FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience
Identifieur interne : 000A23 ( Istex/Corpus ); précédent : 000A22; suivant : 000A24FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience
Auteurs : F. Gandjbakhch ; F. Etchepare ; S. Jousse-Joulin ; C. Marcelli ; J. P. Bertola ; P. BourgeoisSource :
- Annals of the Rheumatic Diseases [ 0003-4967 ] ; 2013-06.
Abstract
Background The use of Ultrasonography (US) in rheumatology has considerably increased in the last few years. Evaluation of national osteoarticular US practice may lead to adapt trainings to increase standardization of US practice. Objectives To describe daily practice of US in French departments of rheumatology in a national multicentre longitudinal study of 3 years follow up. Methods Each year (T1, T2, T3), questionnaires were sent in order to collect informations concerning the experience of the centres in US practice and ultrasonographers’ experience and practice use. Daily US practice was evaluated by collecting data (indication and results of US examinations) for all US examination performed during one month (September to October) each year. This evaluation was repeated during 3 years. Results During the 3 years follow up, the number of centres, of ultrasonographers and of US examinations performed per month increased considerably (table). Sonographers were young (mean: 37± 7,9 years) and have been practicing US for (mean) 4 years. 96% of them at T3 had a diploma for US practice (85% at T0) and 89% of them still participated to formations on US after their diploma. 64% used systematic examination for each pathology and 56 % used scoring systems. The 2398 US examinations per month at T3 were performed for inflammatory rheumatisms (60%), mechanical diseases (30%), other indications like Horton/PMR or Gougerot-Sjogren(10%). Concerning inflammatory rheumatism, US were mostly performed for rheumatoid arthritis (RA) (42%) (equally for diagnosis and follow up), for spondyloarthropathy (28%) (essentially for diagnosis) and for unclassified rheumatism (20%). RA examination was quite consensual among rheumatologists as more than 80% of the rheumatologists examined wrists, MCP 2 to 5, PIP 2 to 5 and MTP 2 to 5 for diagnosis and wrists, MCP 2 to 5 and MTP5 for follow up. Concerning Spondyloarthritis, there was no consensus for the joints to examine, but the examination of enthesis was homogeneous with more than 80 % of the rheumatologists practicing examination of the enthesis of lateral epicondyle tendon, patellar ligament, quadricipital tendon, calcaneum tendon and plantar aponevrosis. Conclusions This national multicentre longitudinal study demonstrated the widespread of US practice among the departments of rheumatology in France in a 3 years follow up. US examinations concerned mostly inflammatory diseases and appeared homogeneous among rheumatologists for RA and for SpA enthesis examinations. Yet, this study showed that only 56% of the rheumatologists used scoring systems and further training and formations should be necessary in order to improve standardization. Disclosure of Interest None Declared
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DOI: 10.1136/annrheumdis-2013-eular.1627
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience</title><author><name sortKey="Gandjbakhch, F" sort="Gandjbakhch, F" uniqKey="Gandjbakhch F" first="F." last="Gandjbakhch">F. Gandjbakhch</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</mods:affiliation></affiliation></author><author><name sortKey="Etchepare, F" sort="Etchepare, F" uniqKey="Etchepare F" first="F." last="Etchepare">F. Etchepare</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</mods:affiliation></affiliation></author><author><name sortKey="Jousse Joulin, S" sort="Jousse Joulin, S" uniqKey="Jousse Joulin S" first="S." last="Jousse-Joulin">S. Jousse-Joulin</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, C.H.U. la Cavale Blanche, BREST</mods:affiliation></affiliation></author><author><name sortKey="Marcelli, C" sort="Marcelli, C" uniqKey="Marcelli C" first="C." last="Marcelli">C. Marcelli</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, C.H.U. Côte de Nacre, CAEN</mods:affiliation></affiliation></author><author><name sortKey="Bertola, J P" sort="Bertola, J P" uniqKey="Bertola J" first="J. P." last="Bertola">J. P. Bertola</name><affiliation><mods:affiliation>CHUGAI, PARIS, France</mods:affiliation></affiliation></author><author><name sortKey="Bourgeois, P" sort="Bourgeois, P" uniqKey="Bourgeois P" first="P." last="Bourgeois">P. Bourgeois</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:953C280E9368E2107BE3EEB68F2F3C7CF13C353C</idno><date when="2013" year="2013">2013</date><idno type="doi">10.1136/annrheumdis-2013-eular.1627</idno><idno type="url">https://api.istex.fr/document/953C280E9368E2107BE3EEB68F2F3C7CF13C353C/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000A23</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience</title><author><name sortKey="Gandjbakhch, F" sort="Gandjbakhch, F" uniqKey="Gandjbakhch F" first="F." last="Gandjbakhch">F. Gandjbakhch</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</mods:affiliation></affiliation></author><author><name sortKey="Etchepare, F" sort="Etchepare, F" uniqKey="Etchepare F" first="F." last="Etchepare">F. Etchepare</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</mods:affiliation></affiliation></author><author><name sortKey="Jousse Joulin, S" sort="Jousse Joulin, S" uniqKey="Jousse Joulin S" first="S." last="Jousse-Joulin">S. Jousse-Joulin</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, C.H.U. la Cavale Blanche, BREST</mods:affiliation></affiliation></author><author><name sortKey="Marcelli, C" sort="Marcelli, C" uniqKey="Marcelli C" first="C." last="Marcelli">C. Marcelli</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, C.H.U. Côte de Nacre, CAEN</mods:affiliation></affiliation></author><author><name sortKey="Bertola, J P" sort="Bertola, J P" uniqKey="Bertola J" first="J. P." last="Bertola">J. P. Bertola</name><affiliation><mods:affiliation>CHUGAI, PARIS, France</mods:affiliation></affiliation></author><author><name sortKey="Bourgeois, P" sort="Bourgeois, P" uniqKey="Bourgeois P" first="P." last="Bourgeois">P. Bourgeois</name><affiliation><mods:affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Annals of the Rheumatic Diseases</title><title level="j" type="abbrev">Ann Rheum Dis</title><idno type="ISSN">0003-4967</idno><idno type="eISSN">1468-2060</idno><imprint><publisher>BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><date type="published" when="2013-06">2013-06</date><biblScope unit="volume">72</biblScope><biblScope unit="issue">Suppl 3</biblScope><biblScope unit="page" from="A543">A543</biblScope></imprint><idno type="ISSN">0003-4967</idno></series><idno type="istex">953C280E9368E2107BE3EEB68F2F3C7CF13C353C</idno><idno type="DOI">10.1136/annrheumdis-2013-eular.1627</idno><idno type="href">annrheumdis-72-A543-4.pdf</idno><idno type="ArticleID">annrheumdis-2013-eular.1627</idno><idno type="local">annrheumdis;72/Suppl_3/A543-d</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-4967</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background The use of Ultrasonography (US) in rheumatology has considerably increased in the last few years. Evaluation of national osteoarticular US practice may lead to adapt trainings to increase standardization of US practice. Objectives To describe daily practice of US in French departments of rheumatology in a national multicentre longitudinal study of 3 years follow up. Methods Each year (T1, T2, T3), questionnaires were sent in order to collect informations concerning the experience of the centres in US practice and ultrasonographers’ experience and practice use. Daily US practice was evaluated by collecting data (indication and results of US examinations) for all US examination performed during one month (September to October) each year. This evaluation was repeated during 3 years. Results During the 3 years follow up, the number of centres, of ultrasonographers and of US examinations performed per month increased considerably (table). Sonographers were young (mean: 37± 7,9 years) and have been practicing US for (mean) 4 years. 96% of them at T3 had a diploma for US practice (85% at T0) and 89% of them still participated to formations on US after their diploma. 64% used systematic examination for each pathology and 56 % used scoring systems. The 2398 US examinations per month at T3 were performed for inflammatory rheumatisms (60%), mechanical diseases (30%), other indications like Horton/PMR or Gougerot-Sjogren(10%). Concerning inflammatory rheumatism, US were mostly performed for rheumatoid arthritis (RA) (42%) (equally for diagnosis and follow up), for spondyloarthropathy (28%) (essentially for diagnosis) and for unclassified rheumatism (20%). RA examination was quite consensual among rheumatologists as more than 80% of the rheumatologists examined wrists, MCP 2 to 5, PIP 2 to 5 and MTP 2 to 5 for diagnosis and wrists, MCP 2 to 5 and MTP5 for follow up. Concerning Spondyloarthritis, there was no consensus for the joints to examine, but the examination of enthesis was homogeneous with more than 80 % of the rheumatologists practicing examination of the enthesis of lateral epicondyle tendon, patellar ligament, quadricipital tendon, calcaneum tendon and plantar aponevrosis. Conclusions This national multicentre longitudinal study demonstrated the widespread of US practice among the departments of rheumatology in France in a 3 years follow up. US examinations concerned mostly inflammatory diseases and appeared homogeneous among rheumatologists for RA and for SpA enthesis examinations. Yet, this study showed that only 56% of the rheumatologists used scoring systems and further training and formations should be necessary in order to improve standardization. Disclosure of Interest None Declared</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>F. Gandjbakhch</name><affiliations><json:string>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</json:string></affiliations></json:item><json:item><name>F. Etchepare</name><affiliations><json:string>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</json:string></affiliations></json:item><json:item><name>S. Jousse-Joulin</name><affiliations><json:string>DEPARTMENT OF RHEUMATOLOGY, C.H.U. la Cavale Blanche, BREST</json:string></affiliations></json:item><json:item><name>C. Marcelli</name><affiliations><json:string>DEPARTMENT OF RHEUMATOLOGY, C.H.U. Côte de Nacre, CAEN</json:string></affiliations></json:item><json:item><name>J. P. Bertola</name><affiliations><json:string>CHUGAI, PARIS, France</json:string></affiliations></json:item><json:item><name>P. Bourgeois</name><affiliations><json:string>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</json:string></affiliations></json:item></author><articleId><json:string>annrheumdis-2013-eular.1627</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>abstract</json:string></originalGenre><abstract>Background The use of Ultrasonography (US) in rheumatology has considerably increased in the last few years. Evaluation of national osteoarticular US practice may lead to adapt trainings to increase standardization of US practice. Objectives To describe daily practice of US in French departments of rheumatology in a national multicentre longitudinal study of 3 years follow up. Methods Each year (T1, T2, T3), questionnaires were sent in order to collect informations concerning the experience of the centres in US practice and ultrasonographers’ experience and practice use. Daily US practice was evaluated by collecting data (indication and results of US examinations) for all US examination performed during one month (September to October) each year. This evaluation was repeated during 3 years. Results During the 3 years follow up, the number of centres, of ultrasonographers and of US examinations performed per month increased considerably (table). Sonographers were young (mean: 37± 7,9 years) and have been practicing US for (mean) 4 years. 96% of them at T3 had a diploma for US practice (85% at T0) and 89% of them still participated to formations on US after their diploma. 64% used systematic examination for each pathology and 56 % used scoring systems. The 2398 US examinations per month at T3 were performed for inflammatory rheumatisms (60%), mechanical diseases (30%), other indications like Horton/PMR or Gougerot-Sjogren(10%). Concerning inflammatory rheumatism, US were mostly performed for rheumatoid arthritis (RA) (42%) (equally for diagnosis and follow up), for spondyloarthropathy (28%) (essentially for diagnosis) and for unclassified rheumatism (20%). RA examination was quite consensual among rheumatologists as more than 80% of the rheumatologists examined wrists, MCP 2 to 5, PIP 2 to 5 and MTP 2 to 5 for diagnosis and wrists, MCP 2 to 5 and MTP5 for follow up. Concerning Spondyloarthritis, there was no consensus for the joints to examine, but the examination of enthesis was homogeneous with more than 80 % of the rheumatologists practicing examination of the enthesis of lateral epicondyle tendon, patellar ligament, quadricipital tendon, calcaneum tendon and plantar aponevrosis. Conclusions This national multicentre longitudinal study demonstrated the widespread of US practice among the departments of rheumatology in France in a 3 years follow up. US examinations concerned mostly inflammatory diseases and appeared homogeneous among rheumatologists for RA and for SpA enthesis examinations. Yet, this study showed that only 56% of the rheumatologists used scoring systems and further training and formations should be necessary in order to improve standardization. Disclosure of Interest None Declared</abstract><qualityIndicators><score>6.393</score><pdfVersion>1.4</pdfVersion><pdfPageSize>594.72 x 841.68 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>2746</abstractCharCount><pdfWordCount>2893</pdfWordCount><pdfCharCount>18420</pdfCharCount><pdfPageCount>2</pdfPageCount><abstractWordCount>410</abstractWordCount></qualityIndicators><title>FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience</title><genre><json:string>abstract</json:string></genre><host><volume>72</volume><publisherId><json:string>ard</json:string></publisherId><pages><first>A543</first></pages><issn><json:string>0003-4967</json:string></issn><issue>Suppl 3</issue><genre><json:string>journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1468-2060</json:string></eissn><title>Annals of the Rheumatic Diseases</title></host><publicationDate>2013</publicationDate><copyrightDate>2013</copyrightDate><doi><json:string>10.1136/annrheumdis-2013-eular.1627</json:string></doi><id>953C280E9368E2107BE3EEB68F2F3C7CF13C353C</id><score>0.24003676</score><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/953C280E9368E2107BE3EEB68F2F3C7CF13C353C/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/953C280E9368E2107BE3EEB68F2F3C7CF13C353C/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/953C280E9368E2107BE3EEB68F2F3C7CF13C353C/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><availability><p>© 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</p></availability><date>2013</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience</title><author xml:id="author-1"><persName><forename type="first">F.</forename><surname>Gandjbakhch</surname></persName><affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</affiliation></author><author xml:id="author-2"><persName><forename type="first">F.</forename><surname>Etchepare</surname></persName><affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</affiliation></author><author xml:id="author-3"><persName><forename type="first">S.</forename><surname>Jousse-Joulin</surname></persName><affiliation>DEPARTMENT OF RHEUMATOLOGY, C.H.U. la Cavale Blanche, BREST</affiliation></author><author xml:id="author-4"><persName><forename type="first">C.</forename><surname>Marcelli</surname></persName><affiliation>DEPARTMENT OF RHEUMATOLOGY, C.H.U. Côte de Nacre, CAEN</affiliation></author><author xml:id="author-5"><persName><forename type="first">J. P.</forename><surname>Bertola</surname></persName><affiliation>CHUGAI, PARIS, France</affiliation></author><author xml:id="author-6"><persName><forename type="first">P.</forename><surname>Bourgeois</surname></persName><affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</affiliation></author></analytic><monogr><title level="j">Annals of the Rheumatic Diseases</title><title level="j" type="abbrev">Ann Rheum Dis</title><idno type="pISSN">0003-4967</idno><idno type="eISSN">1468-2060</idno><imprint><publisher>BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><date type="published" when="2013-06"></date><biblScope unit="volume">72</biblScope><biblScope unit="issue">Suppl 3</biblScope><biblScope unit="page" from="A543">A543</biblScope></imprint></monogr><idno type="istex">953C280E9368E2107BE3EEB68F2F3C7CF13C353C</idno><idno type="DOI">10.1136/annrheumdis-2013-eular.1627</idno><idno type="href">annrheumdis-72-A543-4.pdf</idno><idno type="ArticleID">annrheumdis-2013-eular.1627</idno><idno type="local">annrheumdis;72/Suppl_3/A543-d</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2013</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Background The use of Ultrasonography (US) in rheumatology has considerably increased in the last few years. Evaluation of national osteoarticular US practice may lead to adapt trainings to increase standardization of US practice. Objectives To describe daily practice of US in French departments of rheumatology in a national multicentre longitudinal study of 3 years follow up. Methods Each year (T1, T2, T3), questionnaires were sent in order to collect informations concerning the experience of the centres in US practice and ultrasonographers’ experience and practice use. Daily US practice was evaluated by collecting data (indication and results of US examinations) for all US examination performed during one month (September to October) each year. This evaluation was repeated during 3 years. Results During the 3 years follow up, the number of centres, of ultrasonographers and of US examinations performed per month increased considerably (table). Sonographers were young (mean: 37± 7,9 years) and have been practicing US for (mean) 4 years. 96% of them at T3 had a diploma for US practice (85% at T0) and 89% of them still participated to formations on US after their diploma. 64% used systematic examination for each pathology and 56 % used scoring systems. The 2398 US examinations per month at T3 were performed for inflammatory rheumatisms (60%), mechanical diseases (30%), other indications like Horton/PMR or Gougerot-Sjogren(10%). Concerning inflammatory rheumatism, US were mostly performed for rheumatoid arthritis (RA) (42%) (equally for diagnosis and follow up), for spondyloarthropathy (28%) (essentially for diagnosis) and for unclassified rheumatism (20%). RA examination was quite consensual among rheumatologists as more than 80% of the rheumatologists examined wrists, MCP 2 to 5, PIP 2 to 5 and MTP 2 to 5 for diagnosis and wrists, MCP 2 to 5 and MTP5 for follow up. Concerning Spondyloarthritis, there was no consensus for the joints to examine, but the examination of enthesis was homogeneous with more than 80 % of the rheumatologists practicing examination of the enthesis of lateral epicondyle tendon, patellar ligament, quadricipital tendon, calcaneum tendon and plantar aponevrosis. Conclusions This national multicentre longitudinal study demonstrated the widespread of US practice among the departments of rheumatology in France in a 3 years follow up. US examinations concerned mostly inflammatory diseases and appeared homogeneous among rheumatologists for RA and for SpA enthesis examinations. Yet, this study showed that only 56% of the rheumatologists used scoring systems and further training and formations should be necessary in order to improve standardization. Disclosure of Interest None Declared</p></abstract></profileDesc><revisionDesc><change when="2013-06">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/953C280E9368E2107BE3EEB68F2F3C7CF13C353C/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="abstract" xml:lang="EN"><front><journal-meta><journal-id journal-id-type="hwp">annrheumdis</journal-id><journal-id journal-id-type="nlm-ta">Ann Rheum Dis</journal-id><journal-id journal-id-type="publisher-id">ard</journal-id><journal-title>Annals of the Rheumatic Diseases</journal-title><abbrev-journal-title abbrev-type="publisher">Ann Rheum Dis</abbrev-journal-title><abbrev-journal-title>Ann Rheum Dis</abbrev-journal-title><issn pub-type="ppub">0003-4967</issn><issn pub-type="epub">1468-2060</issn><publisher><publisher-name>BMJ Publishing Group Ltd and European League Against Rheumatism</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">annrheumdis-2013-eular.1627</article-id><article-id pub-id-type="doi">10.1136/annrheumdis-2013-eular.1627</article-id><article-id pub-id-type="other">annrheumdis;72/Suppl_3/A543-d</article-id><article-id pub-id-type="other">annrheumdis;annrheumdis-2013-eular.1627</article-id><article-id pub-id-type="other">A543.4</article-id><article-id pub-id-type="other">annrheumdis-2013-eular.1627</article-id><article-categories><subj-group subj-group-type="heading"><subject>Poster Presentation</subject><subj-group subj-group-type="heading"><subject>Diagnostics and imaging procedures</subject></subj-group></subj-group></article-categories><title-group><article-title>FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Gandjbakhch</surname><given-names>F.</given-names></name><xref ref-type="aff" rid="AF00001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Etchepare</surname><given-names>F.</given-names></name><xref ref-type="aff" rid="AF00001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Jousse-Joulin</surname><given-names>S.</given-names></name><xref ref-type="aff" rid="AF00002"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Marcelli</surname><given-names>C.</given-names></name><xref ref-type="aff" rid="AF00003"><sup>3</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Bertola</surname><given-names>J. P.</given-names></name><xref ref-type="aff" rid="AF00004"><sup>4</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Bourgeois</surname><given-names>P.</given-names></name><xref ref-type="aff" rid="AF00001"><sup>1</sup></xref></contrib></contrib-group><aff id="AF00001"><sup>1</sup>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</aff><aff id="AF00002"><sup>2</sup>DEPARTMENT OF RHEUMATOLOGY, C.H.U. la Cavale Blanche, BREST</aff><aff id="AF00003"><sup>3</sup>DEPARTMENT OF RHEUMATOLOGY, C.H.U. Côte de Nacre, CAEN</aff><aff id="AF00004"><sup>4</sup>CHUGAI, PARIS, France</aff><pub-date pub-type="ppub"><month>6</month><year>2013</year></pub-date><volume>72</volume><volume-id pub-id-type="other">72</volume-id><volume-id pub-id-type="other">72</volume-id><issue>Suppl 3</issue><issue-id pub-id-type="other">annrheumdis;72/Suppl_3</issue-id><issue-id pub-id-type="other" content-type="supplement">Suppl_3</issue-id><issue-id pub-id-type="other">72/Suppl_3</issue-id><issue-title>Annual European Congress of Rheumatology EULAR abstracts 2013, 12–15 June 2013, Spain</issue-title><fpage seq="4">A543</fpage><permissions><copyright-statement>© 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2013</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="annrheumdis-72-A543-4.pdf"></self-uri><abstract><sec><title>Background</title><p>The use of Ultrasonography (US) in rheumatology has considerably increased in the last few years. Evaluation of national osteoarticular US practice may lead to adapt trainings to increase standardization of US practice.</p></sec><sec><title>Objectives</title><p>To describe daily practice of US in French departments of rheumatology in a national multicentre longitudinal study of 3 years follow up.</p></sec><sec><title>Methods</title><p>Each year (T1, T2, T3), questionnaires were sent in order to collect informations concerning the experience of the centres in US practice and ultrasonographers’ experience and practice use. Daily US practice was evaluated by collecting data (indication and results of US examinations) for all US examination performed during one month (September to October) each year. This evaluation was repeated during 3 years.</p></sec><sec><title>Results</title><p>During the 3 years follow up, the number of centres, of ultrasonographers and of US examinations performed per month increased considerably (<xref ref-type="fig" rid="F1">table</xref>). Sonographers were young (mean: 37± 7,9 years) and have been practicing US for (mean) 4 years. 96% of them at T3 had a diploma for US practice (85% at T0) and 89% of them still participated to formations on US after their diploma. 64% used systematic examination for each pathology and 56 % used scoring systems. The 2398 US examinations per month at T3 were performed for inflammatory rheumatisms (60%), mechanical diseases (30%), other indications like Horton/PMR or Gougerot-Sjogren(10%). Concerning inflammatory rheumatism, US were mostly performed for rheumatoid arthritis (RA) (42%) (equally for diagnosis and follow up), for spondyloarthropathy (28%) (essentially for diagnosis) and for unclassified rheumatism (20%).</p><p>RA examination was quite consensual among rheumatologists as more than 80% of the rheumatologists examined wrists, MCP 2 to 5, PIP 2 to 5 and MTP 2 to 5 for diagnosis and wrists, MCP 2 to 5 and MTP5 for follow up. Concerning Spondyloarthritis, there was no consensus for the joints to examine, but the examination of enthesis was homogeneous with more than 80 % of the rheumatologists practicing examination of the enthesis of lateral epicondyle tendon, patellar ligament, quadricipital tendon, calcaneum tendon and plantar aponevrosis.</p><fig id="F1" position="float"><graphic xlink:href="annrheumdis-72-A543-4-F1.jpg" alt-version="no" position="float" xlink:type="simple"></graphic></fig></sec><sec><title>Conclusions</title><p>This national multicentre longitudinal study demonstrated the widespread of US practice among the departments of rheumatology in France in a 3 years follow up. US examinations concerned mostly inflammatory diseases and appeared homogeneous among rheumatologists for RA and for SpA enthesis examinations. Yet, this study showed that only 56% of the rheumatologists used scoring systems and further training and formations should be necessary in order to improve standardization.</p></sec><sec><title>Disclosure of Interest</title><p>None Declared</p></sec></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>FRI0500 Daily practice of ultrasonography in 53 departments of rheumatology during 3 years follow up : the french experience</title></titleInfo><name type="personal"><namePart type="given">F.</namePart><namePart type="family">Gandjbakhch</namePart><affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F.</namePart><namePart type="family">Etchepare</namePart><affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Jousse-Joulin</namePart><affiliation>DEPARTMENT OF RHEUMATOLOGY, C.H.U. la Cavale Blanche, BREST</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Marcelli</namePart><affiliation>DEPARTMENT OF RHEUMATOLOGY, C.H.U. Côte de Nacre, CAEN</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J. P.</namePart><namePart type="family">Bertola</namePart><affiliation>CHUGAI, PARIS, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Bourgeois</namePart><affiliation>DEPARTMENT OF RHEUMATOLOGY, CHU PITIE SALPETRIERE, APHP, Universite Paris VI, PARIS</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><dateIssued encoding="w3cdtf">2013-06</dateIssued><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Background The use of Ultrasonography (US) in rheumatology has considerably increased in the last few years. Evaluation of national osteoarticular US practice may lead to adapt trainings to increase standardization of US practice. Objectives To describe daily practice of US in French departments of rheumatology in a national multicentre longitudinal study of 3 years follow up. Methods Each year (T1, T2, T3), questionnaires were sent in order to collect informations concerning the experience of the centres in US practice and ultrasonographers’ experience and practice use. Daily US practice was evaluated by collecting data (indication and results of US examinations) for all US examination performed during one month (September to October) each year. This evaluation was repeated during 3 years. Results During the 3 years follow up, the number of centres, of ultrasonographers and of US examinations performed per month increased considerably (table). Sonographers were young (mean: 37± 7,9 years) and have been practicing US for (mean) 4 years. 96% of them at T3 had a diploma for US practice (85% at T0) and 89% of them still participated to formations on US after their diploma. 64% used systematic examination for each pathology and 56 % used scoring systems. The 2398 US examinations per month at T3 were performed for inflammatory rheumatisms (60%), mechanical diseases (30%), other indications like Horton/PMR or Gougerot-Sjogren(10%). Concerning inflammatory rheumatism, US were mostly performed for rheumatoid arthritis (RA) (42%) (equally for diagnosis and follow up), for spondyloarthropathy (28%) (essentially for diagnosis) and for unclassified rheumatism (20%). RA examination was quite consensual among rheumatologists as more than 80% of the rheumatologists examined wrists, MCP 2 to 5, PIP 2 to 5 and MTP 2 to 5 for diagnosis and wrists, MCP 2 to 5 and MTP5 for follow up. Concerning Spondyloarthritis, there was no consensus for the joints to examine, but the examination of enthesis was homogeneous with more than 80 % of the rheumatologists practicing examination of the enthesis of lateral epicondyle tendon, patellar ligament, quadricipital tendon, calcaneum tendon and plantar aponevrosis. Conclusions This national multicentre longitudinal study demonstrated the widespread of US practice among the departments of rheumatology in France in a 3 years follow up. US examinations concerned mostly inflammatory diseases and appeared homogeneous among rheumatologists for RA and for SpA enthesis examinations. Yet, this study showed that only 56% of the rheumatologists used scoring systems and further training and formations should be necessary in order to improve standardization. Disclosure of Interest None Declared</abstract><relatedItem type="host"><titleInfo><title>Annals of the Rheumatic Diseases</title></titleInfo><titleInfo type="abbreviated"><title>Ann Rheum Dis</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0003-4967</identifier><identifier type="eISSN">1468-2060</identifier><identifier type="PublisherID">ard</identifier><identifier type="PublisherID-hwp">annrheumdis</identifier><identifier type="PublisherID-nlm-ta">Ann Rheum Dis</identifier><part><date>2013</date><detail type="title"><title>Annual European Congress of Rheumatology EULAR abstracts 2013, 12–15 June 2013, Spain</title></detail><detail type="volume"><caption>vol.</caption><number>72</number></detail><detail type="issue"><caption>no.</caption><number>Suppl 3</number></detail><extent unit="pages"><start>A543</start></extent></part></relatedItem><identifier type="istex">953C280E9368E2107BE3EEB68F2F3C7CF13C353C</identifier><identifier type="DOI">10.1136/annrheumdis-2013-eular.1627</identifier><identifier type="href">annrheumdis-72-A543-4.pdf</identifier><identifier type="ArticleID">annrheumdis-2013-eular.1627</identifier><identifier type="local">annrheumdis;72/Suppl_3/A543-d</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2013, Published by the BMJ Publishing Group Limited. 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