scholarly journals The impact of using musculoskeletal ultrasound imaging and other influencing factors on medication adherence in patients with rheumatoid arthritis: a qualitative study

2016 ◽  
pp. 1091 ◽  
Author(s):  
Kanta Kumar ◽  
Karim Raza ◽  
Paramjit Gill ◽  
Sheila Greenfield
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence ◽  
Qualitative Study ◽  
Influencing Factors ◽  
Ultrasound Imaging ◽  
Musculoskeletal Ultrasound ◽  
The Impact

‘The lesser of two evils…’ – views of persons with rheumatoid arthritis on medication adherence: a qualitative study

2016 ◽  
Vol 31 (6) ◽  
pp. 675-692 ◽  
Author(s):  
Susanne Brandstetter ◽  
Simone Hertig ◽  
Julika Loss ◽  
Boris Ehrenstein ◽  
Christian Apfelbacher
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence ◽  
Qualitative Study

Rheumatologists' insight into medication adherence in patients with rheumatoid arthritis: A qualitative study

2019 ◽  
Vol 22 (9) ◽  
pp. 1695-1705 ◽  
Author(s):  
Parvaneh Heidari ◽  
Wendy Cross ◽  
Carolina Weller ◽  
Victoria Team ◽  
Mohammadali Nazarinia ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence ◽  
Qualitative Study ◽  
Insight Into

scholarly journals The impact of patient-perceived restricted access to anti-TNF therapy for rheumatoid arthritis: a qualitative study

2009 ◽  
Vol 7 (3) ◽  
pp. 194-209 ◽  
Author(s):  
Tessa Sanderson ◽  
Michael Calnan ◽  
Marianne Morris ◽  
Pam Richards ◽  
Sarah Hewlett
Keyword(s):  
Rheumatoid Arthritis ◽  
Qualitative Study ◽  
Restricted Access ◽  
The Impact

scholarly journals Exploring the use of musculoskeletal ultrasound imaging by podiatrists: an international survey

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Charlotte Dando ◽  
Richard Ellis ◽  
Matthew Carroll ◽  
Prue Molyneux ◽  
Gabriel Gijon-Nogueron ◽  
...  
Keyword(s):  
Ultrasound Imaging ◽  
Thematic Analysis ◽  
Waiting Times ◽  
Patient Empowerment ◽  
Musculoskeletal Ultrasound ◽  
Face Validity ◽  
Free Text ◽  
Foot And Ankle ◽  
Cross Sectional ◽  
The Impact

Abstract Background Podiatrists, in musculoskeletal services, are demonstrating an expansion of their practice skills through the use of ultrasound imaging. There is an assumption that this practice is beneficial within the context of patient care and health systems. The aim of this research was to further investigate the use of musculoskeletal ultrasound (MSUS) by podiatrists within their clinical setting and gain additional insights into the impact that they perceive use of MSUS has on their approaches to management of musculoskeletal foot and ankle problems. Method An international study utilising a cross-sectional design and an internet-based platform was undertaken. The survey was developed and implemented through three phases: 1. survey development, 2. face validity agreement via questionnaire review, and 3. survey distribution and data collection. Twenty-two survey questions were developed and set as a two-step approach collecting quantitative data (part 1) and qualitative free text data (part 2). Data was exported from SurveyMonkey and analysed using Microsoft Excel software. Counts and frequencies were calculated for responses to all twenty closed questions. Responses to the two final open-ended questions were analysed using thematic analysis to search for patterns related to podiatrists’ perceptions of impact. Results Two hundred and thirty-two eligible participants consented to complete the survey. The majority (n = 159) of respondents were from the UK and Spain. Commonly MSUS has been used in practice for (i) diagnosing pathology, (ii) supporting rehabilitation, (iii) supporting interventions or (iv) research purposes. Most frequently, MSUS was used to assist in the diagnosis of injury/pathology (84%). A range of free text comments were received from the participants in response to the question relating to their thoughts on the impact of using MSUS imaging in their practice (n = 109) and on their perceptions of how the use of MSUS has influenced their approaches to management of their patients’ musculoskeletal foot and ankle problems (n = 108). Thematic analysis of the free text comments generated four themes: (i) diagnosis, (ii) delivery and access of care, (iii) patient education and engagement, and (iv) patient empowerment. Conclusion The perceived benefit podiatrists indicated in using MSUS as part of their practice is the perceived improvement in patient journeys through tighter, focused management plans and reduced waiting times. An additional novel finding was that MSUS provided the capacity for podiatrists to better inform patients of their diagnosis, which they believed led to improved engagement and consequent empowerment of patients in their treatment plans. We propose further investigation of patient experiences as well as testing of the model that embeds podiatrists’ use of MSUS as a key skill in musculoskeletal foot and ankle services.

scholarly journals Building a telepalliative care strategy in nursing homes: a qualitative study with mobile palliative care teams

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Clément Cormi ◽  
Marie Petit ◽  
Juline Auclair ◽  
Emmanuel Bagaragaza ◽  
Isabelle Colombet ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Qualitative Study ◽  
Influencing Factors ◽  
Real Life ◽  
Routine Practice ◽  
Face To Face ◽  
Palliative Care Teams ◽  
Care Practices ◽  
The Impact

Abstract Background Despite increasing use of telemedicine in the field of palliative care, studies about the best circumstances and processes where it could replace face-to-face interaction are lacking. This study aimed to: (1) identify situations that are most amenable to the use of telemedicine for the provision of palliative care to patients in nursing homes; and (2) understand how telemedicine could best be integrated into the routine practice of mobile palliative care teams. Methods A qualitative study based on semi-structured focus groups (n = 7) with professionals (n = 33) working in mobile palliative care teams in France. Results Between June and July 2019, 7 mobile palliative care teams participated in one focus group each. Using thematic analysis, we found that telemedicine use in palliative care is about navigating between usual and new practices. Several influencing factors also emerged, which influence the use of telemedicine for palliative care, depending on the situation. Finally, we built a use-case model of palliative care to help mobile palliative care teams identify circumstances where telemedicine could be useful, or not. Conclusions The potential utility of telemedicine for delivering palliative care in nursing homes largely depends on the motive for calling on the mobile palliative care team. Requests regarding symptoms may be particularly amenable to telemedicine, whereas psycho-social distress may not. Further studies are warranted to assess the impact of influencing factors on real-life palliative care practices. Telemedicine could nonetheless be a useful addition to the mobile palliative care teams’ armamentarium.

scholarly journals Musculoskeletal ultrasound in the Differential Diagnosis of Gouty Arthritis and Rheumatoid Arthritis

2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Shao-wei Xue ◽  
Yu-kun Luo ◽  
Yu-rong Zhao ◽  
Zi-yu Jiao
Keyword(s):  
Rheumatoid Arthritis ◽  
Blood Flow ◽  
Differential Diagnosis ◽  
Ultrasound Imaging ◽  
Gouty Arthritis ◽  
Musculoskeletal Ultrasound ◽  
Imaging Features ◽  
Synovial Hyperplasia ◽  
Grade Ii ◽  
Grade Iii

Objective: To explore the role of musculoskeletal ultrasound (MSUS) in the differential diagnosis of gouty arthritis (GA) and rheumatoid arthritis (RA) and to analyze the ultrasound imaging features of the two diseases. Methods: A retrospective study was carried out. A total of 66 patients who had been admitted to The First Medical Center of Chinese PLA General Hospital from May 2018 to March 2019 were enrolled. Among them, 34 patients were diagnosed with RA and were included in the RA group; 32 patients were diagnosed with gouty arthritis and were included in the GA group. The imaging features of musculoskeletal ultrasound were compared between the two groups of patients. Results: A total of 34 patients were included in the RA group, including 17 males and 17 females. A total of 32 patients were included in the GA group, including 14 males and 18 females. There were no significant differences in gender composition, age, and duration of disease between the two groups (P>0.05). In the RA group, there were joint bone erosions with a clear boundary in seven cases and with a blurred boundary in 27 cases; synovial hyperplasia was observed in 27 cases, and point-like hyperechoic masses were observed in four cases. In the GA group, there were joint bone erosions with a clear boundary in 27 cases and with a blurred boundary in five cases; synovial hyperplasia was observed in four cases, tophus was observed in 23 cases, point-like hyperechoic masses were observed in 27 cases, and the tram-track sign was observed in 23 cases. The differences in bone erosion boundaries (c2=26.854, P<0.01), synovial hyperplasia (c2=29.631, P<0.01), tophus (P<0.01), point-like hyperechoic mass (c2=33.095, P<0.01), and tram-track sign (P<0.01) were statistically significant between the two groups of patients. In the RA group, blood flow signaling was Grade 0 in one case, Grade-I in five cases, Grade-II in 14 cases, and Grade-III in 14 cases. In the GA group, blood flow signaling was Grade 0 in 26 cases, Grade-I in three cases, Grade-II in three cases, and Grade-III in zero cases. The difference in the synovial blood flow signaling between the two groups of patients was statistically significant (c2=34.323, P<0.01). Conclusions: MSUS has certain diagnostic value in the differentiation of GA and RA. Moreover, the two conditions have their own ultrasound imaging features. doi: https://doi.org/10.12669/pjms.36.5.2716 How to cite this:Xue SW, Luo YK, Zhao YR, Jiao ZY. Musculoskeletal ultrasound in the Differential Diagnosis of Gouty Arthritis and Rheumatoid Arthritis. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.2716 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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