Competency-based Assessment of Ultrasound-guided Joint Injection Skills

NCT05303974 | Completed

• 1 other identifier: 2022-003
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Ultrasound-guided joint injections and aspirations are frequently used in the treatment of rheumatological diseases. Studies have shown that intra-articular glucocorticoid injections (IAGCs) in the early treatment of rheumatoid arthritis is essential and leads to improved disease control and earlier achievement of remission. Unfortunately, many rheumatologists feel insecure performing IAGC due to poor and unstructured training opportunities, which can result in suboptimal treatment and potentially poorer patient outcome. Nowadays, the gold standard training method has shifted towards competency-based education were objective assessment tools are necessary. A previous study has developed a scale for assessment of invasive ultrasound procedures, the Interventional Ultrasound Skills Evaluation (IUSE) tool. Although expert consensus supports evidence of content validity of the assessment tool, it is not known if the tool can discriminate differences in performance scores between the different levels of experience.

Conditions

Musculoskeletal Diseases

Keywords

Training; Ultrasound; Medical education

Outcome Measures

Primary Outcomes (1)

• Performance score

  Performance score assessed by blinded raters using the modified IUSE assessment tool

  Up to 12 months

Study Arms (3)

Novices

EXPERIMENTAL

Measurement of competence

Other: Ultrasound guided joint injection

Intermediates

EXPERIMENTAL

Measurement of competence

Other: Ultrasound guided joint injection

Experts

EXPERIMENTAL

Measurement of competence

Other: Ultrasound guided joint injection

Interventions

Ultrasound guided joint injection OTHER

The participants will perform two ultrasound guided joint injections on a mannequin. The performance of both procedures are videorecorded. All videos will be rated by two blinded raters using the modified IUSE assessment tool.

Experts; Intermediates; Novices

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Physicians attending the yearly international conference EULAR (Denmark 2022)
• Novices: No or little experience with ultrasound guided joint injections.
• Intermediates: Participated and completed at least one formal musculoskeletal ultrasound course and performed more than 100 ultrasound guided joint injections.
• Experts: Physicians with a long experience with musculoskeletal ultrasound and ultrasound guided joint injections doing the procedure almost daily and providing teaching and/or research within this field.

You may not qualify if:

• No informed consent
• Novices/Intermediates: extensive experience with musculoskeletal ultrasound and/or ultrasound guided joint injections.

Sponsors & Collaborators

• Rigshospitalet, Denmark: lead

Study Sites (1)

COPECARE (Copenhagen Center for Arthritis Research)

Glostrup Municipality, 2600, Denmark

Location

Related Publications (5)

• Kahr Rasmussen N, Nayahangan LJ, Carlsen J, Ekberg O, Brabrand K, Albrecht-Beste E, Nielsen MB, Konge L. Evaluation of competence in ultrasound-guided procedures-a generic assessment tool developed through the Delphi method. Eur Radiol. 2021 Jun;31(6):4203-4211. doi: 10.1007/s00330-020-07280-z. Epub 2020 Nov 17.

  PMID: 33201282 RESULT

• Mandl P, Naredo E, Conaghan PG, D'Agostino MA, Wakefield RJ, Bachta A, Backhaus M, Hammer HB, Bruyn GA, Damjanov N, Filippucci E, Grassi W, Iagnocco A, Jousse-Joulin S, Kane D, Koski JM, Moller I, De Miguel E, Schmidt WA, Swen WA, Szkudlarek M, Terslev L, Ziswiler HR, Ostergaard M, Balint PV. Practice of ultrasound-guided arthrocentesis and joint injection, including training and implementation, in Europe: results of a survey of experts and scientific societies. Rheumatology (Oxford). 2012 Jan;51(1):184-90. doi: 10.1093/rheumatology/ker331. Epub 2011 Nov 24.

  PMID: 22120466 RESULT

• Hetland ML, Ostergaard M, Ejbjerg B, Jacobsen S, Stengaard-Pedersen K, Junker P, Lottenburger T, Hansen I, Andersen LS, Tarp U, Svendsen A, Pedersen JK, Skjodt H, Ellingsen T, Lindegaard H, Podenphant J, Horslev-Petersen K; CIMESTRA study group. Short- and long-term efficacy of intra-articular injections with betamethasone as part of a treat-to-target strategy in early rheumatoid arthritis: impact of joint area, repeated injections, MRI findings, anti-CCP, IgM-RF and CRP. Ann Rheum Dis. 2012 Jun;71(6):851-6. doi: 10.1136/annrheumdis-2011-200632. Epub 2012 Feb 1.

  PMID: 22302316 RESULT

• Bruyn GA, Schmidt WA. How to perform ultrasound-guided injections. Best Pract Res Clin Rheumatol. 2009 Apr;23(2):269-79. doi: 10.1016/j.berh.2008.11.001.

  PMID: 19393570 RESULT

• Carstensen SMD, Just SA, Pfeiffer-Jensen M, Ostergaard M, Konge L, Terslev L. Development and validation of a new tool for assessment of trainees' interventional musculoskeletal ultrasound skills. Rheumatology (Oxford). 2025 Feb 1;64(2):484-492. doi: 10.1093/rheumatology/keae050.

  PMID: 38273715 DERIVED

MeSH Terms

Conditions

Musculoskeletal Diseases

Study Officials

• Stine Maya D Carstensen, MD

  Afdeling for Rygkirurgi, Led- og Bindevævssygdomme, COPECARE (Copenhagen Center for Arthritis Research) Rigshospitalet, Glostrup Valdemar Hansens vej 17 2600 Glostrup

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD fellow, Principal investigator

Study Record Dates

• First Submitted: March 22, 2022
• First Posted: March 31, 2022
• Study Start: May 29, 2022
• Primary Completion: June 4, 2022
• Study Completion: June 30, 2022
• Last Updated: October 27, 2022

Record last verified: 2022-10

Locations

DK (1)