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Rheumatology Advance Access published online on June 16, 2003

Rheumatology, doi:10.1093/rheumatology/keg367
Rheumatology © British Society for Rheumatology 2003; all rights reserved
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© 2003 Rheumatology 42 © British Society for Rheumatology 2003; all rights reserved

Original Papers

Musculoskeletal ultrasonography in Europe: results of a rheumatologist-based survey at a EULAR meeting

R. J. Wakefield 1, E. Goh 1, P. G. Conaghan 1, Z. Karim 1, and P. Emery 1*

1 Academic Department of Musculoskeletal Medicine, The General Infirmary at Leeds, Leeds, UK

* Corresponding author. E-mail: p.emery{at}leeds.ac.uk.

Received 3 January 2003 ; accepted 19 March 2003

Abstract

Objective. To document the practice of musculoskeletal ultrasound (US) by a sample of European rheumatologists attending an annual general meeting of the European League Against Rheumatism (EULAR).

Methods. English-language questionnaires were distributed to 180 randomly selected participants attending imaging-related sessions at the XIV EULAR meeting in Glasgow, UK, in 1999. The questionnaire was divided into four sections: Demographics, Education and Training, Current Practice, and Equipment.

Results. Ninety-two rheumatologists responded, representing 74 centres from 19 European countries. Seventy-eight (85%) of the respondents either already used US in their clinical practice or would like to use it in the future. Thirty-seven (40%) respondents performed US within their own department. Few had received training at undergraduate level and most had learned informally or by attending courses. Scans were considered most useful for large joints and ligaments/tendons. Only 28 (30%) respondents valued US for guided injections.

Conclusions. This study, although containing an element of selection bias, confirms a great interest in musculoskeletal US by rheumatologists across Europe and a demand which is likely to increase. The reported variation in training and practice between countries suggests a need for standardized training guidelines.

Key words: Europe, Musculoskeletal ultrasound, Education, Training, Practice.
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