Evidence map›Paper›PMID 33093764›Full record

ArticleSarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG2020

Serum soluble interleukin-2 receptor level is a predictive marker for EBUS-TBNA-based diagnosis of sarcoidosis.

Jun Miyata, Takunori Ogawa, Yoichi Tagami, Takashi Sato, Mikie Nagayama, Toshiyuki Hirano, Naofumi Kameyama, Koichi Fukunaga, Akihiko Kawana, Takashi Inoue

Open access · greenAbstract readComparative Study
In one paragraph

Article in Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. [Sarcoidosis].Zeitschrift fur Rheumatologie · 2023
    Article
  5. Review
  6. Diagnostic and Staging Value of Serum Angiotensin-Converting Enzyme in Sarcoidosis.Computational and mathematical methods in medicine · 2022
    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

10 authors at 3 institutions in 1 country.

Jun MiyataDivision of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, Saitama, Japan.
Takunori OgawaDepartment of Pulmonary Medicine, Sano Kosei General Hospital, Sano, Tochigi, Japan.
Yoichi TagamiDivision of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, Saitama, Japan.
Takashi SatoDepartment of Pulmonary Medicine, Sano Kosei General Hospital, Sano, Tochigi, Japan.
Mikie NagayamaDepartment of Pulmonary Medicine, Sano Kosei General Hospital, Sano, Tochigi, Japan.
Toshiyuki HiranoDepartment of Pulmonary Medicine, Sano Kosei General Hospital, Sano, Tochigi, Japan.
Naofumi KameyamaDepartment of Pulmonary Medicine, Sano Kosei General Hospital, Sano, Tochigi, Japan.
Koichi FukunagaDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Akihiko KawanaDivision of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, Saitama, Japan.
Takashi InoueDepartment of Pulmonary Medicine, Sano Kosei General Hospital, Sano, Tochigi, Japan.
Sapporo Kosei General Hospital · JPNational Defense Medical College · JPKeio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a widely available diagnostic tool for suspected stage I/II sarcoidosis. Combination of EBUS-TBNA and transbronchial lung biopsy (TBLB) has been proposed as diagnostic procedure in clinical settings.

objectivesThe aim of this study was to assess the diagnostic yield of combined EBUS-TBNA and TBLB and identify the markers correlated with a high diagnostic rate.

methodsWe retrospectively analyzed the data of 37 patients with suspected stage I/II sarcoidosis with enlarged hilar or mediastinal lymph nodes on computed tomography (CT) images. These patients had been scheduled to undergo EBUS-TBNA and TBLB. Serum levels of sarcoidosis markers (angiotensin-converting enzyme [ACE], soluble interleukin-2 receptor [sIL-2R], and lysozyme), CT findings, and examination techniques were evaluated as predictive markers for diagnosis.

resultsOf the 37 patients, 32 had undergone both EBUS-TBNA and TBLB, while the remaining 5 patients had only undergone EBUS-TBNA. The diagnosis was confirmed by TBLB in 16 of the 32 patients (50.0%), EBUS-TBNA in 31 of the 37 patients (83.8%), and combined TBLB and EBUS-TBNA in all patients (100.0%). The serum level of sIL-2R, but not that of ACE or lysozyme, was correlated with successful diagnosis by EBUS-TBNA.

conclusionIn patients with stage I/II sarcoidosis, the serum level of sIL-2R is a promising and useful marker for predicting the diagnosis by EBUS-TBNA and reducing the burden of additional TBLB and its possible complications.

Indexed as

Endoscopic Ultrasound-Guided Fine Needle AspirationAdultAgedBiomarkersFemaleHumansMaleMiddle AgedPredictive Value of TestsReceptors, Interleukin-2Reproducibility of ResultsRetrospective StudiesSarcoidosis, PulmonaryTomography, X-Ray ComputedBiomarkersReceptors, Interleukin-2EBUS-TBNASarcoidosisSoluble interleukin-2 receptorTBLB

Identifiers

PMID33093764
PMCPMC7569541
OpenAlexW3094141807

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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.