Evidence map›Paper›PMID 31883315›Full record

ArticleDiagnostic cytopathology2020

The role of endobronchial ultrasound-guided transbronchial needle aspiration liquid-based cytology in the diagnosis of mediastinal lymphadenopathy.

Chuancai Xu, Lingyan Qin, Wei Lei, Junhong Jiang, Chongjun Ni, Jian'an Huang

Open access · hybridAbstract read
In one paragraph

Article in Diagnostic cytopathology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 7 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

6 authors at 1 institution in 1 country.

Chuancai XuDepartment of Respiratory Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.ORCID https://orcid.org/0000-0003-4194-5652
Lingyan QinDepartment of Pathology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Wei LeiDepartment of Respiratory Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.
Junhong JiangDepartment of Respiratory Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.
Chongjun NiDepartment of Respiratory Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.
Jian'an HuangDepartment of Respiratory Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.
Soochow University · CN

Funding

Jiangsu Province Special Program of Medical Science, China BE2016672The Clinical Key Specialty Project of China and Clinical Medical Center of Suzhou Szzx201502The National Natural Science Foundation of China 81300026The Science and Education of Public Health Project for Young Medical Talents of Jiangsu Province QNRC2016747
6 · The paper itself

Abstract

backgroundEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive, reliable technique for sampling mediastinal lymph nodes (LNs). Liquid-based cytology (LBC) is widely used for cervical cancer screening because it provides reliable and feasible results. The present study aimed to evaluate effectiveness of the combination of EBUS-TBNA and LBC in the diagnosis of mediastinal lymphadenopathy.

methodsA total of 602 LNs that were retrospectively analyzed were sampled in 442 patients who underwent EBUS-TBNA between January 2014 and December 2016. The histopathological result of TBNA tissue or cell blocks was considered as the gold standard to evaluate diagnostic utility of LBC and conventional smears (CS) for the diagnosis of mediastinal lymphadenopathy.

resultsOf the 602 LNs, 265 were mediastinal LN metastases from lung cancer, four were lymphoma, and 333 were benign. The sensitivity of LBC and CS in the diagnosis of mediastinal LN metastases from lung cancer was 72.8% and 63%, respectively, and the specificity was 98.5% and 97%, respectively. The positive predictive values for LBC and CS were 97.5% and 94.4%, respectively, whereas the negative predictive values were 82.2% and 76.9%, respectively. The accuracy of LBC and CS was 88% and 83.7%, respectively. The diagnostic value of LBC was significantly higher than that of CS (P = .001).

conclusionsThe combination of EBUS-TBNA and LBC is a highly reliable and feasible procedure that optimizes diagnostic utility for the diagnosis of lung cancer and mediastinal LN staging.

Indexed as

Lung NeoplasmsLymphadenopathyMediastinal NeoplasmsAdultAgedAged, 80 and overEndoscopic Ultrasound-Guided Fine Needle AspirationFemaleHumansMaleMediastinumMiddle AgedNeoplasm MetastasisRetrospective Studiesendobronchial ultrasound (EBUS)liquid-based cytologylung cancermediastinal lymphadenopathytransbronchial needle aspiration (TBNA)

Identifiers

PMID31883315
PMCPMC7079241
OpenAlexW2996905096

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LicenceCC BY
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Registered trials

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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.