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Master Thesis

Intérêt de l’échographie dans la prise en charge des patients au cours de la consultation de médecine générale

Abstract : Introduction: Ultrasonic imaging is a simple, quick, non-invasive examination which helps the practitioner to perform a diagnosis. Its use in the general practice starts to grow. It would be interesting to analyze the impact of this practice on the patient care. The main objective of this study was to determine, in a panel of general practitioners sonographers, the percentage of ultrasound examinations causing a change in the patient care. Methods: We conducted a multicentric prospective observational study among general practitioners sonographers, between October 2014 and March 2015. A questionnaire was completed at the end of each ultrasound performed during the consultation, or within 4 days following the general medical consultation. Ultrasounds programmed were excluded from the study. The questionnaire collected information on the type of ultrasound, the examination modalities, and the impact on the patient care. Results: 509 scans were included in the study, conducted by 10 general practitioners sonographers. Musculoskeletal, abdominal, gynecological and obstetric ultrasounds were most realized. General practitioners sonographers responded that in 84.5% of the cases (95% CI [81.3%, 87.6%]) ultrasound had changed the patient care. Introduction or modification of treatment were found to be the most frequent care change. Conclusion: This study shows a strong impact of ultrasound on the patient care. Although this impact need to be confirmed by comparative studies to get a higher level of evidence, it may be concluded that the practice of ultrasound in general medicine should be promoted.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01241472
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Submitted on : Thursday, December 10, 2015 - 3:25:28 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Saturday, April 29, 2017 - 10:50:43 AM

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  • HAL Id : dumas-01241472, version 1

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Clément Renaudin. Intérêt de l’échographie dans la prise en charge des patients au cours de la consultation de médecine générale. Médecine humaine et pathologie. 2015. ⟨dumas-01241472⟩

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