Gutierrez Marwin, Hernandez-Diaz Cristina, Ventura-Rios Lucio, Saldarriaga-Rivera Lina María, Ruta Santiago, Alva Magaly, -Trujillo Claudia Mora, Pérez Wilkerson, Terrazas Henry, Del Carmen Arape Toyo Rodolfo, Quintero Maritza, Solano Carla, Santiago Oscar Sedano, Sotomayor Janet Grisel Huamán, Cefferino Cesar, Py Guillermo E, Audisio Marcelo J, Spindler Walter Javier, Berman Horacio, Airoldi Carla, Wong Rómulo, Del Castillo Araujo Ana Laura Álvarez, Díaz Mario E, Villaquiran Carmen Cerón, Mantilla Rubén Darío, Mendonça José Alexandre, da Silveira Inês Guimarães, do Prado Aline Defaveri, Bisi Melissa Cláudia, Rosario Violeta, Medrano-Sánchez Jeannette, Muñoz-Louis Roberto, Lozada-Navarro Ana Cecilia, Bernal Araceli, Lozano Maribel, Pineda Carlos
Instituto Nacional de Rehabilitación, Luis Guillermo Ibarra Ibarra, Calzada Mexico-Xochimilco 289 Colonia Arenal de Guadalupe, 143898, Mexico City, CP, Mexico.
Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Clin Rheumatol. 2016 Dec;35(12):2893-2900. doi: 10.1007/s10067-016-3382-y. Epub 2016 Aug 30.
This study aimed to perform an overview of how ultrasound (US) is being used, implemented, and applied in rheumatologic centers in Latin America (LA). A retrospective, multicenter 1-year experience study was undertaken. Eighteen centers from eight countries were involved. The following information were collected: demographic data, indication to perform an US examination, physician that required the examination, and the anatomical region required for the examination. A total of 7167 patients underwent an US examination. The request for US examinations came most frequently from their own institution (5981 (83.45 %)) than from external referral (1186 (16.55 %)). The services that more frequently requested an US examination were rheumatology 5154 (71.91 %), followed by orthopedic 1016 (14.18 %), and rehabilitation 375 (5.23 %). The most frequently scanned area was the shoulder in 1908 cases (26.62 %), followed by hand 1754 (24.47 %), knee 1518 (21.18 %), ankle 574 (8.01 %), and wrist 394 (5.50 %). Osteoarthritis was the most common disease assessed (2279 patients (31.8 %)), followed by rheumatoid arthritis (2125 patients (29.65 %)), psoriatic arthritis (869 patients (12.1 %)), painful shoulder syndrome (545 (7.6 %)), connective tissue disorders (systemic sclerosis 339 (4.7 %), polymyositis/dermatomyositis 107 (1.4 %), Sjögren's syndrome 60 (0.8 %), and systemic lupus erythematosus 57 (0.8 %)). US evaluation was more frequently requested for diagnostic purposes (3981 (55.5 %)) compared to follow-up studies (2649 (36.9 %)), research protocols (339 (4.73 %)), and invasive guided procedures (198 (2.76 %)). US registered increasing applications in rheumatology and highlighted its positive impact in daily clinical practice. US increases the accuracy of the musculoskeletal clinical examination, influence the diagnosis, and the disease management.
本研究旨在全面概述超声（US）在拉丁美洲（LA）各风湿病中心的使用、实施和应用情况。开展了一项为期1年的回顾性多中心经验研究。涉及来自8个国家的18个中心。收集了以下信息：人口统计学数据、进行超声检查的指征、要求检查的医生以及检查所需的解剖区域。共有7167例患者接受了超声检查。超声检查的请求大多来自其所在机构（5981例（83.45%）），而非外部转诊（1186例（16.55%））。最常请求进行超声检查的科室是风湿病科5154例（71.91%），其次是骨科1016例（14.18%），康复科375例（5.23%）。最常扫描的部位是肩部，共1908例（26.62%），其次是手部1754例（24.47%）、膝部1518例（21.18%）、踝部574例（8.01%）和腕部394例（5.50%）。骨关节炎是评估最常见的疾病（2279例患者（31.8%）），其次是类风湿关节炎（2125例患者（29.65%））、银屑病关节炎（869例患者（12.1%））、肩部疼痛综合征（545例（7.6%））、结缔组织病（系统性硬化症339例（4.7%）、多发性肌炎/皮肌炎107例（1.4%）、干燥综合征60例（0.8%）和系统性红斑狼疮57例（0.8%））。与随访研究（2649例（36.9%））、研究方案（339例（4.73%））和侵入性引导程序（198例（2.76%））相比，超声评估更多是出于诊断目的（3981例（55.5%））。超声在风湿病学中的应用不断增加，并突显了其在日常临床实践中的积极影响。超声提高了肌肉骨骼临床检查的准确性，影响了诊断和疾病管理。
