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Recommendations for the execution and reporting of skin ultrasound in systemic sclerosis : an international collaboration under the WSF skin ultrasound group

Santiago, Tânia (author)
University Hospital of Coimbra,University of Coimbra
Santos, Eduardo José Ferreira (author)
University of Coimbra
Ruaro, Barbara (author)
University Hospital Of Trieste
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Lepri, Gemma (author)
University of Florence
Green, Lorraine (author)
Leeds School of Medicine
Wildt, Marie (author)
Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargruppen för systemisk skleros, Lund,Forskargrupper vid Lunds universitet,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Systemic Sclerosis Research Group,Lund University Research Groups
Watanabe, Shinji (author)
Nippon Medical School
Lescoat, Alain (author)
Rennes University Hospital
Hesselstrand, Roger (author)
Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargruppen för systemisk skleros, Lund,Forskargrupper vid Lunds universitet,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Systemic Sclerosis Research Group,Lund University Research Groups
Del Galdo, Francesco (author)
Leeds School of Medicine
Pauling, John D. (author)
University of Bath,Royal National Hospital for Rheumatic Diseases
Reeve, Lucy Jean (author)
Scleroderma & Raynaud's UK
D'Agostino, Maria Antonieta (author)
Policlinico Universitario Agostino Gemelli,Catholic University School of Medicine
Matucci-Cerinic, Marco (author)
University of Florence
Iagnocco, Annamaria (author)
University of Turin
Da Silva, Jose Antonio Pereira (author)
University Hospital of Coimbra
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 (creator_code:org_t)
2022-07-18
2022
English.
In: RMD Open. - : BMJ. - 2056-5933. ; 8:2
  • Research review (peer-reviewed)
Abstract Subject headings
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  • Objective Ultrasound is a promising tool to foster much-needed improvement of skin assessment in systemic sclerosis (SSc). Our aim was to develop evidence and expert opinion-based recommendations to promote the standardisation and harmonisation of technical execution and reporting of skin ultrasound studies in SSc. Methods A multidisciplinary task force of 16 members from five European countries and Japan was convened under the auspices of World Scleroderma Foundation. First, a systematic literature review (SLR) was performed. Then, each member proposed and formulated items to the overarching principles, recommendations and research agenda. Two rounds of mails exchange for consensus as well as an on-line meeting were performed to debate and refine the proposals. Two Delphi rounds of voting resulted in the final recommendations. Levels of evidence and strengths of recommendations were assigned, and task force members voted anonymously on the level of agreement with each of the items. Results Five overarching principles and seven recommendations were developed, based on an SLR and expert opinion, through consensus procedures. The overarching principles highlight the promising role of skin ultrasound in SSc assessment, the need for standardisation of technical aspects, sufficient training and adequate equipment. The recommendations provide standards for the execution and reporting of skin ultrasound in SSc. The research agenda includes the need for more research into unmet needs according to Outcome Measures in Rheumatology Algorithm requirements. Conclusion These are the first recommendations providing guidance on the execution and reporting of skin ultrasound in SSc patients, aiming at improving the interpretability, reliability and generalisability of skin ultrasound, thus consolidating its role in research and practice.

Subject headings

TEKNIK OCH TEKNOLOGIER  -- Medicinteknik -- Medicinsk laboratorie- och mätteknik (hsv//swe)
ENGINEERING AND TECHNOLOGY  -- Medical Engineering -- Medical Laboratory and Measurements Technologies (hsv//eng)

Keyword

Health Care
Outcome and Process Assessment
Scleroderma
Systemic
Ultrasonography

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