Evidence map›Paper›PMID 29572629›Full record

Trial reportSurgical endoscopy2018

A prospective randomized trial of EUS-guided tissue acquisition using a 25-gauge core biopsy needle with and without a stylet.

Min Jae Yang, Jae Chul Hwang, Byung Moo Yoo, Jin Hong Kim, Dakeun Lee, Hyunee Lim, Young Bae Kim

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2018. 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
0.5field-weighted citation impact, top 32% 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.

  1. Article
  2. Review
  3. Article
  4. Review
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

7 authors at 1 institution in 1 country.

Min Jae YangDepartment of Gastroenterology, Ajou University School of Medicine, San-5, Woncheon-dong, Yeongtong-gu, Suwon, 16499, Republic of Korea.
Jae Chul HwangDepartment of Gastroenterology, Ajou University School of Medicine, San-5, Woncheon-dong, Yeongtong-gu, Suwon, 16499, Republic of Korea. cath07@ajou.ac.kr.ORCID 0000-0002-3770-5085
Byung Moo YooDepartment of Gastroenterology, Ajou University School of Medicine, San-5, Woncheon-dong, Yeongtong-gu, Suwon, 16499, Republic of Korea.
Jin Hong KimDepartment of Gastroenterology, Ajou University School of Medicine, San-5, Woncheon-dong, Yeongtong-gu, Suwon, 16499, Republic of Korea.
Dakeun LeeDepartment of Pathology, Ajou University School of Medicine, Suwon, Republic of Korea.
Hyunee LimDepartment of Pathology, Ajou University School of Medicine, Suwon, Republic of Korea.
Young Bae KimDepartment of Pathology, Ajou University School of Medicine, Suwon, Republic of Korea.
Ajou University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic ultrasound (EUS)-guided tissue acquisition has become the most effective method of obtaining specimens from a solid lesion adjacent to the gastrointestinal tract. No data exist regarding the use of a stylet in the core biopsy needle during EUS-guided tissue acquisition. The aims of this study were to evaluate the feasibility, safety, and diagnostic yield of a 25-gauge core biopsy needle without (S-) a stylet and to compare its performance with that of a 25-gauge core biopsy needle with (S+) a stylet in patients with solid lesions adjacent to the gastrointestinal tract.

methodsFrom November 2013 to January 2016, we performed 114 EUS-guided tissue acquisitions for the diagnosis of solid lesions adjacent to the gastrointestinal tract in a randomized controlled trial. Patients were randomly assigned to the S+ group (n = 57) or the S- group (n = 57). EUS-guided tissue acquisition was performed using a 25-gauge core biopsy needle without an on-site cytopathologist.

resultsThere were no significant differences in technical success (100 vs. 100%, p = 1.000), the mean number of needle passes (7.0 ± 1.6 vs. 6.8 ± 1.5, p = 0.556), needle malfunction (0 vs. 1.8%, p = 1.000), or complications (1.8 vs. 0%, p = 1.000) between the S+ and S- groups. Both groups exhibited comparable outcomes with respect to cytological diagnostic accuracy (93.0 vs. 91.2%, p = 1.000) and histological diagnostic accuracy (86.0 vs. 87.7%, p = 1.000) for malignancy. The procedure time was significantly shorter in the S- group than in the S+ group (32.4 ± 11.7 vs. 39.7 ± 8.6 min, p < 0.001).

conclusionsEUS-guided tissue acquisition using a 25-gauge core biopsy needle without a stylet did not decrease the diagnostic yield for malignancy and was associated with a shorter procedure time than that associated with a stylet.

Indexed as

Biopsy, Large-Core NeedleEndoscopic Ultrasound-Guided Fine Needle AspirationEndosonographyEquipment DesignFemaleGastrointestinal NeoplasmsHumansMaleMiddle AgedProspective StudiesReproducibility of ResultsEndoscopic ultrasound-guided fine-needle aspirationEndosonographyFine-needle aspirationFine-needle biopsyStylet

Identifiers

PMID29572629
OpenAlexW2789675571

What OpenQuestion holds

Textmetadata
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.