Evidence map›Paper›PMID 25478349›Full record

ArticleJournal of clinical and diagnostic research : JCDR2014

Should we apply suction during fine needle cytology of thyroid lesions? A prospective study of 200 cases.

Amit Kumar Chowhan, K V Sreedhar Babu, Alok Sachan, N Rukmangdha, Rashmi Patnayak, K Radhika, B V Phaneendra, M Kumaraswamy Reddy

Abstract read
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Article in Journal of clinical and diagnostic research : JCDR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Amit Kumar ChowhanAssistant Professor, Department of Pathology, SVIMS , Tirupati, India .
K V Sreedhar BabuAssistant Professor, Department of Pathology, SVIMS , Tirupati, India .
Alok SachanProfessor, Department of Endocrinology, SVIMS , Tirupati, India .
N RukmangdhaAssistant Professor, Department of Pathology, SVIMS , Tirupati, India .
Rashmi PatnayakAssistant Professor, Department of Pathology, SVIMS , Tirupati, India .
K RadhikaAssociate Professor, Department of Pathology, SVIMS , Tirupati, India .
B V PhaneendraAdditional Professor, Department of Pathology, SVIMS , Tirupati, India .
M Kumaraswamy ReddyProfessor, Department of Pathology, SVIMS , Tirupati, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFine needle aspiration cytology (FNAC) is a well-established first line diagnostic tool in evaluating palpable thyroid lesions. However, the technique depends on suction and thus is at times painful, sometimes traumatic and yield haemorrhagic material for cytological study. In more recent times, a modified technique called fine needle sampling without aspiration (FNS) has come into vogue which obviates the use of suction and therefore is more patient friendly. AIMS/

objectivesTo investigate whether fine needle sampling without aspiration (FNS) gives quantitatively and qualitatively superior cytologic material as compared to the conventional technique of fine needle aspiration (FNAC) in thyroid lesions. MATERIALS AND

methodsIt is a prospective study of 200 cases carried out in the Department of Pathology during two years period. Both techniques were executed on the same thyroid swelling / nodule in the same clinical session beginning with FNS followed by FNAC. The observation recorded by two pathologists were based on the scoring system proposed by Mair et al., Statistical analysis was done by Student's paired t-test using SPSS 13 software. Observation/Results: A total of 200 cases were studied. The non-aspiration technique yielded less diagnostically adequate but more diagnostically superior smears when compared with aspiration technique. The average score per case was 5.31 by aspiration technique and 6.35 by non-aspiration technique.

conclusionBoth the techniques have their own merits and demerits and neither is absolutely superior to the other. A combination of both the technique gives better result.

Indexed as

Cytological techniqueFine needle aspirationFine needle samplingThyroid

Identifiers

PMID25478349
PMCPMC4253167

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