Evaluation of the Contribution of Musculoskeletal Ultrasound to the General Practitioner's Overall Decision-making Strategy
- Conditions
- Musculoskeletal; Anomaly
- Interventions
- Other: musculoskeletal ultrasound
- Registration Number
- NCT06068595
- Lead Sponsor
- Central Hospital, Nancy, France
- Brief Summary
The hypothesis of this study is that musculoskeletal point of care ultrasonography would support the GP's decision and ultimately improve patient management.
The aim of this study is to evaluate, in the context of suspected musculoskeletal abnormality, the contribution of musculoskeletal point of care ultrasonography to the general practitioner's overall decision-making strategy, defined according to the following 5 axes: diagnosis (I), therapy (II), patient orientation (III), prescription of complementary examinations (IV) and follow-up (V).
- Detailed Description
The study circuit takes place in a single visit.
1. The investigating physician suspects a musculoskeletal anomaly following an initial clinical examination.
2. The patient (who meets the inclusion criteria and has no non-inclusion criteria) gives consent to participate, after receiving information about the study.
3. The investigator fills in the e-CRF (appendix III), clinical examination, medical interrogation and his or her decisions according to the 5 axes, which cannot be modified, as the structure of the e-CRF planned in advance does not allow backtracking. The investigator performs the targeted musculoskeletal ultrasound with his or her personal ultrasound machine, following his or her usual operating procedure.
4. The investigator fills in the e-CRF with the results of the targeted ultrasound scan and indicates any modifications to the decision axes.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 300
- Person who has received full information on the organization of the research and has given his/her consent
- Be over 18 years of age
- Present a symptomatology leading to suspicion of musculoskeletal pathology
- Be able to give consent
- Be affiliated to a social security scheme or benefit from such a scheme
- Chronic inflammatory rheumatism (rheumatoid arthritis, spondylitis, psoriatic arthritis, rheumatoid pseudo-polyarthritis, juvenile idiopathic arthritis, lupus, etc.).
- Subjects benefiting from a legal protection measure (guardianship, curatorship, safeguard of justice).
- Persons deprived of their liberty by judicial or administrative decision, persons under psychiatric care under articles L3212-1 and L3213-1.
- Pregnant women
- Nursing mothers
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Patients musculoskeletal ultrasound Patient with musculoskeletal anomalies
- Primary Outcome Measures
Name Time Method Percentage of patients 3 years Percentage of patients for whom the musculoskeletal point of care ultrasonography led to a change in the GP's overall decision-making strategy (binary yes/no variable) of patients for whom led to a change in the GP's overall decision-making strategy (binary yes/no variable)
- Secondary Outcome Measures
Name Time Method Frequency of the anatomical sites 3 years Frequency of the different anatomical sites (shoulder, elbow, arm, etc.) and structures (osteoarticular pathologies, tendon and retinacular pathologies, etc.) concerned
Time taken to produce an CTA report 3 years For each doctor: the time taken to produce an CTA report
Frequency of modifications 3 years Frequency of different modifications for each axis and within each axis
Frequency with which CTA 3 years For each doctor: the frequency with which CTA is carried out in his professional practice
Frequency of incidental diagnoses discovered at CTA 3 years Frequency and description of incidental diagnoses discovered at CTA
Rates for the examinations and therapies 3 years the rates for the examinations and therapies described
Time taken to carry out the CTA 3 years For each doctor: the time taken to carry out the CTA
Average number of ultrasound prints 3 years For each doctor: the average number of ultrasound image prints
Frequency of diagnoses of post-CTA confirmation 3 years List and frequency of diagnoses in the case of post-CTA confirmation
Frequency of diagnoses of post-CTA modifications 3 years List and frequency of diagnoses in the case of post-CTA modifications
Frequency of modifications per patient 3 years Frequency of different modifications for each axis and within each axis per patient
Calculation of the cost 3 years Calculation of the cost before and after CTA estimated a posteriori on the basis of the consultation rate
Trial Locations
- Locations (1)
Central Hospital
🇫🇷Nancy, Vandoeuvre Lès Nancy, France