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Impact of EBUS-TBNA on modalities for tissue acquisition in patients with lung cancer.
MedLine Citation:
PMID:  24259720     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
IntroductionThe impact of the introduction of EBUS-TBNA on the use of diagnostic modalities for tissue acquisition in patients with lung cancer is unknown.MethodsA retrospective review of 328 consecutive patients diagnosed with lung cancer at a university teaching hospital, where they first presented, in London in 2007, 2009 and 2011. EBUS was introduced in 2008.Results316 patients were included in the analysis. Comparing 2007 to 2011 there has been a significant reduction in standard bronchoscopy (P<0.0001) and mediastinoscopy (P=0.02). The proportion of cases diagnosed by EBUS-TBNA significantly increased from 0% in 2007 to 26.7% in 2009 and 25.4% in 2011 (P<0.0001). In the same period there has also been an increased trend in the proportion of patients going directly to surgery without pathological confirmation with a 9.6% increase in diagnoses obtained at thoracotomy (p=0.0526).ConclusionsThe use of diagnostic modalities that provide information on diagnosis and staging in a single intervention are increasing. At our hospital, the use of EBUS-TBNA for providing a lung cancer diagnosis is increasing and this has led to a significant reduction in standard bronchoscopies and mediastinoscopies. These changes in practice may have implications for future service provision, training and commissioning.
Authors:
Ricardo J José; Penny Shaw; Magali Taylor; David R Lawrence; P Jeremy George; Sam M Janes; Neal Navani
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-11-19
Journal Detail:
Title:  QJM : monthly journal of the Association of Physicians     Volume:  -     ISSN:  1460-2393     ISO Abbreviation:  QJM     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9438285     Medline TA:  QJM     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Thoracic Medicine, University College Hospital, London, United Kingdom.
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