Wu Margaret, Peng Linyi, Donroe Joseph H, Kohler Minna J, Wang Li, Zeng Xiaofeng, Li Mengtao, Hsieh Evelyn
Yale University School of Medicine, New Haven, CT, USA.
Department of Rheumatology, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, No.1, Shuaifuyuan, Eastern District, Beijing, 100730, China.
Clin Rheumatol. 2021 Jan;40(1):321-330. doi: 10.1007/s10067-020-05175-4. Epub 2020 Jun 6.
INTRODUCTION/OBJECTIVES: Musculoskeletal ultrasound (MSUS) has been extensively studied by rheumatologists in Europe and the Americas, but less is known about MSUS use in Asia. Our hypothesis is that MSUS use is less prevalent in China as compared with its Western counterparts. This study reports the most up-to-date recommendations for MSUS use in rheumatology globally and is also the first study to characterize the current practices, training, and perceptions regarding MSUS of rheumatologists in China.
A 43-question survey was designed and distributed via mobile application to members of the Chinese Rheumatology Association, primarily to investigate the current prevalence and utilization of MSUS in China. Statistical analyses included the use of chi-square tests and independent-samples t tests, with p values less than 0.05 considered statistically significant.
The results showed low rates of MSUS training (129/528, 24%) and current MSUS use (89/524, 17%) in China. However, there was a high level of interest in learning MSUS, especially among younger respondents. Lack of access to training programs and user variability in skill were seen as significant barriers to the uptake of MSUS.
Despite low rates of MSUS training and utilization, the vast majority of respondents believe that MSUS should become a standard clinical tool in rheumatology, and there was great interest in undergoing training. Importantly, lack of access to MSUS training programs and user variability in skill were seen as significant obstacles to the more widespread use of MSUS, which suggests a need for more standardized, high-quality MSUS training in China. Key Points • A low percentage of Chinese rheumatologists (17%) currently use MSUS. • Chinese rheumatologists expressed a high level of interest in obtaining MSUS training. • The greatest perceived obstacle to more widespread MSUS use is the lack of training programs.
引言/目的：肌肉骨骼超声（MSUS）在欧洲和美洲已被风湿病学家广泛研究，但在亚洲的使用情况了解较少。我们的假设是，与西方同行相比，MSUS在中国的使用不太普遍。本研究报告了全球风湿病学中MSUS使用的最新建议，也是第一项描述中国风湿病学家对MSUS的当前实践、培训和认知的研究。
设计了一份包含43个问题的调查问卷，并通过移动应用程序分发给中国风湿病学会的成员，主要调查MSUS在中国的当前普及率和使用率。统计分析包括使用卡方检验和独立样本t检验，p值小于0.05被认为具有统计学意义。
结果显示，中国MSUS培训率较低（129/528，24%），当前MSUS使用率也较低（89/524，17%）。然而，对学习MSUS的兴趣很高，尤其是在年轻受访者中。缺乏培训项目和技能的用户差异被视为采用MSUS的重大障碍。
尽管MSUS培训和使用率较低，但绝大多数受访者认为MSUS应成为风湿病学的标准临床工具，并且对接受培训有很大兴趣。重要的是，缺乏MSUS培训项目和技能的用户差异被视为MSUS更广泛使用的重大障碍，这表明中国需要更标准化、高质量的MSUS培训。要点 • 目前只有低比例的中国风湿病学家（17%）使用MSUS。 • 中国风湿病学家对获得MSUS培训表现出高度兴趣。 • 认为MSUS更广泛使用的最大障碍是缺乏培训项目。
