Evidence map›Paper›PMID 32956379›Full record

Trial reportPloS one2020

Transbronchial biopsy results according to diffuse interstitial lung disease classification. Cryobiopsy versus forceps: MULTICRIO study.

Virginia Pajares, Manuel Núñez-Delgado, Gloria Bonet, Javier Pérez-Pallarés, Raquel Martínez, Noelia Cubero, Txomin Zabala, Rosa Cordovilla, Javier Flandes, Carlos Disdier and 2 more

Registry-linked trialOpen access · goldAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02464592 (Diagnostic Yield and Safety of Transbronchial Lung Biopsy Using Cryoprobes Versus Conventional Forceps. A Multicenter Study), which is not on this map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 6% 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.

NCT02464592 nacompletednot on this map

Diagnostic Yield and Safety of Transbronchial Lung Biopsy Using Cryoprobes Versus Conventional Forceps. A Multicenter Study

TypeinterventionalSponsorFundació Institut de Recerca de l'Hospital de la Santa Creu i Sant PauRan2014 to 2017Enrolled120ConditionsLung Diseases, InterstitialArmsTransbronchial lung biopsy.
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Yield and safety of different biopsy types in interstitial lung disease: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. A systematic review of procedural and sampling techniques for cryobiopsy in interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
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  8. Updates in Diagnostic Tools for ILD.Journal of clinical medicine · 2025
    Review
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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

12 authors at 10 institutions in 1 country.

Virginia PajaresRespiratory Medicine, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0002-0916-527X
Manuel Núñez-DelgadoRespiratory Medicine, Hospital Universitario Álvaro Cunqueiro, Vigo, Spain.
Gloria BonetRespiratory Medicine, Hospital Universitario de Germans Trias i Pujol, Barcelona, Spain.
Javier Pérez-PallarésRespiratory Medicine, Hospital Universitario de Santa Lucía, Cartagena, Murcia, Spain.
Raquel MartínezRespiratory Medicine, Hospital Universitario La Fé, Valencia, Spain.
Noelia CuberoRespiratory Medicine, Hospital Universitario de Bellvitge, Barcelona, Spain.
Txomin ZabalaRespiratory Medicine, Hospital Galdakao-Usansolo, Vizcaya, Bizkaia, Spain.
Rosa CordovillaRespiratory Medicine, Hospital Universitario de Salamanca, Salamanca, Spain.
Javier FlandesRespiratory Medicine, Fundación Jiménez Díaz, Madrid, Spain.ORCID 0000-0001-8979-3569
Carlos DisdierRespiratory Medicine, Hospital Universitario de Valladolid, Valladolid, Spain.
Alfons TorregoRespiratory Medicine, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
MULTICRIO Group researchers
Hospital de Sant Pau · ESBellvitge University Hospital · ESComplejo Hospitalario de Salamanca · ESHospital Clínico Universitario de Valladolid · ESHospital de Galdakao · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Fundación Jiménez Díaz · ESSanta Lucía University General Hospital · ESUniversity Hospital Complex Of Vigo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, transbronchial cryobiopsy (TBCB) has come to be increasingly used in interventional pulmonology units as it obtains larger and better-quality samples than conventional transbronchial lung biopsy (TBLB) with forceps. No multicenter studies have been performed, however, that analyse and compare TBCB and TBLB safety and yield according to the interstitial lung disease (ILD) classification.

objectivesWe compared the diagnostic yield and safety of TBCB with cryoprobe sampling versus conventional TBLB forceps sampling in the same patient.

methodProspective multicenter clinical study of patients with ILD indicated for lung biopsy. Airway management with orotracheal tube, laryngeal mask and rigid bronchoscope was according to the protocol of each centre. All procedures were performed using fluoroscopy and an occlusion balloon. TBLB was followed by TBCB. Complications were recorded after both TBLB and TBCB.

resultsIncluded were 124 patients from 10 hospitals. Airway management was orotracheal intubation in 74% of cases. Diagnostic yield according to multidisciplinary committee results for TBCB was 47.6% and for TBLB was 19.4% (p<0.0001). Diagnostic yield was higher for TBCB compared to TBLB for two groups: idiopathic interstitial pneumonias (IIPs) and ILD of known cause or association (OR 2.5; 95% CI: 1.4-4.2 and OR 5.8; 95% CI: 2.3-14.3, respectively). Grade 3 (moderate) bleeding after TBCB occurred in 6.5% of patients compared to 0.8% after conventional TBLB.

conclusionsDiagnostic yield for TBCB was higher than for TBLB, especially for two disease groups: IIPs and ILD of known cause or association. The increased risk of bleeding associated with TBCB confirms the need for safe airway management and prophylactic occlusion-balloon use.

trial registrationclinicaltrials.gov identifier: NCT02464592.

Indexed as

AgedBiopsyBronchoscopyCryosurgeryFemaleFluoroscopyHumansLungLung Diseases, InterstitialMaleMiddle AgedPostoperative HemorrhageProspective Studies

Identifiers

PMID32956379
PMCPMC7505587
OpenAlexW3087709700

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.