treatment and their decision concerning the use of MSUS evaluation complementary to CE. Another rheumatologist, blinded to clinical data, performed the MSUS assessment of the anatomic areas selected by the clinicians. The impact of the new information obtained by MSUS on the initial diagnosis and therapeutic strategy was estimated by the degree of change in the initial clinical diagnosis and therapy decisions. RESULTS: Out of 60 patients (67 anatomical areas), MSUS was considered as necessary after CE in 39 (65%) patients totaling 43 (64.17%) anatomical areas. An overall change of the initial clinical diagnosis was present in 60% of the areas (p = 0.0175). In all (100%) areas the new diagnosis was more objective and detailed. An overall change of the initial systemic therapy was present in 25% (p = 0.0014) and in 36% (p = 0.095) for local therapy. A guided diagnostic aspiration was decided to be performed in 15% areas and a guided therapeutic injection in 22%. CONCLUSION: Enhanced information obtained by MSUS evaluation leads to changes with significant impact on the initial diagnosis and treatment strategy designed after CE. © 2012 by the American College of Rheumatology.
Authors:
Mihaela C Micu; María Alcalde; José Ignacio Sáenz; Manuel Crespo; Paz Collado; Sorana D Bolboacă; Esperanza Naredo
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-12
Journal Detail:
Title:  Arthritis care & research     Volume:  -     ISSN:  2151-4658     ISO Abbreviation:  Arthritis Care Res (Hoboken)     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518086     Medline TA:  Arthritis Care Res (Hoboken)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 by the American College of Rheumatology.
Affiliation:
Division of Rheumatology, Department of Rehabilitation II, Rehabilitation Clinical Hospital Cluj- Napoca, Romania. mcmicu@yahoo.com.
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