Evidence map›Paper›PMID 27621869›Full record

ArticleJournal of thoracic disease2016

Usefulness of conventional transbronchial needle aspiration in the diagnosis, staging and molecular characterization of pulmonary neoplasias by thin-prep based cytology: experience of a single oncological institute.

Maria Teresa Ramieri, Ferdinando Marandino, Paolo Visca, Tommaso Salvitti, Enzo Gallo, Beatrice Casini, Francesca Romana Giordano, Claudia Frigieri, Mauro Caterino, Sandro Carlini and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

4 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Maria Teresa RamieriDepartment of Pathology, "F. Spaziani" Hospital, ASL Frosinone, Italy ;
Ferdinando MarandinoDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Paolo ViscaDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Tommaso SalvittiDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Enzo GalloDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Beatrice CasiniDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Francesca Romana GiordanoAnaesthesia and Intensive Care Complex Unit, Regina Elena National Cancer Institute, Rome, Italy.
Claudia FrigieriAnaesthesia and Intensive Care Complex Unit, Regina Elena National Cancer Institute, Rome, Italy.
Mauro CaterinoDepartment of Radiology, Regina Elena National Cancer Institute, Rome, Italy.
Sandro CarliniDepartment of Thoracic Surgery, Regina Elena National Cancer Institute, Rome, Italy.
Massimo RinaldiMedical Oncology "B" Department, Regina Elena National Cancer Institute, Rome, Italy.
Anna CeribelliMedical Oncology "A" Department, Regina Elena National Cancer Institute, Rome, Italy.
Annarita PennettiDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Pier Luigi AlòDepartment of Pathology, "F. Spaziani" Hospital, ASL Frosinone, Italy ;
Mirella MarinoDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Edoardo PescarmonaDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Massimo FilippettiDepartment of Thoracic Surgery, Regina Elena National Cancer Institute, Rome, Italy.
Accademia di Belle Arti di Frosinone · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional transbronchial needle aspiration (c-TBNA) contributed to improve the bronchoscopic examination, allowing to sample lesions located even outside the tracheo-bronchial tree and in the hilo-mediastinal district, both for diagnostic and staging purposes.

methodsWe have evaluated the sensitivity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) of the c-TBNA performed during the 2005-2015 period for suspicious lung neoplasia and/or hilar and mediastinal lymphadenopathy at the Thoracic endoscopy of the Thoracic Surgery Department of the Regina Elena National Cancer Institute, Rome. Data from 273 consecutive patients (205 males and 68 females) were analyzed.

resultsAmong 158 (58%) adequate specimens, 112 (41%) were neoplastic or contained atypical cells, 46 (17%) were negative or not diagnostic. We considered in the analysis first the overall period; then we compared the findings of the first [2005-2011] and second period [2012-2015] and, finally, only those of adequate specimens. During the overall period, sensibility and accuracy values were respectively of 53% and 63%, in the first period they reached 41% and 53% respectively; in the second period sensibility and accuracy reached 60% and 68%. Considering only the adequate specimens, sensibility and accuracy during the overall period were respectively of 80% and 82%; the values obtained for the first period were 68% and 72%. Finally, in the second period, sensibility reached 86% and accuracy 89%. Carcinoma-subtyping was possible in 112 cases, adenocarcinomas being diagnosed in 50 cases; further, in 30 cases molecular predictive data could be obtained.

conclusionsThe c-TBNA proved to be an efficient method for the diagnosis/staging of lung neoplasms and for the diagnosis of mediastinal lymphadenopathy. Endoscopist's skill and technical development, associated to thin-prep cytology and to a rapid on site examination (ROSE), were able to provide by c-TBNA a high diagnostic yield and molecular predictive data in advanced lung carcinomas.

Indexed as

conventional TBNA (c-TBNA)lung cancermolecular diagnosticsrapid on site examination (ROSE)Transbronchial needle aspiration (TBNA)

Identifiers

PMID27621869
PMCPMC4999774
OpenAlexW2504563532

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.