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| Name | Class |
|---|---|
| University of Lorraine | OTHER |
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The hypothesis of this study is that musculoskeletal point of care ultrasonography would support the GP's decision and ultimately improve patient management.
The aim of this study is to evaluate, in the context of suspected musculoskeletal abnormality, the contribution of musculoskeletal point of care ultrasonography to the general practitioner's overall decision-making strategy, defined according to the following 5 axes: diagnosis (I), therapy (II), patient orientation (III), prescription of complementary examinations (IV) and follow-up (V).
The study circuit takes place in a single visit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | Other | Patient with musculoskeletal anomalies |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| musculoskeletal ultrasound | Other | After clinical examination and medical interrogation, The investigating physician gives her decisions in the e-CRF according to the 5 axes: diagnosis (I), therapy (II), patient referral (III), prescription of additional tests (IV) and follow-up (V). The investigator performs the targeted musculoskeletal ultrasound with his personal ultrasound machine, following his usual operating procedure and give/keep the final diagnostic. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of patients | Percentage of patients for whom the musculoskeletal point of care ultrasonography led to a change in the GP's overall decision-making strategy (binary yes/no variable) of patients for whom led to a change in the GP's overall decision-making strategy (binary yes/no variable) | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of the anatomical sites | Frequency of the different anatomical sites (shoulder, elbow, arm, etc.) and structures (osteoarticular pathologies, tendon and retinacular pathologies, etc.) concerned | 3 years |
| Frequency of modifications |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Boris Gass, Dr | Contact | 67467111 | 33 | boris.gass@univ-lorraine.fr |
| Paolo Di Patrizio, Pr | Contact | 608376920 | 33 | paolo.di-patrizio@univ-lorraine.fr |
| Name | Affiliation | Role |
|---|---|---|
| Boris Gass, Pr | Central Hospital, Nancy, France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Central Hospital | Nancy | Vandoeuvre Lès Nancy | 54500 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31749019 | Background | Sorensen B, Hunskaar S. Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations. Ultrasound J. 2019 Nov 19;11(1):31. doi: 10.1186/s13089-019-0145-4. | |
| 33675099 | Background | Meyer R, Lin C, Yenokyan G, Ellen M. Diagnostic Utility of Ultrasound Versus Physical Examination in Assessing Knee Effusions: A Systematic Review and Meta-analysis. J Ultrasound Med. 2022 Jan;41(1):17-31. doi: 10.1002/jum.15676. Epub 2021 Mar 5. |
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| ID | Term |
|---|---|
| D009139 | Musculoskeletal Abnormalities |
| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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Frequency of different modifications for each axis and within each axis
| 3 years |
| Frequency of diagnoses of post-CTA confirmation | List and frequency of diagnoses in the case of post-CTA confirmation | 3 years |
| Frequency of diagnoses of post-CTA modifications | List and frequency of diagnoses in the case of post-CTA modifications | 3 years |
| Frequency of incidental diagnoses discovered at CTA | Frequency and description of incidental diagnoses discovered at CTA | 3 years |
| Frequency of modifications per patient | Frequency of different modifications for each axis and within each axis per patient | 3 years |
| Calculation of the cost | Calculation of the cost before and after CTA estimated a posteriori on the basis of the consultation rate | 3 years |
| Rates for the examinations and therapies | the rates for the examinations and therapies described | 3 years |
| Frequency with which CTA | For each doctor: the frequency with which CTA is carried out in his professional practice | 3 years |
| Time taken to carry out the CTA | For each doctor: the time taken to carry out the CTA | 3 years |
| Average number of ultrasound prints | For each doctor: the average number of ultrasound image prints | 3 years |
| Time taken to produce an CTA report | For each doctor: the time taken to produce an CTA report | 3 years |
| 18492916 | Background | Nazarian LN. The top 10 reasons musculoskeletal sonography is an important complementary or alternative technique to MRI. AJR Am J Roentgenol. 2008 Jun;190(6):1621-6. doi: 10.2214/AJR.07.3385. |
| 29490335 | Background | Narula J, Chandrashekhar Y, Braunwald E. Time to Add a Fifth Pillar to Bedside Physical Examination: Inspection, Palpation, Percussion, Auscultation, and Insonation. JAMA Cardiol. 2018 Apr 1;3(4):346-350. doi: 10.1001/jamacardio.2018.0001. |
| 31253102 | Background | Andersen CA, Davidsen AS, Brodersen J, Graumann O, Jensen MB. Danish general practitioners have found their own way of using point-of-care ultrasonography in primary care: a qualitative study. BMC Fam Pract. 2019 Jun 28;20(1):89. doi: 10.1186/s12875-019-0984-x. |