Evidence map›Paper›PMID 41658662›Full record

ArticleCureus2026

An Evaluation of Endobronchial Ultrasound-Transbronchial Needle Aspiration (EBUS-TBNA): Molecular Diagnoses and Patient Satisfaction.

William Wilkinson, Ben Marshall, Anindo Banerjee

Abstract read
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Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

3 authors.

William WilkinsonSouthampton Faculty of Medicine, University of Southampton, Southampton, GBR.
Ben MarshallPulmonary Medicine, Southampton General Hospital NHS Foundation Trust, Southampton, GBR.
Anindo BanerjeeRespiratory Medicine, Southampton General Hospital NHS Foundation Trust, Southampton, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimEndobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure that collects biopsies in patients with mediastinal and/or hilar lymphadenopathy, often in lung cancer or sarcoidosis. Cancerous biopsies can undergo molecular testing to identify mutations, which may be targeted by immunotherapy. The role of EBUS-TBNA in molecular outcomes has not been studied previously in the United Kingdom. This study also examines patient demographics and satisfaction to comprehensively evaluate EBUS-TBNA. This study aimed to evaluate the EBUS-TBNA service at University Hospital Southampton (UHS), focusing on patient demographics, satisfaction, diagnostic outcomes, procedural statistics, and identifying targetable mutations for immunotherapy.

methodA total of 306 patients were studied retrospectively, and 39 were studied prospectively, using a questionnaire. Data on their characteristics, reports, diagnoses, and molecular tests were recorded and analyzed using SPSS version 29.

resultsA total of 47.12% (n = 131) patients were diagnosed with primary lung cancer, 23.38% (n = 65) with sarcoidosis, 9.71% (n = 27) with metastatic cancer, and 1.95% (n = 7) with other diagnoses, such as tuberculosis. Primary lung cancer was categorized as adenocarcinoma (52.31%, n = 68), squamous cell carcinoma (SCC) (25.38%, n = 33), and small cell carcinoma (SCLC) (16.92%, n = 23). Of the primary cancer cases, 60.31% (n = 79) underwent molecular testing. In this cohort, 29.41% (n = 20) of adenocarcinoma cases tested positive for a targetable mutation as follows: 85% (n = 17) were KRAS G12C, and 15% (n = 3) were the EGFR E19del. Overall, 15.27% (n = 20) of EBUS-TBNA procedures for primary lung cancer revealed a clinically actionable variant. Of the 39 patients surveyed, there was a significant difference between the pain experienced (median = 2/10, IQR = 4) and the expected pain (median = 5/10, IQR = 6), as assessed by a Wilcoxon signed-rank test (z = -2.91, p = 0.004). The average staff experience during the EBUS was 9.87/10 (SD = 0.47), and 55.85% (n = 21) waited <1 week for the procedure.

conclusionsEBUS-TBNA's role in diagnosing various conditions, especially primary lung cancer, is clear. Clinically, EBUS-TBNA provides genetic diagnoses, which can enable immunotherapy. Patient satisfaction is high, with patients expressing relief after the procedure and finding the staff exceptional.

Indexed as

cancer immunotherapyendobronchial ultrasound-guided transbronchial needle aspirationmediastinal lymph nodenon-small cell lung cancerpatients satisfaction

Identifiers

PMID41658662
PMCPMC12882780

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