Evidence map›Paper›PMID 33709231›Full record

ArticleLung2021

Safety and Diagnostic Yield of Transthoracic Needle Aspiration of the Lung in Elderly Patients.

Drew Willey, Juan Garcia-Saucedo, Fernando Stancampiano, Michael G Heckman, Zachary Klopman, Andrea Koralewski, Matthew Crawford, Margaret M Johnson

Abstract read
PubMed Publisher
In one paragraph

Article in Lung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Drew WilleyDivision of Community Internal Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA.
Juan Garcia-SaucedoDivision of Pulmonary, Allergy, and Sleep Medicine, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Fernando StancampianoDivision of Community Internal Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA.
Michael G HeckmanDepartment of Biomedical Statistics and Informatics, Mayo Clinic Florida, Jacksonville, Florida, USA.
Zachary KlopmanClinical Research Internship Study Program participant, Mayo Clinic, Jacksonville, Florida, USA.
Andrea KoralewskiClinical Research Internship Study Program participant, Mayo Clinic, Jacksonville, Florida, USA.
Matthew CrawfordClinical Research Internship Study Program participant, Mayo Clinic, Jacksonville, Florida, USA.
Margaret M JohnsonDivision of Pulmonary, Allergy, and Sleep Medicine, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL, 32224, USA. Johnson.margaret2@mayo.edu.ORCID 0000-0002-8866-6207
Mayo Clinic in Florida · USJacksonville College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary nodules in elderly patients are commonly encountered in clinical practice. Tissue sampling with image guided transthoracic needle aspiration is often performed but may be complicated by pneumothorax or bleeding. To understand the outcomes of transthoracic needle aspiration in the elderly, we retrospectively reviewed outcomes of patients age 75 or greater in a single tertiary center.

methodsFour-hundred eleven patients age 75 or greater with a pulmonary nodule identified on computed tomography who underwent needle aspiration of the lung were studied. Diagnostic yield and procedural complications were assessed for each patient and subgroups analysis of those age 85 or greater was performed.

resultsMalignancy was confirmed in 70% of subjects and a benign diagnosis identified in 9%. Of the 411 patents, 203 (49.4%) experienced a complication; 150 patients (36.5%) developed a pneumothorax and 79 (19.2%) had bleeding. No patient required transfusion, experienced persistent air leak or massive hemoptysis, air embolism or death. Post procedural hospitalization was required in 36 patients (8.8%) with a median hospital stay of 2 days. No factors were identified to be associated with occurrence of a complication (all p ≥ 0.16) and complications were not increased in those 85 or greater.

conclusionOur results suggest that in an elderly population, image guided needle aspiration of a pulmonary nodule provides diagnostic findings in most patients. Procedural complications following are not uncommon but the severity and long-term impact are limited. The occurrence of complications is similar in those age 75-84 and age 85 and older.

Indexed as

AgedAged, 80 and overAge FactorsBiopsy, NeedleFemaleHumansLung NeoplasmsMalePostoperative ComplicationsRetrospective StudiesRisk FactorsSolitary Pulmonary NoduleElderlyLung cancerPulmonary noduleTransthoracic needle aspiration

Identifiers

PMID33709231
OpenAlexW3135051624

What OpenQuestion holds

Textmetadata
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.