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Usefulness of ultrasound in clinical decision-making in rheumatology clinical practice: A single-center longitudinal
Marta Serrano-Warleta1, Aliuska Palomeque-Vargas1, Rosa Manzo1
1Servicio de Reumatología, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Objective:
The purpose of the present study is to identify the extent to which it affects clinical decisions in a single-centre observational retrospective study.
Method:
The results of 801 requests and 1174 consecutive individual ultrasound examinations performed over 10 months were analysed.
Results:
The most frequent indication was diagnostic assistance (39%) followed by assessment of inflammatory activity (34%). By topography, the hand was the most frequently studied region (51%), followed by the foot (18.1%). Of all requests, 67% had an impact on decision-making. The impact on clinical decision-making was associated with a shorter waiting time for the evaluation of the results, being the greatest in those ultrasound scans performed on demand on the same day of the request. In 73% of bilateral ultrasound studies, findings in one of the joints exemplified the overall result reported.
Conclusions:
Rheumatological musculoskeletal ultrasound has proven to be a useful decision-making technique, the greater the impact of which is seen the shorter the waiting time before it is performed.
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