Evidence map›Paper›PMID 28476111›Full record

Trial reportBMC pulmonary medicine2017

Single use and conventional bronchoscopes for Broncho alveolar lavage (BAL) in research: a comparative study (NCT 02515591).

Seher Raza Zaidi, Andrea M Collins, Elena Mitsi, Jesús Reiné, Kayleigh Davies, Angela D Wright, Jessica Owugha, Richard Fitzgerald, Amitava Ganguli, Stephen B Gordon and 2 more

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 34 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

12 authors at 3 institutions in 2 countries.

Seher Raza ZaidiRespiratory Infection Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK. seher.zaidi@lstmed.ac.uk.
Andrea M CollinsRespiratory Infection Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK. andrea.collins@liverpool.ac.uk.
Elena MitsiRespiratory Infection Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Jesús ReinéRespiratory Infection Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Kayleigh DaviesRespiratory Research Group, Royal Liverpool and Broadgreen University Hospital NHS Trust, Liverpool, L7 8XP, UK.
Angela D WrightRespiratory Infection Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Jessica OwughaRespiratory Infection Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Richard FitzgeraldRespiratory Research Group, Royal Liverpool and Broadgreen University Hospital NHS Trust, Liverpool, L7 8XP, UK.
Amitava GanguliRespiratory Research Group, Royal Liverpool and Broadgreen University Hospital NHS Trust, Liverpool, L7 8XP, UK.
Stephen B GordonMalawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Daniela Mulari FerreiraRespiratory Infection Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Jamie RylanceRespiratory Infection Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Liverpool School of Tropical Medicine · GBRoyal Liverpool and Broadgreen University Hospital NHS Trust · GBMalawi-Liverpool-Wellcome Trust Clinical Research Programme · MW

Funding

Medical Research Council MR/M011569/1
6 · The paper itself

Abstract

backgroundBroncho alveolar lavage (BAL) is widely used for investigative research to study innate, cellular and humoral immune responses, and in early phase drug trials. Conventional (multiple use) flexible bronchoscopes have time and monetary costs associated with cleaning, and carries a small risk of cross infection. Single use bronchoscopes may provide an alternative, but have not been evaluated in this context.

methodsHealthy volunteers underwent bronchoscopy at a day-case clinical research unit using the Ambu® aScope

resultsTen volunteers, (mean age 23 years, six male) participated. Bronchoscopies were carried out by one of two senior bronchoscopists, experienced in the technique of obtaining BAL for research purposes. The results were compared to 50 (mean age 23, 14 male) procedures performed using the conventional scope by the same two bronchoscopists. The total volume yield was significantly higher in the disposable group median 152 ml (IQR 141-166 ml) as compared to conventional 124 ml (110-135 ml), p = <0.01. The total cell yield and viability were similar in both groups, with no significant differences.

conclusionsWith single use bronchoscopes, we achieved a larger BAL volume yield than conventional bronchoscopes, with comparable cell yield and viability. Better volume yields can potentially reduce post procedure side effects such as pleuritic chest pain and cough. The risk of cross infection can be eliminated, providing reassurance to researchers and participants. Reduced maintenance requirements can be cost effective. These could potentially be used for early phase drug development studies.

trial registrationThis trial was registered prospectively in July 2015 with the National Clinical Trials register, with the following registration number assigned: NCT 02515591 .

Indexed as

BronchoscopesAdultBiomedical ResearchBronchoalveolar LavageBronchoalveolar Lavage FluidCell SurvivalCross InfectionDisposable EquipmentDurable Medical EquipmentFemaleHealthy VolunteersHumansMaleProspective StudiesYoung AdultBronchoalveolar LavageBronchoalveolar lavage fluidBronchoscopyLung diseasesResearch BronchoscopySingle use bronchoscopes

Identifiers

PMID28476111
PMCPMC5420119
OpenAlexW2611623416

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.