The opinion and experiences of Dutch orthopedic surgeons and radiologists about diagnostic musculoskeletal ultrasound imaging in primary care: a survey

Gwendolijne G M Scholten-Peeters, Nicole Franken, Annechien Beumer, Arianne P Verhagen

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

INTRODUCTION AND AIM: The use of diagnostic musculoskeletal ultrasound (DMUS) in primary health care has increased in the recent years. Nevertheless, there are hardly any data concerning the reliability, accuracy and treatment consequences of DMUS used by physical therapists or general practitioners. Moreover, there are no papers published about how orthopedic surgeons or radiologists deal with the results of DMUS performed in primary care. Therefore, our aim is to evaluate the opinion, possible advantages or disadvantages and experiences of Dutch orthopedic surgeons and radiologists about DMUS in primary care.

METHODS: A cross-sectional survey in which respondents completed a self-developed questionnaire to determine their opinion, experiences, advantages, disadvantages of performing DMUS in primary care.

RESULTS: Questionnaires were sent to 838 Dutch orthopedic surgeons and radiologists of which 213 were returned (response rate 25.4%). Our respondents saw no additional value for health care for diagnostic DMUS in primary care. DMUSs were generally repeated in secondary care. They perceived more disadvantages than advantages of performing DMUS in primary care. Mentioned disadvantages were: 'false positive results' (71.4%), 'lack of experience' (70%), 'insufficient education' (69.5%), not able to relate the outcomes of DMUS with other forms of diagnostic imaging' (65.7%), and 'false negative results' (65.3%).

CONCLUSION: Radiologists and orthopedic surgeons sampled in the Netherlands show low trust in DMUS knowledge of physical therapists and general practitioners. The results should be interpreted with caution because of the small response rate and the lack of representativeness to other countries.

Original languageEnglish
Pages (from-to)109-113
Number of pages5
JournalManual Therapy
Volume19
Issue number2
DOIs
Publication statusPublished - Apr 2014
Externally publishedYes

Fingerprint

Ultrasonography
Primary Health Care
Physical Therapists
General Practitioners
Orthopedic Surgeons
Surveys and Questionnaires
Radiologists
Secondary Care
Diagnostic Imaging
Netherlands
Cross-Sectional Studies
Delivery of Health Care
Education

Keywords

  • Adult
  • Attitude of Health Personnel
  • Clinical Competence
  • Cross-Sectional Studies
  • Female
  • Focus Groups
  • Humans
  • Male
  • Musculoskeletal Diseases
  • Netherlands
  • Orthopedics
  • Practice Patterns, Physicians'
  • Primary Health Care
  • Radiology
  • Surveys and Questionnaires
  • Ultrasonography
  • Journal Article

Cite this

@article{44b61424172846deb03df8a28e1b57bf,
title = "The opinion and experiences of Dutch orthopedic surgeons and radiologists about diagnostic musculoskeletal ultrasound imaging in primary care: a survey",
abstract = "INTRODUCTION AND AIM: The use of diagnostic musculoskeletal ultrasound (DMUS) in primary health care has increased in the recent years. Nevertheless, there are hardly any data concerning the reliability, accuracy and treatment consequences of DMUS used by physical therapists or general practitioners. Moreover, there are no papers published about how orthopedic surgeons or radiologists deal with the results of DMUS performed in primary care. Therefore, our aim is to evaluate the opinion, possible advantages or disadvantages and experiences of Dutch orthopedic surgeons and radiologists about DMUS in primary care.METHODS: A cross-sectional survey in which respondents completed a self-developed questionnaire to determine their opinion, experiences, advantages, disadvantages of performing DMUS in primary care.RESULTS: Questionnaires were sent to 838 Dutch orthopedic surgeons and radiologists of which 213 were returned (response rate 25.4{\%}). Our respondents saw no additional value for health care for diagnostic DMUS in primary care. DMUSs were generally repeated in secondary care. They perceived more disadvantages than advantages of performing DMUS in primary care. Mentioned disadvantages were: 'false positive results' (71.4{\%}), 'lack of experience' (70{\%}), 'insufficient education' (69.5{\%}), not able to relate the outcomes of DMUS with other forms of diagnostic imaging' (65.7{\%}), and 'false negative results' (65.3{\%}).CONCLUSION: Radiologists and orthopedic surgeons sampled in the Netherlands show low trust in DMUS knowledge of physical therapists and general practitioners. The results should be interpreted with caution because of the small response rate and the lack of representativeness to other countries.",
keywords = "Adult, Attitude of Health Personnel, Clinical Competence, Cross-Sectional Studies, Female, Focus Groups, Humans, Male, Musculoskeletal Diseases, Netherlands, Orthopedics, Practice Patterns, Physicians', Primary Health Care, Radiology, Surveys and Questionnaires, Ultrasonography, Journal Article",
author = "Scholten-Peeters, {Gwendolijne G M} and Nicole Franken and Annechien Beumer and Verhagen, {Arianne P}",
note = "Published by Elsevier Ltd.",
year = "2014",
month = "4",
doi = "10.1016/j.math.2013.08.003",
language = "English",
volume = "19",
pages = "109--113",
journal = "Manual Therapy",
issn = "1356-689X",
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}

The opinion and experiences of Dutch orthopedic surgeons and radiologists about diagnostic musculoskeletal ultrasound imaging in primary care : a survey. / Scholten-Peeters, Gwendolijne G M; Franken, Nicole; Beumer, Annechien; Verhagen, Arianne P.

In: Manual Therapy, Vol. 19, No. 2, 04.2014, p. 109-113.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - The opinion and experiences of Dutch orthopedic surgeons and radiologists about diagnostic musculoskeletal ultrasound imaging in primary care

T2 - a survey

AU - Scholten-Peeters, Gwendolijne G M

AU - Franken, Nicole

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AU - Verhagen, Arianne P

N1 - Published by Elsevier Ltd.

PY - 2014/4

Y1 - 2014/4

N2 - INTRODUCTION AND AIM: The use of diagnostic musculoskeletal ultrasound (DMUS) in primary health care has increased in the recent years. Nevertheless, there are hardly any data concerning the reliability, accuracy and treatment consequences of DMUS used by physical therapists or general practitioners. Moreover, there are no papers published about how orthopedic surgeons or radiologists deal with the results of DMUS performed in primary care. Therefore, our aim is to evaluate the opinion, possible advantages or disadvantages and experiences of Dutch orthopedic surgeons and radiologists about DMUS in primary care.METHODS: A cross-sectional survey in which respondents completed a self-developed questionnaire to determine their opinion, experiences, advantages, disadvantages of performing DMUS in primary care.RESULTS: Questionnaires were sent to 838 Dutch orthopedic surgeons and radiologists of which 213 were returned (response rate 25.4%). Our respondents saw no additional value for health care for diagnostic DMUS in primary care. DMUSs were generally repeated in secondary care. They perceived more disadvantages than advantages of performing DMUS in primary care. Mentioned disadvantages were: 'false positive results' (71.4%), 'lack of experience' (70%), 'insufficient education' (69.5%), not able to relate the outcomes of DMUS with other forms of diagnostic imaging' (65.7%), and 'false negative results' (65.3%).CONCLUSION: Radiologists and orthopedic surgeons sampled in the Netherlands show low trust in DMUS knowledge of physical therapists and general practitioners. The results should be interpreted with caution because of the small response rate and the lack of representativeness to other countries.

AB - INTRODUCTION AND AIM: The use of diagnostic musculoskeletal ultrasound (DMUS) in primary health care has increased in the recent years. Nevertheless, there are hardly any data concerning the reliability, accuracy and treatment consequences of DMUS used by physical therapists or general practitioners. Moreover, there are no papers published about how orthopedic surgeons or radiologists deal with the results of DMUS performed in primary care. Therefore, our aim is to evaluate the opinion, possible advantages or disadvantages and experiences of Dutch orthopedic surgeons and radiologists about DMUS in primary care.METHODS: A cross-sectional survey in which respondents completed a self-developed questionnaire to determine their opinion, experiences, advantages, disadvantages of performing DMUS in primary care.RESULTS: Questionnaires were sent to 838 Dutch orthopedic surgeons and radiologists of which 213 were returned (response rate 25.4%). Our respondents saw no additional value for health care for diagnostic DMUS in primary care. DMUSs were generally repeated in secondary care. They perceived more disadvantages than advantages of performing DMUS in primary care. Mentioned disadvantages were: 'false positive results' (71.4%), 'lack of experience' (70%), 'insufficient education' (69.5%), not able to relate the outcomes of DMUS with other forms of diagnostic imaging' (65.7%), and 'false negative results' (65.3%).CONCLUSION: Radiologists and orthopedic surgeons sampled in the Netherlands show low trust in DMUS knowledge of physical therapists and general practitioners. The results should be interpreted with caution because of the small response rate and the lack of representativeness to other countries.

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KW - Attitude of Health Personnel

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KW - Cross-Sectional Studies

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KW - Focus Groups

KW - Humans

KW - Male

KW - Musculoskeletal Diseases

KW - Netherlands

KW - Orthopedics

KW - Practice Patterns, Physicians'

KW - Primary Health Care

KW - Radiology

KW - Surveys and Questionnaires

KW - Ultrasonography

KW - Journal Article

U2 - 10.1016/j.math.2013.08.003

DO - 10.1016/j.math.2013.08.003

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EP - 113

JO - Manual Therapy

JF - Manual Therapy

SN - 1356-689X

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