Evidence map›Paper›PMID 33597800›Full record

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

Transbronchial lung cryobiopsy in smoking-related interstitial lung diseases.

Margarida Barata, Patrícia Caetano Mota, Natália Melo, Hélder Novais Bastos, Susana Guimarães, Conceição Souto Moura, José Miguel Pereira, António Morais

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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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. 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
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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

8 authors at 3 institutions in 1 country.

Margarida BarataPulmonology Department, Hospital Garcia de Orta, Almada, Portugal.
Patrícia Caetano MotaPulmonology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Natália MeloPulmonology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Hélder Novais BastosPulmonology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Susana GuimarãesFaculty of Medicine of Porto University, Porto, Portugal.
Conceição Souto MouraFaculty of Medicine of Porto University, Porto, Portugal.
José Miguel PereiraFaculty of Medicine of Porto University, Porto, Portugal.
António MoraisPulmonology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Hospital de São João · PTUniversidade do Porto · PTHospital Garcia de Orta · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransbronchial lung cryobiopsy (TBLC) is an emerging technique in the diagnostic approach to diffuse parenchymal lung diseases. However, the role of TBLC in smoking-related Interstitial Lung Diseases (ILDs) is still under discussion.

objectivesThe aim of the present study was to describe our experience with TBLC in diagnostic work-up of patients with smoking-related ILDs.

methodWe retrospectively reviewed data of patients evaluated in a tertiary hospital ILDs outpatient clinic, who underwent TBLC, from September 2014 to December 2019. TBLC was performed in accordance with the 2018 expert statement from the Cryobiopsy Working Group.

resultsForty-five patients (25 men [55.6%]) with a mean age of 53.9 years [SD, 9.1] were included. The most frequent radiological pattern was ground glass opacity (42 patients). TBLC was performed in different segments of the same lobe in 38 patients and in two lobes in 7 patients. The mean maximal diameter of the samples was 5.2 mm (range, 3-16 mm [SD 2.0]). Pneumothorax occurred in seven patients (15%) and moderate bleeding occurred in one patient. A specific pathological diagnosis was achieved in 43 of 45 patients. The most frequent histopathologic pattern found was desquamative interstitial pneumonia (33 patients), followed by smoking-related interstitial fibrosis (7 patients), respiratory bronchiolitis - ILD (1 patient) and pulmonary Langerhans cell histiocytosis (1 patient). Two patients had alternative diagnosis (Pneumoconiosis and Interstitial Pneumonia with unspecific features) and one patient had normal lung parenchyma. A definitive multidisciplinary team (MDT) diagnosis was reached in 95.5% (43 of 45 cases). Two patients were submitted to additional diagnostic techniques.

conclusionsThe results from this series support TBLC as a safe procedure with a meaningful diagnostic value in the context of a MDT approach of smoking-related ILDs.

Indexed as

complicationsdiagnostic yielddiffuse lung diseasessmoking-related interstitial lung diseasessurgical lung biopsytransbronchial lung cryobiopsy

Identifiers

PMID33597800
PMCPMC7883511
OpenAlexW3130863008

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.