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Musculoskeletal ultrasound imaging training, use, and knowledge among rheumatologists in China

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Abstract

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.

Method

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.

Results

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.

Conclusions

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.

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Data availability

The original English language survey and translated Chinese language survey used in the current study are available as supplementary resources.

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgments

The authors would like to thank the colleagues who participated in our survey, as well as Chen Yu and Min Hui from Peking Union Medical College for assistance with translations of the original survey responses. The authors would also like to acknowledge the Chinese Rheumatology Association for the organization’s collaboration and assistance with this work.

Code availability

Not applicable.

Funding

This work was supported by the Chinese National High Technology Research and Development Program, Ministry of Science and Technology [grant number 2012AA020830]; the Chinese National Key Technology Research and Development Program, Ministry of Science and Technology [grant number 2008BAI59B02]; the National Key Research and Development Program of China [grant numbers 2017YFC0907601, 2017YFC0907602, 2017YFC0907603, 2017YFC0907604, 2017YFC0907605]; National Natural Science Foundation of China [grant number 81601433]; the National Heart, Lung and Blood Institute of the National Institutes of Health [grant number T35 HL007649 to M.W.]; and the National Institutes of Health/Fogarty International Center [grant number K01 TW009995 to E.H.]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the sponsors.

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Author notes

  1. Margaret Wu, Linyi Peng, Mengtao Li and Evelyn Hsieh contributed equally to this work.

Authors and Affiliations

  1. Yale University School of Medicine, New Haven, CT, USA

    Margaret Wu

  2. Department of Rheumatology, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, No.1, Shuaifuyuan, Eastern District, Beijing, 100730, China

    Linyi Peng, Li Wang, Xiaofeng Zeng & Mengtao Li

  3. Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education & National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China

    Linyi Peng, Li Wang, Xiaofeng Zeng & Mengtao Li

  4. Section of General Internal Medicine, Yale University School of Medicine, New Haven, CT, USA

    Joseph H. Donroe

  5. Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, USA

    Minna J. Kohler

  6. Section of Rheumatology, Allergy and Immunology, Yale University School of Medicine, 300 Cedar Street, TAC S-525, PO Box 208031, New Haven, CT, 06520, USA

    Evelyn Hsieh

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Wu, M., Peng, L., Donroe, J. et al. Musculoskeletal ultrasound imaging training, use, and knowledge among rheumatologists in China. Clin Rheumatol 40, 321–330 (2021). https://doi.org/10.1007/s10067-020-05175-4

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