Evidence map›Paper›PMID 40618287›Full record

SynthesisDigestive diseases and sciences2025

Diagnostic Performance of Endoscopic Ultrasound-Guided Fine Needle Biopsy with Histological Analysis Versus Combined Cytohistological Analysis in Solid Pancreatic Lesions: A Systematic Review and Meta-Analysis.

Panotpol Termsinsuk, Alan Chuncharunee, Phunchai Charatcharoenwitthaya, Nonthalee Pausawasdi

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Digestive diseases and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
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

4 authors.

Panotpol TermsinsukDivision of Gastroenterology and Hepatology, School of Internal Medicine, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, 30000, Thailand.
Alan ChuncharuneeDivision of Gastroenterology and Hepatology, Department of Medicine Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.
Phunchai CharatcharoenwitthayaDivision of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.
Nonthalee PausawasdiDivision of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand. Nonthaleep7@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent advancements in endoscopic ultrasound-guided fine needle biopsy (EUS-FNB) needles enable reliable histological evaluation, raising questions about the necessity of routinely adding cytological analysis.

aimTo compare the diagnostic performance of EUS-FNB using histology alone versus combined cytohistological analysis for detecting solid pancreatic malignancies.

methodsA comprehensive search of MEDLINE, Embase, and Cochrane databases identified studies reporting diagnostic performance, tissue adequacy, processing methods, and reference standards of surgical specimens, clinical, and imaging assessment. Pooled sensitivity, specificity, tissue adequacy, and heterogeneity were analyzed using meta-analytic techniques.

resultsTwenty-nine studies were included. Histological and combined analyses were performed in 1657 and 1271 patients, respectively. For histological analysis, pooled sensitivity was 90.5% (95% CI: 85.8-94.2, I

conclusionsEUS-FNB with histological analysis shows diagnostic performance and tissue adequacy comparable to combined analysis. While histological assessment may serve as a feasible standalone approach, these findings require validation through future randomized controlled trials.

Indexed as

Endoscopic Ultrasound-Guided Fine Needle AspirationPancreasPancreatic NeoplasmsHumansSensitivity and SpecificityCytological techniquesEndoscopic ultrasoundFine needle biopsyHistological techniquesPancreatic malignancy

Identifiers

PMID40618287
PMCPMC12531314

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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.