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- W4384346650 abstract "Introduction. Point-of-care ultrasonography (POCUS), performed by the clinician, is an important tool to guide and improve the case management for early diagnosis and treatment. It represents an extension to the clinical examination of the physician, to achieve an accurate positive or differential diagnosis. Methodology. This study aimed to establish some POCUS applications for family doctors. The indications of POCUS were represented by diffuse and focal lesions of the abdominal or pelvic organs. All these presented a typical ultrasound pattern, and simple diagnostic criteria can be used. We performed a brainstorming and conducted an online survey on what POCUC applications can be used in primary care. We designed a questionnaire with POCUS applications which was distributed to family physicians from the European Research Networks (WONCA). Then, we performed a POCUS screening on 3400 patients with acute abdominal-pelvic pain who were examined for the first time by the family physician and were confirmed afterwards by the specialist. Each patient followed an ultrasound protocol and was archived in a database. We made a descriptive statistic, we analyzed the POCUS screening data and, finally, the inter-rater agreement using Cohen’s kappa coefficient. Results. We had 450 family physicians and family medicine residents as respondents to this POCUS survey from all the European countries. We made a comparative analysis of their answers and found out which POCUS applications are of great interest for European family doctors. We encountered many differences among different European countries, but the opinions of over 86% of the respondents were in favor of using POCUS. We present the results of the survey launched by EUVEKUS at the European level regarding the education and curriculum of POCUS in primary medicine. The results of our second prospective study on the patients with abdominal-pelvic pain were: accuracy 94.54%, sensitivity 96.43%, and specificity 91.16% (p<0.001). The agreement between the clinical ultrasonography results performed by a trained GP versus an emergency specialist in the diagnosis of abdominal emergencies was 91% (k=0.86; 95% CI; 0.79-0.91). Conclusions. Ultrasonography should be a diagnosis tool, besides the stethoscope, in the GP’s office. Early and accurate diagnosis can help to save many patients in primary care, based on notions of good clinical practice (GCP)." @default.
- W4384346650 created "2023-07-15" @default.
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- W4384346650 date "2023-01-01" @default.
- W4384346650 modified "2023-09-26" @default.
- W4384346650 title "Importance of POCUS applications in primary healthcare at the European level and a prospective POCUS study in patients with acute abdominal pelvic pain in family medicine practice" @default.
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- W4384346650 doi "https://doi.org/10.26416/med.153.3.2023.8190" @default.
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