Evidence map›Paper›PMID 30604705›Full record

ArticleLung India : official organ of Indian Chest Society

Bronchoscopic lung cryobiopsy: An Indian association for bronchology position statement.

Sahajal Dhooria, Ritesh Agarwal, Inderpaul Singh Sehgal, Ashutosh Nath Aggarwal, Rajiv Goyal, Randeep Guleria, Pratibha Singhal, Shirish P Shah, Krishna B Gupta, Suresh Koolwal and 37 more

Open access · diamondAbstract read
In one paragraph

Article in Lung India : official organ of Indian Chest Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Bronchoscopic Cryotherapy for Acute Hypoxemic Respiratory Failure in Three Mechanically Ventilated Patients: A Case Series.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  11. GeneXpertAnnals of translational medicine · 2020
    Article
  12. Transbronchial Lung Cryobiopsy in Diffuse Interstitial Lung Diseases . . . Bent but Not Broken.American journal of respiratory and critical care medicine · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Who is an interventional pulmonologist in India? - Time to bell the cat.Lung India : official organ of Indian Chest Society
    Article
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

47 authors at 7 institutions in 1 country.

Sahajal DhooriaDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ritesh AgarwalDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Inderpaul Singh SehgalDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ashutosh Nath AggarwalDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Rajiv GoyalDepartment of Respiratory Medicine, Jaipur Golden Hospital and Rajiv Gandhi Cancer Institute, New Delhi, India.
Randeep GuleriaDepartment of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India.
Pratibha SinghalDepartment of Respiratory Medicine, Bombay Hospital and Fortis Hiranandani Hospital, Mumbai, India.
Shirish P ShahDepartment of Respiratory Medicine, Nanavati Super Speciality Hospital, Mumbai, India.
Krishna B GuptaDepartment of Respiratory Medicine, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.
Suresh KoolwalDepartment of Chest Diseases, SMS Medical College, Jaipur, Rajasthan, India.
Jayachandra AkkarajuDepartment of Respiratory Medicine, Century Hospital, Hyderabad, Telangana, India.
Shankar AnnapoorniDepartment of Respiratory Medicine, Royal Care Hospital, Coimbatore, India.
Amanjit BalDepartment of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Avdhesh BansalDepartment of Respiratory Medicine, Indraprastha Apollo Hospital, New Delhi, India.
Digambar BeheraDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Prashant N ChhajedIndia and Lung Care and Sleep Centre, Institute of Pulmonology, Medical Research and Development, Mumbai, India.
Amit DhamijaDepartment of Respiratory Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Raja DharDepartment of Respiratory Medicine, Fortis Hospital Anandapur, Kolkata, West Bengal, India.
Mandeep GargDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Bharat GopalDepartment of Respiratory Medicine, Maharaja Agrasen Hospital, New Delhi, India.
Kedar R HibareDepartment of Respiratory, Medicine, Narayana Health City, Bengaluru, Karnataka, India.
Prince JamesDepartment of Pulmonary Medicine, Christian Medical College, Vellore, India.
Aditya JindalDepartment of Respiratory Medicine, Jindal Chest Clinic, Chandigarh, India.
Surinder K JindalDepartment of Respiratory Medicine, Jindal Chest Clinic, Chandigarh, India.
Ajmal KhanDepartment of Pulmonary Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Nevin KishoreDepartment of Respiratory Medicine, Max Hospital, New Delhi, India.
Parvaiz A KoulDepartment of Internal and Pulmonary Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
Arvind KumarDepartment of Respiratory Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Raj KumarDepartment of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, New Delhi, India.
Ajay LallDepartment of Respiratory Medicine, Max Hospital, New Delhi, India.
Karan MadanDepartment of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India.
Amit MandalFortis Hospital, Mohali, Punjab, India.
Ravindra M MehtaDepartment of Respiratory Medicine, Apollo Hospital, Bengaluru, Karnataka, India.
Anant MohanDepartment of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India.
Vivek NangiaDepartment of Respiratory Medicine, Fortis Hospital, New Delhi, India.
Alok NathDepartment of Pulmonary Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Sandeep NayarDepartment of Respiratory Medicine, BLK Super Speciality Hospital, New Delhi, India.
Dharmesh PatelDepartment of Respiratory Medicine, City Clinic and Bhailal Amin General Hospital, Vadodara, Gujarat, India.
Vallandaramam PattabhiramanDepartment of Respiratory Medicine, Royal Care Hospital, Coimbatore, India.
Narasimhan RaghupatiDepartment of Respiratory Medicine, Apollo Hospital, Chennai, Tamil Nadu, India.
Pralay K SarkarDepartment of Medicine, Pulmonary, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, Texas, United States of America.
Virendra SinghDepartment of Respiratory Medicine, Asthma Bhawan, Jaipur, Rajasthan, India.
Mahadevan SivaramakrishnanDepartment of Respiratory Medicine, Royal Care Hospital, Coimbatore, India.
Arjun SrinivasanDepartment of Respiratory Medicine, Royal Care Hospital, Coimbatore, India.
Rajesh SwarnakarDepartment of Respiratory Medicine, Getwell Hospital and Research Institute, Nagpur, Maharashtra, India.
Deepak TalwarMetro Centre for Respiratory Diseases, Noida, Uttar Pradesh, India.
Balamugesh ThangakunamDepartment of Pulmonary Medicine, Christian Medical College, Vellore, India.
Christian Medical College & Hospital · INSir Ganga Ram Hospital · INPost Graduate Institute of Medical Education and Research · INApollo Hospitals · INFortis Hospital · INGetwell Hospital and Research Institute · INSanjay Gandhi Post Graduate Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBronchoscopic lung cryobiopsy (BLC) is a novel technique for obtaining lung tissue for the diagnosis of diffuse parenchymal lung diseases. The procedure is performed using several different variations of technique, resulting in an inconsistent diagnostic yield and a variable risk of complications. There is an unmet need for standardization of the technical aspects of BLC. METHODOLOGY: This is a position statement framed by a group comprising experts from the fields of pulmonary medicine, thoracic surgery, pathology, and radiology under the aegis of the Indian Association for Bronchology. Sixteen questions on various technical aspects of BLC were framed. A literature search was conducted using PubMed and EMBASE databases. The expert group discussed the available evidence relevant to each question through e-mail and a face-to-face meeting, and arrived at a consensus.

resultsThe experts agreed that patients should be carefully selected for BLC after weighing the risks and benefits of the procedure. Where appropriate, consideration should be given to perform alternate procedures such as conventional transbronchial biopsy or subject the patient directly to a surgical lung biopsy. The procedure is best performed after placement of an artificial airway under sedation/general anesthesia. Fluoroscopic guidance and occlusion balloon should be utilized for positioning the cryoprobe to reduce the risk of pneumothorax and bleeding, respectively. At least four tissue specimens (with at least two of adequate size, i.e., ≥5 mm) should be obtained during the procedure from different lobes or different segments of a lobe. The histopathological findings of BLC should be interpreted by an experienced pulmonary pathologist. The final diagnosis should be made after a multidisciplinary discussion. Finally, there is a need for structured training for performing BLC.

conclusionThis position statement is an attempt to provide practical recommendations for the performance of BLC in DPLDs.

Indexed as

Bronchoscopyhypersensitivity pneumonitisidiopathic pulmonary fibrosisinterstitial lung diseaseinterventional pulmonologylung biopsysarcoidosisvideo-assisted thoracoscopic surgery

Identifiers

PMID30604705
PMCPMC6330795
OpenAlexW2907757032

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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.