{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:27:41Z","timestamp":1790008061580,"version":"4.0.1"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T00:00:00Z","timestamp":1590105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000801","name":"Bayer HealthCare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000801","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004339","name":"Sanofi","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004339","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The objective of this survey was to understand the global trends of imaging assessments in persons with haemophilia, focusing on point\u2010of\u2010care ultrasound (POCUS). Insights into the barriers impeding its widespread proliferation as a frontline imaging modality were obtained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The survey opened in September of 2017 and closed in May of 2018. Haemophilia Treatment Centres (HTCs) treating both paediatric\/adult patients were the population of interest. A REDCap survey of 25 questions was disseminated to 232 clinical staff in 26 countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The majority of respondents (88.3%, 91\/103) reported that POCUS is most useful to confirm or rule out a presumed acute joint bleed. European HTCs reported the highest routine use of POCUS at 59.5% (22\/37) followed by HTCs in the \u201cOther\u201d countries of the world at 46.7% (7\/15) and North American HTCs at 43.9% (25\/57). At the time of the survey, physiotherapists were identified as the clinical staff who perform POCUS 52.8% (28\/53) of the time, in contrast with nurses\/nurse practitioners who represent only 5.7% (3\/53) of users. The greatest perceived barriers to the implementation of POCUS are the lack of trained healthcare professionals who can perform POCUS at 69.2% (74\/107) and the overall time commitment required at 68.2% (73\/107).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite POCUS being used in 49.5% (54\/109) of sampled HTCs, it is still utilized almost 30% less globally than full diagnostic ultrasound. A list of barriers has been identified to inform HTCs which challenges they will likely need to overcome should they choose to incorporate this imaging modality into their practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.14006","type":"journal-article","created":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T09:48:03Z","timestamp":1590140883000},"page":"685-693","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Use of ultrasound for assessment of musculoskeletal disease in persons with haemophilia: Results of an International Prophylaxis Study Group global survey"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3036-9541","authenticated-orcid":false,"given":"Danial M.","family":"Ignas","sequence":"first","affiliation":[{"name":"Child Health Evaluative Sciences Program The Hospital for Sick Children Research Institute Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3202-0447","authenticated-orcid":false,"given":"Andrea S.","family":"Doria","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging The Hospital for Sick Children University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9426-6322","authenticated-orcid":false,"given":"Annette","family":"von Drygalski","sequence":"additional","affiliation":[{"name":"Hemophilia and Thrombosis Treatment Center Department of Medicine Division of Hematology\/Oncology University of California San Diego CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor S.","family":"Blanchette","sequence":"additional","affiliation":[{"name":"Child Health Evaluative Sciences Program The Hospital for Sick Children Research Institute Toronto ON Canada"},{"name":"Department of Pediatrics Division of 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Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sridhar","family":"Gibikote","sequence":"additional","affiliation":[{"name":"Department of Radiology Christian Medical College Vellore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyamkumar N.","family":"Keshava","sequence":"additional","affiliation":[{"name":"Department of Radiology Christian Medical College Vellore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"Querol","sequence":"additional","affiliation":[{"name":"Haemostasis and Thrombosis Unit Hospital LA FE Universidad de Valencia Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8396-3168","authenticated-orcid":false,"given":"Audrey","family":"Abad","sequence":"additional","affiliation":[{"name":"Child Health Evaluative Sciences Program The Hospital for Sick Children Research Institute Toronto ON 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