The power of us: breaking barriers and bridging the gap of ultrasound in rheumatology to empower a new generation
- PMID: 38653847
- DOI: 10.1007/s10067-024-06973-w
The power of us: breaking barriers and bridging the gap of ultrasound in rheumatology to empower a new generation
Abstract
Objective: This study assesses musculoskeletal ultrasound (MSUS) knowledge, attitudes, and practices among young rheumatologists in Mexico, aiming to identify barriers and facilitators to its clinical use.
Methods: An online survey distributed to a network of young rheumatologists captured demographics, institutional, and personal MSUS information. Multivariable analysis identified factors associated with positive MSUS attitudes.
Results: Ninety-six rheumatologists (39.18% national response rate) completed the survey. Of respondents (54.2% females, median age 35.1 years), 81.2% deemed MSUS necessary in clinical rheumatology. The main barriers included limited training access (56.2%) and required training time (54.1%). Lack of scientific evidence was not a major barrier (60.4%). Positive MSUS attitudes were associated with learning from conferences (p = 0.029) and colleagues (p = 0.005), formal (p = 0.043), and in-person training (p = 0.020), MSUS use in practice (p = 0.027), and use by radiologists in their institute (p < 0.001). Interest in learning MSUS (88.5%) was significantly higher in those with positive attitudes (94.4%, p < 0.001). Elastic net analysis identified key drivers, including learning MSUS from conferences, colleagues, and in residency; using MSUS in practice; respondent-performed MSUS; and MSUS use by radiologists. Statistically significant associations were found with using MSUS for synovitis/inflammatory joint disease (OR = 1.43, 95% CI 1.00-2.05) and MSUS use by radiologists in respondent's institutes (OR = 1.70, 95% CI 1.20-2.90).
Conclusion: Most young rheumatologists in Mexico recognize the necessity of MSUS in clinical practice. By addressing identified barriers, encouraging rheumatologist-radiologist collaboration, and establishing a regulatory body to certify rheumatologist's MSUS experience, there is an opportunity to empower them with the necessary skills for effective MSUS use, ultimately benefiting patient care.
Keywords: Early diagnosis; Medical education, attitudes, practice; Patient care; Point-of-care ultrasound; Rheumatology, ultrasound, musculoskeletal ultrasound; Surveys and questionnaires.
© 2024. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR).
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References
-
- Backhaus M et al (2001) Guidelines for musculoskeletal ultrasound in rheumatology. Ann Rheum Dis 60(7):641–9. https://doi.org/10.1136/ard.60.7.641 - DOI - PubMed - PMC
-
- Koppikar S, Diaz P, Kaeley GS, Eder L (2023) Seeing is believing: smart use of musculoskeletal ultrasound in rheumatology practice. Best Pract Res: Clin Rheumatol 37(1):101850. https://doi.org/10.1016/j.berh.2023.101850 - DOI - PubMed
-
- McAlindon T et al (2012) American College of Rheumatology Report on reasonable use of musculoskeletal ultrasonography in rheumatology clinical practice. Arthritis Care Res (Hoboken) 64(11):1625–40. https://doi.org/10.1002/acr.21836 - DOI - PubMed
-
- Möller I et al (2017) The EULAR standardised procedures for ultrasound imaging in rheumatology. Ann Rheum Dis 76(12):2017. https://doi.org/10.1136/annrheumdis-2017-211585 - DOI
-
- Dejaco C et al (2022) EULAR points to consider for the use of imaging to guide interventional procedures in patients with rheumatic and musculoskeletal diseases (RMDs). Ann Rheum Dis 81(6):760. https://doi.org/10.1136/annrheumdis-2021-221261 - DOI - PubMed
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