Evidence map›Paper›PMID 33821367›Full record

ArticleClinical rheumatology2021

North American musculoskeletal ultrasound scanning protocol of the hip, knee, ankle, and foot: update of a Delphi consensus study.

Janeth Yinh, Karina D Torralba, Kristal S Choi, Robert M Fairchild, Amy Cannella, Lorena Salto, Eugene Y Kissin, Ralf Thiele, Edward J Oberle, Bethany Marston and 2 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Janeth YinhDivision of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street Yawkey 2C, Boston, MA, 02144, USA. jyinh@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-6390-0941
Karina D TorralbaDivision of Rheumatology, Department of Medicine, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Kristal S ChoiDivision of Rheumatology, Loma Linda University Medical Center, Loma Linda, CA, USA.
Robert M FairchildDivision of Immunology and Rheumatology, Stanford University, Stanford, CA, USA.
Amy CannellaDivision of Rheumatology, University of Nebraska Medical Center, Omaha, NE, USA.
Lorena SaltoDepartment of Basic Sciences, Loma Linda University, Loma Linda, CA, USA.
Eugene Y KissinDivision of Rheumatology, Boston University, Boston, MA, USA.
Ralf ThieleDivision of Rheumatology, University of Rochester, Rochester, NY, USA.
Edward J OberleDepartment of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA.
Bethany MarstonDivision of Pediatric Rheumatology and Division of Allergy/Immunology and Rheumatology, University of Rochester, Rochester, NY, USA.
Midori Jane NishioJohn Muir Hospital, Walnut Creek, CA, USA.
for USSONAR
Loma Linda University · USUniversity of Rochester · USBoston University · USHarvard University · USJohn Muir Health · USLoma Linda University Medical Center · USNationwide Children's Hospital · USStanford University · USUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveA North American rheumatology consensus on tiered-mastery designation for anatomic views was developed in 2011 for course and fellowship teaching. This study updates the lower extremity joint scanning protocols aiming to inform musculoskeletal ultrasound curriculum development for the American College of Rheumatology affiliated Fellowship Programs.

methodsThree Delphi rounds were conducted to reach consensus for tiered-level mastery designation for hip, knee, ankle, and foot scanning views. The survey was disseminated (Qualtrics™) to 101 potential participants with ultrasound teaching experience. High agreement was defined as ≥ 85% consensus and final tier designation as having >50% agreement for the preferred tier. Response changes were evaluated by McNemar's chi-square test.

resultsConsensus regarding tier designations was reached for 80% of the views. Three knee views (anterior transverse suprapatellar, medial, and lateral longitudinal) and 2 ankle views (anterior and posterior transverse) achieved upgrades to tier 1 from 2. The transverse sacroiliac hip joint was downgraded from tier 2 to 3. The lateral longitudinal hip view was added with a tier 1 designation.

conclusionUpdated scanning protocols support modifications reflecting current scanning methods delivered by North American rheumatologists performing point of care ultrasound that may inform educators involved in rheumatology ultrasound. Key Points • The anterior transverse suprapatellar, medial, and lateral longitudinal knee views; the anterior and posterior transverse ankle views; and the lateral longitudinal view hip view were perceived as important to master and perform routinely. • The transverse sacroiliac joint view was suggested to be performed based on practice focus.

Indexed as

AnkleDelphi TechniqueHumansNorth AmericaUltrasonographyMusculoskeletal ultrasoundScanning protocolUltrasound of the ankle and footUltrasound of the hipUltrasound of the knee

Identifiers

PMID33821367
OpenAlexW3145365978

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.