An international SUrvey on non-iNvaSive tecHniques to assess the mIcrocirculation in patients with RayNaud’s phEnomenon (SUNSHINE survey)

Francesca Ingegnoli, Nicola Ughi, Graham Dinsdale, Annalisa Orenti, Patrizia Boracchi, Yannick Allanore, Ivan Foeldvari, Alberto Sulli, Maurizio Cutolo, Vanessa Smith, Ariane L. Herrick, Adrian Hij, Alberto Sulli, Alejandro Nitsche, Alessandra Vacca, Alexandra Balbir-Gurman, Amina Abdessemed, Angelica Vargas, Antonia Valenzuela, Ashima Makol & 31 others Asta Baranauskaite, Beata Derfalvi, Belén Serrano Benavente, Betul Sozeri, Blanca E. Bica, Bojana Stamenkovic, Carina Mihai, Carlo Chizzolini, Carlos Abud Mendoza, Carlos de la Puente, Carlos von Muhlen, Chiara Bertolazzi, Clare Pain, Claudia Ickinger, Codrina Ancuta, Cord Sunderkotter, Cristiane Kayser, Daniel B. De Araujo, David Launay, Dinesh Khanna, Dorota Krasowska, Douglas Veale, Dušanka M. Kaliterna, Edoardo Rosato, Ellen de Langhe, Eric Hachulla, Esperanza Naredo, Esthela Loyo, Everardo Alvarez Hernández, John Pauling, On behalf of the EULAR Study Group on Microcirculation in RheumaticDiseases

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

To canvas opinion concerning the role of non-invasive techniques in the assessment of patients with Raynaud’s phenomenon (Rp) in clinical and research settings: four nailfold capillaroscopy methods [videocapillaroscopy (NVC), dermoscopy, stereomicroscopy, digital USB microscopy], four laser Doppler methods (laser Doppler flowmetry, imaging, anemometry/velocimetry, laser speckle contrast analysis), thermographic imaging, and upper limb arterial Doppler ultrasound. Emails with a link to the survey were sent to physicians from the European Scleroderma Trials and Research group (EUSTAR), the EULAR Study Group on Microcirculation in Rheumatic Diseases (SG_MC/RD) and members of the pediatric rheumatology Email board. The main descriptive analysis related to physicians looking after adult patients, with some analysis also of opinions from paediatric rheumatologists. 106 ‘adult physicians’ responded (a response rate of 25.8%), of whom 68.9% were European, and 81.1% practising for more than 10 years. Nineteen paediatricians responded. The most widely available technique was NVC (72.7%). Nailfold capillaroscopy was most frequently performed by the physician him/herself, using different types of equipment relating to availability. Most rheumatologists reported high levels of appropriateness for NVC in both clinical and research settings for global assessment and differential diagnosis of Rp. Other techniques were less used. Of all the different techniques, nailfold capillaroscopy was the one most used in both clinical and research settings by adult physicians, the majority of whom use NVC in their everyday practice. The low proportion of clinicians using other techniques suggests that these are currently mainly research tools, available only in specialist centres.

Original languageEnglish
Pages (from-to)1879-1890
Number of pages12
JournalRheumatology International
Volume37
Issue number11
DOIs
Publication statusPublished - 1 Nov 2017

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Raynaud Disease
Microscopic Angioscopy
Microcirculation
Physicians
Research
Pediatrics
Dermoscopy
Doppler Ultrasonography
Laser-Doppler Flowmetry
Rheology
Rheumatology
Rheumatic Diseases
Confocal Microscopy
Upper Extremity
Lasers
Differential Diagnosis
Surveys and Questionnaires
Equipment and Supplies

Keywords

  • Anemometry/velocimetry
  • Connective tissue disease
  • Dermoscopy
  • Laser Doppler flowmetry
  • Laser Doppler imaging
  • Laser speckle contrast analysis
  • Nailfold capillaroscopy
  • Raynaud’s phenomenon
  • Systemic sclerosis
  • Thermographic imaging
  • Upper limb arterial Doppler ultrasound
  • Videocapillaroscopy

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

Cite this

Ingegnoli, F., Ughi, N., Dinsdale, G., Orenti, A., Boracchi, P., Allanore, Y., ... On behalf of the EULAR Study Group on Microcirculation in RheumaticDiseases (2017). An international SUrvey on non-iNvaSive tecHniques to assess the mIcrocirculation in patients with RayNaud’s phEnomenon (SUNSHINE survey). Rheumatology International, 37(11), 1879-1890. https://doi.org/10.1007/s00296-017-3808-0

An international SUrvey on non-iNvaSive tecHniques to assess the mIcrocirculation in patients with RayNaud’s phEnomenon (SUNSHINE survey). / Ingegnoli, Francesca; Ughi, Nicola; Dinsdale, Graham; Orenti, Annalisa; Boracchi, Patrizia; Allanore, Yannick; Foeldvari, Ivan; Sulli, Alberto; Cutolo, Maurizio; Smith, Vanessa; Herrick, Ariane L.; Hij, Adrian; Sulli, Alberto; Nitsche, Alejandro; Vacca, Alessandra; Balbir-Gurman, Alexandra; Abdessemed, Amina; Vargas, Angelica; Valenzuela, Antonia; Makol, Ashima; Baranauskaite, Asta; Derfalvi, Beata; Serrano Benavente, Belén; Sozeri, Betul; Bica, Blanca E.; Stamenkovic, Bojana; Mihai, Carina; Chizzolini, Carlo; Abud Mendoza, Carlos; de la Puente, Carlos; von Muhlen, Carlos; Bertolazzi, Chiara; Pain, Clare; Ickinger, Claudia; Ancuta, Codrina; Sunderkotter, Cord; Kayser, Cristiane; De Araujo, Daniel B.; Launay, David; Khanna, Dinesh; Krasowska, Dorota; Veale, Douglas; Kaliterna, Dušanka M.; Rosato, Edoardo; de Langhe, Ellen; Hachulla, Eric; Naredo, Esperanza; Loyo, Esthela; Alvarez Hernández, Everardo; Pauling, John; On behalf of the EULAR Study Group on Microcirculation in RheumaticDiseases.

In: Rheumatology International, Vol. 37, No. 11, 01.11.2017, p. 1879-1890.

Research output: Contribution to journalArticle

Ingegnoli, F, Ughi, N, Dinsdale, G, Orenti, A, Boracchi, P, Allanore, Y, Foeldvari, I, Sulli, A, Cutolo, M, Smith, V, Herrick, AL, Hij, A, Sulli, A, Nitsche, A, Vacca, A, Balbir-Gurman, A, Abdessemed, A, Vargas, A, Valenzuela, A, Makol, A, Baranauskaite, A, Derfalvi, B, Serrano Benavente, B, Sozeri, B, Bica, BE, Stamenkovic, B, Mihai, C, Chizzolini, C, Abud Mendoza, C, de la Puente, C, von Muhlen, C, Bertolazzi, C, Pain, C, Ickinger, C, Ancuta, C, Sunderkotter, C, Kayser, C, De Araujo, DB, Launay, D, Khanna, D, Krasowska, D, Veale, D, Kaliterna, DM, Rosato, E, de Langhe, E, Hachulla, E, Naredo, E, Loyo, E, Alvarez Hernández, E, Pauling, J & On behalf of the EULAR Study Group on Microcirculation in RheumaticDiseases 2017, 'An international SUrvey on non-iNvaSive tecHniques to assess the mIcrocirculation in patients with RayNaud’s phEnomenon (SUNSHINE survey)', Rheumatology International, vol. 37, no. 11, pp. 1879-1890. https://doi.org/10.1007/s00296-017-3808-0
Ingegnoli, Francesca ; Ughi, Nicola ; Dinsdale, Graham ; Orenti, Annalisa ; Boracchi, Patrizia ; Allanore, Yannick ; Foeldvari, Ivan ; Sulli, Alberto ; Cutolo, Maurizio ; Smith, Vanessa ; Herrick, Ariane L. ; Hij, Adrian ; Sulli, Alberto ; Nitsche, Alejandro ; Vacca, Alessandra ; Balbir-Gurman, Alexandra ; Abdessemed, Amina ; Vargas, Angelica ; Valenzuela, Antonia ; Makol, Ashima ; Baranauskaite, Asta ; Derfalvi, Beata ; Serrano Benavente, Belén ; Sozeri, Betul ; Bica, Blanca E. ; Stamenkovic, Bojana ; Mihai, Carina ; Chizzolini, Carlo ; Abud Mendoza, Carlos ; de la Puente, Carlos ; von Muhlen, Carlos ; Bertolazzi, Chiara ; Pain, Clare ; Ickinger, Claudia ; Ancuta, Codrina ; Sunderkotter, Cord ; Kayser, Cristiane ; De Araujo, Daniel B. ; Launay, David ; Khanna, Dinesh ; Krasowska, Dorota ; Veale, Douglas ; Kaliterna, Dušanka M. ; Rosato, Edoardo ; de Langhe, Ellen ; Hachulla, Eric ; Naredo, Esperanza ; Loyo, Esthela ; Alvarez Hernández, Everardo ; Pauling, John ; On behalf of the EULAR Study Group on Microcirculation in RheumaticDiseases. / An international SUrvey on non-iNvaSive tecHniques to assess the mIcrocirculation in patients with RayNaud’s phEnomenon (SUNSHINE survey). In: Rheumatology International. 2017 ; Vol. 37, No. 11. pp. 1879-1890.
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abstract = "To canvas opinion concerning the role of non-invasive techniques in the assessment of patients with Raynaud’s phenomenon (Rp) in clinical and research settings: four nailfold capillaroscopy methods [videocapillaroscopy (NVC), dermoscopy, stereomicroscopy, digital USB microscopy], four laser Doppler methods (laser Doppler flowmetry, imaging, anemometry/velocimetry, laser speckle contrast analysis), thermographic imaging, and upper limb arterial Doppler ultrasound. Emails with a link to the survey were sent to physicians from the European Scleroderma Trials and Research group (EUSTAR), the EULAR Study Group on Microcirculation in Rheumatic Diseases (SG_MC/RD) and members of the pediatric rheumatology Email board. The main descriptive analysis related to physicians looking after adult patients, with some analysis also of opinions from paediatric rheumatologists. 106 ‘adult physicians’ responded (a response rate of 25.8{\%}), of whom 68.9{\%} were European, and 81.1{\%} practising for more than 10 years. Nineteen paediatricians responded. The most widely available technique was NVC (72.7{\%}). Nailfold capillaroscopy was most frequently performed by the physician him/herself, using different types of equipment relating to availability. Most rheumatologists reported high levels of appropriateness for NVC in both clinical and research settings for global assessment and differential diagnosis of Rp. Other techniques were less used. Of all the different techniques, nailfold capillaroscopy was the one most used in both clinical and research settings by adult physicians, the majority of whom use NVC in their everyday practice. The low proportion of clinicians using other techniques suggests that these are currently mainly research tools, available only in specialist centres.",
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AU - Ingegnoli, Francesca

AU - Ughi, Nicola

AU - Dinsdale, Graham

AU - Orenti, Annalisa

AU - Boracchi, Patrizia

AU - Allanore, Yannick

AU - Foeldvari, Ivan

AU - Sulli, Alberto

AU - Cutolo, Maurizio

AU - Smith, Vanessa

AU - Herrick, Ariane L.

AU - Hij, Adrian

AU - Sulli, Alberto

AU - Nitsche, Alejandro

AU - Vacca, Alessandra

AU - Balbir-Gurman, Alexandra

AU - Abdessemed, Amina

AU - Vargas, Angelica

AU - Valenzuela, Antonia

AU - Makol, Ashima

AU - Baranauskaite, Asta

AU - Derfalvi, Beata

AU - Serrano Benavente, Belén

AU - Sozeri, Betul

AU - Bica, Blanca E.

AU - Stamenkovic, Bojana

AU - Mihai, Carina

AU - Chizzolini, Carlo

AU - Abud Mendoza, Carlos

AU - de la Puente, Carlos

AU - von Muhlen, Carlos

AU - Bertolazzi, Chiara

AU - Pain, Clare

AU - Ickinger, Claudia

AU - Ancuta, Codrina

AU - Sunderkotter, Cord

AU - Kayser, Cristiane

AU - De Araujo, Daniel B.

AU - Launay, David

AU - Khanna, Dinesh

AU - Krasowska, Dorota

AU - Veale, Douglas

AU - Kaliterna, Dušanka M.

AU - Rosato, Edoardo

AU - de Langhe, Ellen

AU - Hachulla, Eric

AU - Naredo, Esperanza

AU - Loyo, Esthela

AU - Alvarez Hernández, Everardo

AU - Pauling, John

AU - On behalf of the EULAR Study Group on Microcirculation in RheumaticDiseases

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AB - To canvas opinion concerning the role of non-invasive techniques in the assessment of patients with Raynaud’s phenomenon (Rp) in clinical and research settings: four nailfold capillaroscopy methods [videocapillaroscopy (NVC), dermoscopy, stereomicroscopy, digital USB microscopy], four laser Doppler methods (laser Doppler flowmetry, imaging, anemometry/velocimetry, laser speckle contrast analysis), thermographic imaging, and upper limb arterial Doppler ultrasound. Emails with a link to the survey were sent to physicians from the European Scleroderma Trials and Research group (EUSTAR), the EULAR Study Group on Microcirculation in Rheumatic Diseases (SG_MC/RD) and members of the pediatric rheumatology Email board. The main descriptive analysis related to physicians looking after adult patients, with some analysis also of opinions from paediatric rheumatologists. 106 ‘adult physicians’ responded (a response rate of 25.8%), of whom 68.9% were European, and 81.1% practising for more than 10 years. Nineteen paediatricians responded. The most widely available technique was NVC (72.7%). Nailfold capillaroscopy was most frequently performed by the physician him/herself, using different types of equipment relating to availability. Most rheumatologists reported high levels of appropriateness for NVC in both clinical and research settings for global assessment and differential diagnosis of Rp. Other techniques were less used. Of all the different techniques, nailfold capillaroscopy was the one most used in both clinical and research settings by adult physicians, the majority of whom use NVC in their everyday practice. The low proportion of clinicians using other techniques suggests that these are currently mainly research tools, available only in specialist centres.

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