دورية أكاديمية
Musculoskeletal ultrasound as a screening-tool for rheumatoid arthritis: results of the 'Rheuma-Truck' screening and awareness initiative
العنوان: | Musculoskeletal ultrasound as a screening-tool for rheumatoid arthritis: results of the 'Rheuma-Truck' screening and awareness initiative |
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المؤلفون: | Alexander Lautwein, Benedikt Ostendorf, Stefan Vordenbäumen, Aiko Liedmann, Ralph Brinks, Mario Giulini, Sarah Ohrndorf, Marina Backhaus, Hasan Acar, Oliver Sander, Jutta G. Richter, Matthias Schneider, Philipp Sewerin |
المصدر: | Advances in Rheumatology, Vol 62, Iss 1, Pp 1-8 (2022) |
بيانات النشر: | BMC, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Diseases of the musculoskeletal system LCC:Immunologic diseases. Allergy |
مصطلحات موضوعية: | Musculoskeletal ultrasound, Screening, Rheumatoid arthritis, Osteoarthritis, Diseases of the musculoskeletal system, RC925-935, Immunologic diseases. Allergy, RC581-607 |
الوصف: | Abstract Objective To evaluate musculoskeletal ultrasound (MSUS) as a screening tool for rheumatoid arthritis (RA) and osteoarthritis (OA) patients in a rheumatology-screening program. Patients and methods To raise awareness for rheumatic diseases, a mobile rheumatology office was deployed in different cities of Germany (“Rheuma-Truck”). Standardized questionnaire assessment, testing for rheumatoid factor and citrullinated peptide antibodies and medical student driven MSUS of the clinically dominant hand/foot including wrist, MCP-II, -III, -V, PIP-II, -III, MTP-II and -V were offered free of charge to the population. In case of suspicious results, a rheumatologist was consulted. Results In MSUS, 192 of 560 selected volunteers (aged 18–89, mean 52.7 years; 72.9% female) had suspicious findings including synovitis or erosions primarily affecting the MTP-II (11.8%), dorsal wrist (8.9%), and MCP-II (7%). 354 of the 560 volunteers further visited a rheumatologist of whom 76 were diagnosed with RA. According to the ‘US7 Score’, a sum scores ≥ 5 was significantly predictive for RA (odds ratio (OR) 5.06; confidence interval (CI) 0.83–35.32). 313 volunteers displayed signs of OA including osteophytes, while MCP-II (36.2%), MCP-III (14.8%), and the wrist (10.5%) were mostly affected. Diagnosis of RA was favoured over OA if the wrist (OR 4.2; CI 1.28–13.95), MTP-II (OR 1.62; CI 1.0–2.6), and MCP-V (OR 2.0; CI 1.0–3.8) were involved. Conclusion Medical student driven MSUS by the ‘US7 Score’ can facilitate diagnosis of RA in rheumatology-screening programs due to the level of the score and the affected joints. A high rate of unknown OA signs was detected by MSUS. A mobile rheumatology office displays an opportunity to screen patients for RA and OA. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2523-3106 |
Relation: | https://doaj.org/toc/2523-3106 |
DOI: | 10.1186/s42358-021-00233-0 |
URL الوصول: | https://doaj.org/article/dcc88fe924ed4869af0e278d31c58e44 |
رقم الأكسشن: | edsdoj.88fe924ed4869af0e278d31c58e44 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 25233106 |
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DOI: | 10.1186/s42358-021-00233-0 |