Evidence map›Paper›PMID 34884387›Full record

ArticleJournal of clinical medicine2021

Diagnostic Yield of Transbronchial Lung Cryobiopsy Compared to Transbronchial Forceps Biopsy in Patients with Sarcoidosis in a Prospective, Randomized, Multicentre Cross-Over Trial.

Maik Häntschel, Ralf Eberhardt, Christoph Petermann, Wolfgang Gesierich, Kaid Darwiche, Lars Hagmeyer, Thomas V Colby, Falko Fend, Dirk Theegarten, Hanns-Olof Wintzer and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% 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, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. A randomized trial of narrow band imaging for performing airway mucosal biopsy in pulmonary sarcoidosis (NABS).Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
  4. Article
  5. Review
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

18 authors at 14 institutions in 5 countries.

Maik HäntschelDepartment of Medical Oncology and Pneumology, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany.
Ralf EberhardtDepartment of Pneumology and Critical Care Medicine, Asklepios-Klinik Barmbek, 22307 Hamburg, Germany.
Christoph PetermannDepartment for Pulmonary Diseases, Asklepios-Klinik Hamburg, 22307 Hamburg, Germany.
Wolfgang GesierichComprehensive Pneumology Center Munich, Asklepios-Fachkliniken Munich-Gauting, 81377 Munich, Germany.
Kaid DarwicheDepartment of Interventional Pneumology, Ruhrlandklinik-University Medicine Essen, University of Duisburg-Essen, 47057 Duisburg, Germany.ORCID 0000-0003-0681-1325
Lars HagmeyerClinic for Pneumology and Allergology, Center of Sleep Medicine and Respiratory Care, Bethanien Hospital, 42699 Solingen, Germany.
Thomas V ColbyDepartment of Pathology (Emeritus), Mayo Clinic, Scottsdale, AZ 13400, USA.
Falko FendInstitute of Pathology and Neuropathology, Reference Center for Hematopathology University Hospital, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany.
Dirk TheegartenInstitute of Pathology, University Hospital Essen, University of Duisburg-Essen, 7057 Essen, Germany.
Hanns-Olof WintzerInstitute for Pathology, MVZ Hanse Histologikum, 22547 Hamburg, Germany.
Michael KreuterCenter for Interstitial and Rare Lung Diseases, Department of Pneumology, Thoraxklinik, University of Heidelberg and German Center for Lung Research (DZL), 69117 Heidelberg, Germany.
Werner SpenglerDepartment of Medical Oncology and Pneumology, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany.
Annika Felicitas Behrens-ZemekDepartment of Medical Oncology and Pneumology, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany.
Richard A LewisUniversity of Worcester, Worcester WR2 6AJ, UK.ORCID 0000-0001-5475-3890
Henry C EvrardDepartment Physiology of Cognitive Processes, Max Planck Institute for Biological Cybernetics, 72076 Tübingen, Germany.
Ahmed EhabDepartment of Medical Oncology and Pneumology, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany.
Michael BöckelerDepartment of Medical Oncology and Pneumology, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany.
Jürgen HetzelDepartment of Medical Oncology and Pneumology, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany.
University of Tübingen · DEKantonsspital Winterthur · CHAsklepios Fachkliniken München-Gauting · DEAsklepios Klinik Barmbek · DEAsklepios Kliniken Hamburg · DEHeidelberg University · DEInstitut für Hämatopathologie Hamburg · DEKrankenhaus Bethanien · DEMansoura University · EGMayo Clinic in Arizona · USNathan Kline Institute for Psychiatric Research · USRuhrlandklinik · DEUniversity of Duisburg-Essen · DEUniversity of Worcester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransbronchial lung forceps biopsy (TBLF) is of limited value for the diagnosis of interstitial lung disease (ILD). However, in cases with predominantly peribronchial pathology, such as sarcoidosis, TBLF is considered to be diagnostic in most cases. The present study examines whether transbronchial lung cryobiopsy (TBLC) is superior to TBLF in terms of diagnostic yield in cases of sarcoidosis.

methodsIn this post hoc analysis of a prospective, randomized, controlled, multicentre study, 359 patients with ILD requiring diagnostic bronchoscopic tissue sampling were included. TBLF and TBLC were both used for each patient in a randomized order. Histological assessment was undertaken on each biopsy and determined whether sarcoid was a consideration.

resultsA histological diagnosis of sarcoidosis was established in 17 of 272 cases for which histopathology was available. In 6 out of 17 patients, compatible findings were seen with both TBLC and TBLF. In 10 patients, where the diagnosis of sarcoidosis was confirmed by TBLC, TBLF did not provide a diagnosis. In one patient, TBLF but not TBLC confirmed the diagnosis of sarcoidosis.

conclusionsIn this post hoc analysis, the histological diagnosis of sarcoidosis was made significantly more often by TBLC than by TBLF. As in other idiopathic interstitial pneumonias (IIPs), the use of TBLC should be considered when sarcoidosis is suspected.

Indexed as

bronchoscopycryobiopsysarcoidosistransbronchial biopsy

Identifiers

PMID34884387
PMCPMC8658102
OpenAlexW3215843171

What OpenQuestion holds

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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.