The GALS musculoskeletal exam can be used by family physicians and nurse practitioners to screen for signs and symptoms of rheumatoid arthritis
Arthritis Care & Research ,  Clinical Article

Beattie KA et al. – Following a very short training period, family physicians and nurse practitioners appear to be able to employ the GALS exam as a screening tool for RA signs and symptoms – particularly for identifying an individual with positive results who will benefit from further investigation or rheumatology referral.

Methods
  • Participating healthcare professionals, including two rheumatologists, three family physicians and three nurse practitioners, were trained to perform the GALS exam by viewing an instructional DVD and attending a training workshop.
  • One week after training, healthcare professionals performed the GALS exam on 20 individuals with rheumatoid arthritis and 21 individuals without rheumatoid arthritis.
  • All participants were recruited through two rheumatology practices.
  • Each participant was assessed by four healthcare professionals.
  • Healthcare professionals were asked to record whether observed signs and symptoms were potentially consistent with a diagnosis of rheumatoid arthritis.
  • Healthcare professionals understood the study's objective to be their agreement on GALS findings amongst one another and were unaware that half the participants had rheumatoid arthritis.
  • Sensitivity and specificity were calculated to determine the ability of the GALS examination to screen for rheumatoid arthritis using the rheumatologist as the standard for comparison.

Results
  • For the 3 family physicians, sensitivity values varied from 60–100% and specificity values varied from 70–82%.
  • For the 3 nurse practitioners, sensitivity values varied from 60–90% and specificity values varied from 73–100%.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Nursing

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Nursing Articles

1 Yogurt consumption, weight change and risk of overweight/obesity: The SUN cohort study Nutrition, Metabolism & Cardiovascular Diseases, July 28, 2014    Clinical Article

2 Blood pressure in relation to coffee and caffeine consumption Current Hypertension Reports, August 8, 2014    Review Article

3 Vitamin D and sleep disorders Full Text Nature and Science of Sleep, August 13, 2014    Free full text    Clinical Article

4 Long-term associations of nut consumption with body weight and obesity American Journal of Clinical Nutrition, June 23, 2014    Clinical Article

5 Yogurt and weight management American Journal of Clinical Nutrition, April 3, 2014    Review Article

6 California trees nailed as the source of mystery infections Duke University Health & Medicine News, August 26, 2014

7 Egg consumption is associated with increased risk of ovarian cancer: Evidence from a meta-analysis of observational studies Clinical Nutrition, August 5, 2014    Evidence Based Medicine

8 Chocolate intake and diabetes risk Clinical Nutrition, July 21, 2014    Clinical Article

9 Vitamin D and melanoma and non-melanoma skin cancer risk and prognosis: A comprehensive review and meta-analysis European Journal of Cancer, August 7, 2014    Review Article

10 Unprecedented number of medical staff infected with Ebola WHO news, August 27, 2014

11 Metformin in chronic kidney disease: Time for a rethink Peritoneal Dialysis International, July 9, 2014    Clinical Article

12 Vitamin D and the risk of dementia and Alzheimer's disease Neurology®, August 27, 2014    Clinical Article

13 A new “whey” to control diabetes American Friends of Tel Aviv University Medicine and Health News, August 6, 2014

14 Effects of tea intake on blood pressure: A meta-analysis of 21 randomized controlled trials JACC - Journal of the American College of Cardiology, October 22, 2014    Clinical Article

15 Associations of sugar and artificially sweetened soda and chronic kidney disease: A systematic review and meta-analysis Nephrology, September 24, 2014    Evidence Based Medicine    Review Article

16 Effect of ginger (Zingiber officinale) on heavy menstrual bleeding: a placebo-controlled, randomized clinical trial Phytotherapy Research, October 13, 2014    Clinical Article

17 Habitual intake of fruit juice predicts central blood pressure Appetite, October 24, 2014    Clinical Article

18 Fish consumption and risk of rheumatoid arthritis: A dose-response meta-analysis Arthritis Research & Therapy, October 7, 2014    Evidence Based Medicine    Review Article

19 Chocolate consumption and risk of heart failure in the Physicians Health Study European Journal of Heart Failure, October 17, 2014    Clinical Article

20 Black tea consumption and serum cholesterol concentration: Systematic review and meta-analysis of randomized controlled trials Clinical Nutrition, October 28, 2014    Evidence Based Medicine    Review Article

Indexed Journals in Nursing: Journal of Advanced Nursing, Journal of Clinical Nursing, Nurse Education In Practicemore