Ultrasound Utility in Routine Clinical Practise
The Impact of Rheumatologist-performed Ultrasound on Diagnosis and Management of Inflammatory Arthritis in Routine Clinical Practice
研究概览
详细说明
There are currently no guidelines for best practice in the use of ultrasound in RA and interim results from a survey by the British Society of Rheumatology (BSR) in this area have suggested that practice is variable across the UK. NICE recognize that the earlier persistent synovitis is identified and treated with disease modifying anti-rheumatic drugs DMARDs, the better the long term outcome and have welcomed the need to determine the role of imaging in assisting with this early diagnosis, and whether the added cost is justified by better disease outcomes.
This is a multi-site prospective observational study which investigates the use of ultrasound imaging in the context of patients with early arthritis presenting to secondary care. The time to commencement of DMARD therapy and diagnosis of Rheumatoid arthritis are therein outcome measures. Patients are followed up for 12 months after their first presentation and time to diagnosis or DMARD commencement recorded.
研究类型
注册 (实际的)
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Patients aged ≥18 years at the time of presentation to the clinic Patients newly presenting to the rheumatology clinic with suspected inflammatory arthritis
Exclusion Criteria:
- For the non-ultrasound arm; patients who have been referred to another rheumatologist or radiologist for ultrasound Patients who decline or who are unable to consent to the use of their medical records for research
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
|
Ultrasound
Early Arthritis Patients seeing a Rheumatologist who uses US for assessment routinely in clinic
|
|
|
Non-Ultrasound
Early Arthritis Patients seeing a Rheumatologist who does not uses US for assessment routinely in clinic
|
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
To compare the time from first visit to treatment initiation between patients with and without rheumatologist-performed ultrasound assessment
大体时间：12 months
|
12 months
|
合作者和调查者
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
DMARD的临床试验
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Diakonhjemmet HospitalThe Research Council of Norway; South-Eastern Norway Regional Health Authority完全的
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National Institute of Medical Sciences and Nutrition...招聘中
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Diakonhjemmet HospitalUniversity of Oslo招聘中
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Biologics & Biosimilars Collective Intelligence...Merck Sharp & Dohme LLC; Pfizer; AbbVie; University of Pittsburgh; Boehringer Ingelheim; Kaiser Permanente 和其他合作者完全的类风湿关节炎 | 银屑病 | 银屑病关节炎 | 炎症性肠病 | 强直性脊柱炎
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Royal United Hospitals Bath NHS Foundation TrustUniversity of Bath尚未招聘
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Hoffmann-La Roche完全的
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University of Alabama at BirminghamPatient-Centered Outcomes Research Institute招聘中