Evidence map›Paper›PMID 31552396›Full record

ArticleAnnals of lung cancer2019

Impact of an Onsite Endobronchial Ultrasound Program on the Time to Treatment of Cancer in Veterans.

Van K Holden, Stephanie Wappel, Avelino C Verceles, Janaki Deepak

Open access · hybridAbstract read
In one paragraph

Article in Annals of lung cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 3 institutions in 1 country.

Van K HoldenVA Maryland Health Care System, Baltimore VA Medical Center, 10 N. Greene St., Baltimore, MD, USA 21201.
Stephanie WappelVA Maryland Health Care System, Baltimore VA Medical Center, 10 N. Greene St., Baltimore, MD, USA 21201.
Avelino C VercelesDivision of Pulmonary & Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, 110 S. Paca St., 2 Floor, Baltimore, MD, USA 21201.
Janaki DeepakVA Maryland Health Care System, Baltimore VA Medical Center, 10 N. Greene St., Baltimore, MD, USA 21201.
Baltimore VA Medical Center · USUniversity of Maryland, Baltimore · USVA Maryland Health Care System · US

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
CCR NIH HHS N02 RC057700NIA NIH HHS P30 AG028747
6 · The paper itself

Abstract

backgroundEndobronchial ultrasound (EBUS) is commonly employed in the diagnostic evaluation of pulmonary nodules and for mediastinal staging of lung cancer. We hypothesized that the establishment of an onsite EBUS program would decrease the time to the diagnosis and treatment of detected malignancy in veterans seen in a dedicated pulmonary nodule clinic.

methodsWe conducted a retrospective chart review of patients seen at the Baltimore Veterans Affairs Medical Center (BVAMC) pulmonary nodule clinic and required diagnostic evaluation. One hundred and fifty consecutive patients before and after implementation of an onsite EBUS program were screened.

resultsForty-nine patients from the pre-intervention group and 41 patients from the post-intervention group underwent diagnostic evaluation and were included in study analyses. There was no significant difference in the median number of days between CT chest and initial visit to the BVAMC Lung Mass Clinic (22 vs. 14 days, P = 0.06), CT chest to diagnostic procedure (47.5 vs. 37 days, P = 0.33), and CT chest to initial treatment of detected malignancy (103 vs. 88 days, P = 0.15). There was no significant difference in the lung cancer stages or 1-year mortality between groups. A total of 76 barriers to care were identified among the 90 patients.

conclusionsThere was a trend towards improving the time from the initial CT chest to the treatment of cancer with onsite availability of EBUS. More efforts need to be done to decrease the modifiable barriers to treatment to improve the overall lung cancer care for veterans.

Indexed as

bronchoscopyendobronchial ultrasoundlung cancerlymphadenopathy

Identifiers

PMID31552396
PMCPMC6759328
OpenAlexW2989868398

What OpenQuestion holds

Textmetadata
LicenceTDM
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.