Dear Doctor,
The purpose of this research project is to learn about physicians’ perspectives and preferences regarding the use of ultrasound guidance for intra-articular injections, thus outlining current practice patterns and identifying barriers to the use of ultrasound guidance in intra-articular injection of the knee, shoulder, and hip joints.
This is a research project being conducted by Dr. Femi Ayeni, orthopaedic surgeon, at McMaster University. You are invited to participate in this research project because you are identified as a physician member of the Canadian Academy of Sport and Exercise Medicine.
Your participation in this research study is voluntary. You may choose not to participate. If you decide to participate in this research survey, you may withdraw at any time. If you decide not to participate in this study or if you withdraw from participating at any time, you will not be penalized.
The procedure involves filling an online survey that will take approximately 5-10 minutes. Your responses will be confidential and we do not collect identifying information such as your name, email address or IP address. The survey questions will be about your experiences, attitudes, and beliefs regarding anatomic and image-guided intra-articular injections of the knee, shoulder, and hip joints.
We will keep your information confidential. All data is stored in a password protected electronic format. To help protect your confidentiality, the surveys will not contain information that will personally identify you. The results of this study will be used for scholarly purposes only and may be shared with study investigators.
If you have any questions about the research study, please contact Dr. Femi Ayeni (contact information in cover letter). This research has been reviewed and approved according to the Hamilton Integrated Research Ethics Board procedures for research involving human subjects.
By clicking 'Next', you agree to participate in this study according to the above terms.
PRECISION Survey: Ultrasound-guided intra-articular injections
Demographics
PRECISION Survey: Ultrasound-guided intra-articular injections
1. Your current Age group
30 years or younger 31-40 years old 41-50 years old 51-60 years old Over 60 years old
2. Do you have a license of independent practice (i.e. FRCSC, FRCPC, or FCFPC)?
Yes No
3. If yes to Q2, how many years have you been in independent practice?
<5 years 5-10 years 11-15 years 16-20 years
>20 years N/A
4. What type of physician are you?
Family physician Orthopaedic surgeon Physiatrist Rheumatologist Other (please specify)
6. Do you perform intra-articular injection of the knee, shoulder, or hip joint(s)?
*
Yes NoIntra-articular Joint Injections: Practice Patterns
PRECISION Survey: Ultrasound-guided intra-articular injections
Less than 5 5 to 10 11 to 15 16 to 20 More than 20 N/A
Knee Shoulder Hip
7. For how many years have you been performing intra-articular injections?
0 1 2-5 6-10 11-25 >25 N/A
Knee Shoulder Hip
8. How many intra-articular injections do you perform on average per week?
Never Rarely Sometimes Often Always N/A
Knee Shoulder Hip
9. How often do you use ultrasound guidance when performing intra-articular injections?
10. If you perform anatomic ("blind") intra-articular KNEE injections, what approach do you use?
Superolateral Superomedial Anteromedial Anterolateral Mixed N/A
Other (please specify)
12. If you perform anatomic ("blind") intra-articular SHOULDER JOINT (not sub-acromial) injections, what approach do you use?
Posterior Anterior Mixed N/A
Other (please specify)
Most common Next most common Next most common Next most common
Knee
Shoulder Hip
Other (please specify)
13. What do you inject into each joint?
14. How often do you have access to the equipment required to perform ultrasound-guided intra-articular injections?
Never Rarely Sometimes Often Always
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
Knee
15. I am well-trained to perform ultrasound-guided intra-articular injections.
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
Knee Shoulder Hip
16. I am well-trained to perform anatomic ("blind") intra-articular injections.
Intra-articular Joint Injections: Attitudes and Beliefs
Always Often Sometimes Rarely Never N/A
Knee Shoulder Hip
17. I believe I accurately inject the following joints blindly
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
Knee Shoulder Hip
18. Ultrasound guidance improves the accuracy of intra-articular injections.
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
Knee Shoulder Hip
19. Ultrasound guidance improves patient outcomes following intra-articular injections.
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
Knee Shoulder Hip
20. The literature supports the use of ultrasound guidance over anatomically guided intra-articular injections.
21. Financial compensation for ultrasound guidance of the following joints is
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
I had better access to equipment It was not as time- consuming I had more/better training There was more literature to support it over "blind" injection If it was more better compensated financially
22. I would perform ultrasound guided intra-articular KNEE injections more regularly if:
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
I had better access to equipment It was not as time- consuming I had more/better training There was more literature to support it over "blind" injection
23. I would perform ultrasound guided intra-articular SHOULDER JOINT (i.e. not sub-acromial) injections more regularly if:
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
I had better access to equipment It was not as time- consuming I had more/better training There was more literature to support it over "blind" injection
24. I would perform ultrasound guided intra-articular HIP injections more regularly if:
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
are useful in certain patient populations (ie obese patients, patients with distorted anatomy, etc.)
will be used by more physicians in the future should be the "standard
25. I believe that ultrasound guided intra-articular KNEE injections:
should be the "standard of care"
are cost effective
Strongly Disagree Disagree
Neither agree nor
disagree Agree Strongly Agree
are useful in certain patient populations (ie obese patients, patients with distorted anatomy, etc.)
will be used by more physicians in the future should be the "standard of care"
are cost effective
