Evidence map›Paper›PMID 38049784›Full record

ArticleBMC pulmonary medicine2023

Diagnostic efficacy and safety of radial probe endobronchial ultrasound-guided transbronchial needle aspiration for adjacent lesions in segmental or subsegmental bronchi: a single-center retrospective study.

Debin Ma, Junli Zhang, Qingwei Zeng, Baining Li, Meili Gong, Zhiyuan Zhang, Zhuang Ma

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2023. 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
1.0field-weighted citation impact, top 20% 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, 4 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Debin Ma *Department of Respiratory and Critical Care Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Junli Zhang *Department of Respiratory and Critical Care Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Qingwei ZengDepartment of Respiratory and Critical Care Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Baining LiDepartment of Respiratory and Critical Care Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Meili GongDepartment of Respiratory and Critical Care Medicine, General Hospital of Northern Theater Command, Shenyang, China.
Zhiyuan ZhangDepartment of Respiratory and Critical Care Medicine, General Hospital of Northern Theater Command, Shenyang, China. yuan@live.cn.
Zhuang MaDepartment of Respiratory and Critical Care Medicine, General Hospital of Northern Theater Command, Shenyang, China. mazhuang999@yeah.net.
General Hospital of Shenyang Military Region · CN

Funding

the Ministry of Health Science and Technology Joint Program 2021JH2/10300102the Natural Science Foundation of Liaoning Province 2021-MS-039
6 · The paper itself

Abstract

backgroundPeripheral lung lesions can be sampled using various techniques, including computer tomography-guided transthoracic needle aspiration, electromagnetic navigation bronchoscopy, virtual navigation bronchoscopy, and radial probe endobronchial ultrasound transbronchial lung biopsy. Mediastinal lesions can be sampled using techniques like convex probe endobronchial ultrasound-guided transbronchial needle aspiration (CEBUS-TBNA) and endoscopic ultrasound-fine-needle aspiration. However, effective, safe techniques for lesions adjacent to the segmental or subsegmental bronchi are lacking. Herein, we retrospectively evaluated the diagnostic yield and safety of radial probe endobronchial ultrasound-assisted transbronchial needle aspiration (REBUS-TBNA) for lesions adjacent to the segmental bronchi, and explored the factors related to diagnostic yield.

methodsWe retrospectively analyzed the diagnostic yield and safety of REBUS-TBNA cases performed in our department from January 2019 to December 2022. Observation group patients had undergone REBUS-TBNA for lesions adjacent to the segmental bronchi; control group patients had undergone CEBUS-TBNA for mediastinal or hilar lesions. Patient characteristics and lesion sizes, diagnostic yield, adverse events, and relations between diagnostic yield and clinical characteristics were analyzed.

resultsThere were not statistically significant between-group differences in sex, age, diagnostic yield, or rate of adverse events. The observation group (n = 25; 17 male, 8 female) had a mean age of 64.76 ± 10.75 years. The average lesion size was 4.66 ± 1.07 cm, and lesions were predominantly in the upper lobes (80%). REBUS-TBNA diagnostic yield was 84%, with no adverse events reported. Diagnostic yield was not associated with lesion size or extent of bronchial stenosis; however, it was positively correlated with number of punctures. Patients with > 3 punctures had a significantly higher diagnostic yield than those with ≤ 3 punctures.

conclusionsREBUS-TBNA is a safe, effective diagnostic technique, particularly for lesions adjacent to the segmental or subsegmental bronchi of the upper lobe. Performing more than three punctures during the procedure improves the diagnostic yield. Larger-scale studies are warranted to confirm these results, and to further explore the clinical value of REBUS-TBNA.

Indexed as

BronchiLung NeoplasmsAgedAnimalsBronchoscopyCebusEndoscopic Ultrasound-Guided Fine Needle AspirationFemaleHumansLungLymph NodesMaleMiddle AgedRetrospective StudiesConvex probe endobronchial ultrasound (CEBUS)Diagnostic yieldRadial probe endobronchial ultrasound (REBUS)Segmental bronchiTransbronchial needle aspiration (TBNA)

Identifiers

PMID38049784
PMCPMC10696662
OpenAlexW4389299298

What OpenQuestion holds

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LicenceCC BY
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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.