Perceptions of Doppler ultrasound for rheumatoid arthritis disease activity assessment and education

Autor: Peter K. K. Wong, Ray White, Evange Romas, Mona Marabani, Fredrick Joshua, Christine Bailey
Rok vydání: 2017
Předmět:
Male
musculoskeletal diseases
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Attitude of Health Personnel
Arthritis
Disease
Severity of Illness Index
Medication Adherence
Arthritis
Rheumatoid
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Patient Education as Topic
Rheumatology
Acquired immunodeficiency syndrome (AIDS)
Predictive Value of Tests
Surveys and Questionnaires
Severity of illness
medicine
Humans
030212 general & internal medicine
Qualitative Research
Aged
030203 arthritis & rheumatology
Audiovisual Aids
business.industry
Australia
Ultrasonography
Doppler
Middle Aged
medicine.disease
Patient Satisfaction
Antirheumatic Agents
Predictive value of tests
Rheumatoid arthritis
Physical therapy
Feasibility Studies
Female
Joints
Rheumatologists
Comprehension
business
Patient education
Zdroj: International Journal of Rheumatic Diseases. 22:55-61
ISSN: 1756-1841
Popis: Aim The aim of this qualitative study was to report the findings of the Defining rheumatoid arthritis progression using Doppler Ultrasound in Clinical practice (DEDUCE) Medical Practice Activity, which was developed to facilitate the utilization of Doppler ultrasound (DUS) by Australian rheumatologists in the treatment of patients with rheumatoid arthritis (RA). Method Twenty-one rheumatologists recruited a total of 80 patients with RA in Disease Activity Score of 28 joints (DAS28) remission for DUS assessment and completed a pre- and post-activity questionnaire assessing their experience with DUS, as well as a 6-month follow-up questionnaire. Rheumatologists discussed DUS results with patients using visual aids. Patients completed a pre- and post-DUS assessment questionnaire. Data were summarized using descriptive statistics. Results Following completion of the activity, 95% of rheumatologists (20/21) believed DUS was a useful assessment tool for patients with RA. The majority found the DUS results useful and more than half thought the DUS assessment fit well into their consultation. A majority of rheumatologists indicated they would use DUS imaging in patients with low disease activity and remission, and for disease activity assessment to inform in therapeutic decision-making. All patients who responded found the visual aids useful and most felt that discussing DUS results improved understanding of their disease and would help with medication adherence. Conclusion Incorporation of DUS imaging into routine clinical practice is feasible, encourages rheumatologists to utilize and expand their clinical application of DUS imaging in patients with RA, and may improve patient understanding of their disease and adherence to medication.
Databáze: OpenAIRE
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