Evidence map›Paper›PMID 29845341›Full record

ArticleLung2018

EBUS-TBNA is Sufficient for Successful Diagnosis of Silicosis with Mediastinal Lymphadenopathy.

David Shitrit, Yochai Adir, Avital Avriel, Daniel King, Gali Epstein Shochet, Alexander Guber, Sonia Schnaer, Michael Kassirer, Paul D Blanc, Amir Abramovich

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Lung, 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
0.4field-weighted citation impact, top 35% 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, 11 citations in OpenAlex.

  1. Article
  2. Silicotuberculosis: a critical narrative review.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  3. Review
  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

10 authors at 5 institutions in 2 countries.

David ShitritPulmonary Department, Meir Medical Center, Tshernichovsky 59, 442801, Kfar Saba, Israel. davids3@clalit.org.il.
Yochai AdirPulmonary Institute, Carmel Medical Center, Haifa, Israel.
Avital AvrielPulmonary Institute, Soroka University Medical Center, Beer-Sheva, Israel.
Daniel KingPulmonary Department, Meir Medical Center, Tshernichovsky 59, 442801, Kfar Saba, Israel.
Gali Epstein ShochetPulmonary Department, Meir Medical Center, Tshernichovsky 59, 442801, Kfar Saba, Israel.
Alexander GuberPulmonary Department, Meir Medical Center, Tshernichovsky 59, 442801, Kfar Saba, Israel.
Sonia SchnaerPulmonary Institute, Carmel Medical Center, Haifa, Israel.
Michael KassirerPulmonary Institute, Soroka University Medical Center, Beer-Sheva, Israel.
Paul D BlancDivision of Occupational and Environmental Medicine, University of California, San Francisco, San Francisco, CA, USA.
Amir AbramovichPulmonary Institute, Carmel Medical Center, Haifa, Israel.
Carmel Medical Center · ILMeir Medical Center · ILSoroka Medical Center · ILTel Aviv University · ILUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSilicosis is an occupational lung disease resulting from inhalation of respirable crystalline silica. Recently, an international silicosis epidemic has been noted among artificial stone workers.

objectiveEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is currently used for patients with unexplained lymphadenopathy. Since silicosis may present with prominent lymphadenopathy, the diagnostic yield of EBUS-TBNA in diagnosing silicosis was evaluated.

methodsTwenty-eight patients with suspected silicosis referred for outpatient evaluation in three large tertiary hospitals were evaluated. Patients with mediastinal lymphadenopathy underwent EBUS-TBNA, while others underwent TBB and/or video-assisted thoracoscopic surgery (VATS).

resultsEleven patients with mediastinal lymphadenopathy (39%) were evaluated using EBUS-TBNA. The diagnosis was accurate in all cases, demonstrating silica particles under polarized light, with no complications. Among the remaining patients, TBB was only 76% diagnostic, therefore requiring VATS.

conclusionsEBUS-TBNA is a useful and sufficient tool to diagnose silicosis in patients with mediastinal lymphadenopathy along compatible exposure histories.

Indexed as

BronchoscopyEndoscopic Ultrasound-Guided Fine Needle AspirationAdultAgedHumansIsraelLungLymphadenopathyLymph NodesMaleMediastinumMiddle AgedPredictive Value of TestsRetrospective StudiesSilicosisThoracic Surgery, Video-AssistedBronchoscopyDiagnostic and therapeutic bronchologyEndobronchial ultrasoundOccupational lung disease

Identifiers

PMID29845341
OpenAlexW2805202374

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.