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Musculoskeletal ultrasound in hemophilia: Results and recommendations from a global survey and consensus meeting
INTRODUCTION: For persons with hemophilia, optimization of joint outcomes is an important unmet need. The aim of this initiative was to determine use of ultrasound in evaluating arthropathy in persons with hemophilia, and to move toward consensus among hemophilia care providers regarding the preferr...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8271584/ https://www.ncbi.nlm.nih.gov/pubmed/34268464 http://dx.doi.org/10.1002/rth2.12531 |
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author | Bakeer, Nihal Dover, Saunya Babyn, Paul Feldman, Brian M. von Drygalski, Annette Doria, Andrea S. Ignas, Danial M. Abad, Audrey Bailey, Cindy Beggs, Ian Chang, Eric Y. Dunn, Amy Funk, Sharon Gibikote, Sridhar Goddard, Nicholas Hilliard, Pamela Keshava, Shyamkumar N. Kruse‐Jarres, Rebecca Li, Yingjia Lobet, Sébastien Manco‐Johnson, Marilyn Martinoli, Carlo O’Donnell, James S. Papakonstantinou, Olympia Pergantou, Helen Poonnoose, Pradeep Querol, Felipe Srivastava, Alok Steiner, Bruno Strike, Karen Timmer, Merel Tyrrell, Pascal N. Vidarsson, Logi Blanchette, Victor S. |
author_facet | Bakeer, Nihal Dover, Saunya Babyn, Paul Feldman, Brian M. von Drygalski, Annette Doria, Andrea S. Ignas, Danial M. Abad, Audrey Bailey, Cindy Beggs, Ian Chang, Eric Y. Dunn, Amy Funk, Sharon Gibikote, Sridhar Goddard, Nicholas Hilliard, Pamela Keshava, Shyamkumar N. Kruse‐Jarres, Rebecca Li, Yingjia Lobet, Sébastien Manco‐Johnson, Marilyn Martinoli, Carlo O’Donnell, James S. Papakonstantinou, Olympia Pergantou, Helen Poonnoose, Pradeep Querol, Felipe Srivastava, Alok Steiner, Bruno Strike, Karen Timmer, Merel Tyrrell, Pascal N. Vidarsson, Logi Blanchette, Victor S. |
author_sort | Bakeer, Nihal |
collection | PubMed |
description | INTRODUCTION: For persons with hemophilia, optimization of joint outcomes is an important unmet need. The aim of this initiative was to determine use of ultrasound in evaluating arthropathy in persons with hemophilia, and to move toward consensus among hemophilia care providers regarding the preferred ultrasound protocols for global adaptation. METHODS: A global survey of hemophilia treatment centers was conducted that focused on understanding how and why ultrasound was being used and endeavored to move toward consensus definitions of both point‐of‐care musculoskeletal ultrasound (POC‐MSKUS) and full diagnostic ultrasound, terminology to describe structures being assessed by ultrasound, and how these assessments should be interpreted. Next, an in‐person meeting of an international group of hemophilia health care professionals and patient representatives was held, with the objective of achieving consensus regarding the acquisition and interpretation of POC‐MSKUS and full diagnostic ultrasound for use in the assessment of musculoskeletal (MSK) pathologies in persons with hemophilia. RESULTS: The recommendations were that clear definitions of the types of ultrasound examinations should be adopted and that a standardized ultrasound scoring/measurement system should be developed, tested, and implemented. The scoring/measurement system should be tiered to allow for a range of complexity yet maintain the ability for comparison across levels. CONCLUSION: Ultrasound is an evolving technology increasingly used for the assessment of MSK outcomes in persons with hemophilia. As adoption increases globally for clinical care and research, it will become increasingly important to establish clear guidelines for image acquisition, interpretation, and reporting to ensure accuracy, consistency, and comparability across groups. |
format | Online Article Text |
id | pubmed-8271584 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82715842021-07-14 Musculoskeletal ultrasound in hemophilia: Results and recommendations from a global survey and consensus meeting Bakeer, Nihal Dover, Saunya Babyn, Paul Feldman, Brian M. von Drygalski, Annette Doria, Andrea S. Ignas, Danial M. Abad, Audrey Bailey, Cindy Beggs, Ian Chang, Eric Y. Dunn, Amy Funk, Sharon Gibikote, Sridhar Goddard, Nicholas Hilliard, Pamela Keshava, Shyamkumar N. Kruse‐Jarres, Rebecca Li, Yingjia Lobet, Sébastien Manco‐Johnson, Marilyn Martinoli, Carlo O’Donnell, James S. Papakonstantinou, Olympia Pergantou, Helen Poonnoose, Pradeep Querol, Felipe Srivastava, Alok Steiner, Bruno Strike, Karen Timmer, Merel Tyrrell, Pascal N. Vidarsson, Logi Blanchette, Victor S. Res Pract Thromb Haemost Original Articles INTRODUCTION: For persons with hemophilia, optimization of joint outcomes is an important unmet need. The aim of this initiative was to determine use of ultrasound in evaluating arthropathy in persons with hemophilia, and to move toward consensus among hemophilia care providers regarding the preferred ultrasound protocols for global adaptation. METHODS: A global survey of hemophilia treatment centers was conducted that focused on understanding how and why ultrasound was being used and endeavored to move toward consensus definitions of both point‐of‐care musculoskeletal ultrasound (POC‐MSKUS) and full diagnostic ultrasound, terminology to describe structures being assessed by ultrasound, and how these assessments should be interpreted. Next, an in‐person meeting of an international group of hemophilia health care professionals and patient representatives was held, with the objective of achieving consensus regarding the acquisition and interpretation of POC‐MSKUS and full diagnostic ultrasound for use in the assessment of musculoskeletal (MSK) pathologies in persons with hemophilia. RESULTS: The recommendations were that clear definitions of the types of ultrasound examinations should be adopted and that a standardized ultrasound scoring/measurement system should be developed, tested, and implemented. The scoring/measurement system should be tiered to allow for a range of complexity yet maintain the ability for comparison across levels. CONCLUSION: Ultrasound is an evolving technology increasingly used for the assessment of MSK outcomes in persons with hemophilia. As adoption increases globally for clinical care and research, it will become increasingly important to establish clear guidelines for image acquisition, interpretation, and reporting to ensure accuracy, consistency, and comparability across groups. John Wiley and Sons Inc. 2021-07-10 /pmc/articles/PMC8271584/ /pubmed/34268464 http://dx.doi.org/10.1002/rth2.12531 Text en © 2021 The authors. Research and Practice in Thrombosis and Haemostasis published by Wiley Periodicals LLC on behalf of International Society on Thrombosis and Haemostasis(ISTH). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Bakeer, Nihal Dover, Saunya Babyn, Paul Feldman, Brian M. von Drygalski, Annette Doria, Andrea S. Ignas, Danial M. Abad, Audrey Bailey, Cindy Beggs, Ian Chang, Eric Y. Dunn, Amy Funk, Sharon Gibikote, Sridhar Goddard, Nicholas Hilliard, Pamela Keshava, Shyamkumar N. Kruse‐Jarres, Rebecca Li, Yingjia Lobet, Sébastien Manco‐Johnson, Marilyn Martinoli, Carlo O’Donnell, James S. Papakonstantinou, Olympia Pergantou, Helen Poonnoose, Pradeep Querol, Felipe Srivastava, Alok Steiner, Bruno Strike, Karen Timmer, Merel Tyrrell, Pascal N. Vidarsson, Logi Blanchette, Victor S. Musculoskeletal ultrasound in hemophilia: Results and recommendations from a global survey and consensus meeting |
title | Musculoskeletal ultrasound in hemophilia: Results and recommendations from a global survey and consensus meeting |
title_full | Musculoskeletal ultrasound in hemophilia: Results and recommendations from a global survey and consensus meeting |
title_fullStr | Musculoskeletal ultrasound in hemophilia: Results and recommendations from a global survey and consensus meeting |
title_full_unstemmed | Musculoskeletal ultrasound in hemophilia: Results and recommendations from a global survey and consensus meeting |
title_short | Musculoskeletal ultrasound in hemophilia: Results and recommendations from a global survey and consensus meeting |
title_sort | musculoskeletal ultrasound in hemophilia: results and recommendations from a global survey and consensus meeting |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8271584/ https://www.ncbi.nlm.nih.gov/pubmed/34268464 http://dx.doi.org/10.1002/rth2.12531 |
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