Evidence map›Paper›PMID 40486115›Full record

ArticleJHLT open2025

Transbronchial cryobiopsy alone versus combined with traditional forceps biopsy for acute cellular rejection in lung transplant recipients. A diagnostic randomized trial.

Carolin Steinack, Maurice Roeder, Silvan Vesenbeckh, Martina Haberecker, Jan H Rüschoff, René Hage, Silvia Ulrich, Malcolm Kohler, Macé M Schuurmans, Daniel P Franzen and 1 more

Abstract read
In one paragraph

Article in JHLT open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Post-lung transplant surveillance in 2026: current practice, variability, and the need for standardization.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  7. 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

11 authors.

Carolin SteinackDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Maurice RoederDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Silvan VesenbeckhDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Martina HabereckerDepartment of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland.
Jan H RüschoffDepartment of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland.
René HageDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Silvia UlrichDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Malcolm KohlerDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Macé M SchuurmansDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Daniel P FranzenDepartment of Internal Medicine, Spital Uster, Uster, Switzerland.
Thomas GaislDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Transbronchial lung biopsy is routinely performed to identify acute cellular rejection (ACR) in lung transplant recipients (LTRs). This trial evaluates the clinical value of forceps and cryobiopsies versus cryobiopsies as a standalone diagnostic tool. Methods: In this randomized trial, LTRs were randomly assigned to receive either 2 cryobiopsies (cryobiopsy group) or a combination of 5 forceps- and 2 cryobiopsies (combined group). The primary outcome was the diagnostic yield to detect ACR; the secondary outcome was the incidence of ACR. We conducted a paired, intraindividual comparison in the combined group alongside interindividual comparisons. Results: A total of 80 LTRs were randomly assigned to the cryobiopsy group ( Conclusions: Cryobiopsies did not detect lower ACR than the combined group and can be used as primary and standalone diagnostic tools for histologic assessment of ACR without requiring forceps biopsies.

Indexed as

acute cellular rejectioncryobiopsyforceps biopsylung transplant recipientstransbronchial biopsy

Identifiers

PMID40486115
PMCPMC12142631

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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.