Unit of Radiology, Ospedale Evangelico Internazionale, Piazzale Gianasso 5, 16100, Genoa, Italy.
S.C. Diagnostica per Immagini e Ecografia Interventistica, Ospedale Evangelico Internazionale di Genova, Salita Superiore San Rocchio 31/A, 16122, Genoa, Italy.
Radiol Med. 2018 Apr;123(4):314-321. doi: 10.1007/s11547-017-0842-7. Epub 2017 Dec 16.
To perform an online survey among all members of the Italian College of Musculoskeletal Radiology to understand how therapeutic musculoskeletal procedures are performed in daily practice in Italy.
We administered an online survey to all 2405 members about the use of therapeutic musculoskeletal procedures in their institutions asking 16 different questions. Subgroup analysis was performed between general and orthopaedic hospitals with Mann-Whitney U and χ statistics.
A total of 129/2405 answers (5.4% of members) were included in our analysis. A median of 142.5 (25th-75th percentiles: 50-535.5; range 10-5000) therapeutic musculoskeletal procedures per single institution was performed in 2016. Arthropathic pain was the main indication. The most common procedures were joint injection, bursal/tendon injection, and irrigation of calcific tendinopathy. Ultrasound-guided procedures were mainly performed in ultrasonography rooms (77.4%) rather than in dedicated interventional rooms (22.6%). Conversely, fluoroscopic procedures were performed almost with the same frequency in interventional radiology suites (52.4%) and in general radiology rooms (47.6%). In most institutions (72%), autologous blood or components were not used. The median number of therapeutic musculoskeletal procedures performed in orthopaedic hospitals was significantly higher than in general hospitals (P = 0.002), as well as for the use of autologous preparations (P = 0.004).
Joint injection, bursal/tendon injection, and irrigation of calcific tendinopathy were the most common therapeutic musculoskeletal procedures, being arthropathic pain the main indication. The percentage of procedures and the use of autologous preparations were significantly higher in orthopaedic hospitals than in general hospitals.
对意大利肌肉骨骼放射学会的所有成员进行在线调查，以了解意大利在日常实践中如何进行治疗性肌肉骨骼操作。
我们向所有 2405 名成员在线调查了他们所在机构中治疗性肌肉骨骼操作的使用情况，共提出了 16 个不同的问题。对综合医院和骨科医院进行了亚组分析，使用了 Mann-Whitney U 和 χ 检验。
共有 129/2405 名成员（5.4%的成员）的回答被纳入我们的分析。中位数为 142.5（25 百分位数至 75 百分位数：50-535.5；范围 10-5000），每个机构在 2016 年进行的治疗性肌肉骨骼操作。关节病性疼痛是主要的适应证。最常见的操作是关节内注射、滑囊/肌腱内注射和钙化性肌腱炎冲洗。超声引导下的操作主要在超声检查室（77.4%）进行，而不是在专门的介入室（22.6%）进行。相反，透视引导下的操作几乎在介入放射科套房（52.4%）和普通放射科房间（47.6%）中以相同的频率进行。在大多数机构（72%）中，不使用自体血液或成分。骨科医院治疗性肌肉骨骼操作的中位数明显高于综合医院（P=0.002），自体制剂的使用也明显高于综合医院（P=0.004）。
关节内注射、滑囊/肌腱内注射和钙化性肌腱炎冲洗是最常见的治疗性肌肉骨骼操作，关节病性疼痛是主要的适应证。骨科医院的操作比例和自体制剂的使用明显高于综合医院。
