Impact of rapid on-site cytologic evaluation during transbronchial needle aspiration.

Abstract:

STUDY OBJECTIVE:To determine the extent to which rapid on-site cytologic evaluation (ROSE) of transbronchial needle aspiration (TBNA) samples can safely and cost-effectively reduce the need for additional biopsy during bronchoscopy. SETTING:University Hospital in Long Island, NY. PATIENT AND METHODS:Forty-four bronchoscopies with TBNA, most of which utilized ROSE, were evaluated prospectively. The number and types of biopsies performed during each procedure were compared to a preprocedural algorithm to determine the impact of knowing ROSE results during the procedure. Bronchoscopies performed with and without ROSE were compared, as were bronchoscopies with diagnostic and nondiagnostic ROSE results. A cost analysis was performed comparing the Medicare reimbursement for ROSE to the savings of deferring multiple biopsies. RESULTS:Thirty-two bronchoscopies were performed with ROSE; 12 were performed without ROSE. Fewer biopsies were performed during bronchoscopies utilizing ROSE. Diagnostic yield, TBNA sensitivity and accuracy, and procedural time were similar between these two groups. CONCLUSIONS:ROSE during TBNA allows for deferring additional biopsy without loss in diagnostic yield, likely lowers procedural risk, and is cost-effective.

journal_name

Chest

journal_title

Chest

authors

Baram D,Garcia RB,Richman PS

doi

10.1378/chest.128.2.869

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

869-75

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)50438-8

journal_volume

128

pub_type

杂志文章

相关文献

CHEST文献大全
  • Diagnosis of tracheal injury in mechanically ventilated premature infants by flexible bronchoscopy. A pilot study.

    abstract::Flexible bronchoscopy (FB) is uniquely suited for the study of large airway lesions in the ventilated premature infant. However, no standardized clinical scoring system of distal tracheal injury exists and the adverse consequences of FB in ventilated premature infants are not well described. Using a prototype Olympus ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.5.1219

    authors: Schellhase DE,Graham LM,Fix EJ,Sparks LM,Fan LL

    更新日期:1990-11-01 00:00:00

  • Small airways obstruction syndrome.

    abstract:STUDY OBJECTIVES:To clarify the significance of a functional lung pattern characterized by a decreased vital capacity (VC) and an increased residual volume (RV), but with a normal FEV1/VC ratio. SETTING:A university teaching hospital. SUBJECTS:Patients with bronchial asthma, pulmonary emphysema, and small airways dis...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.1.231

    authors: Stănescu D

    更新日期:1999-07-01 00:00:00

  • Patients With Fibrotic Interstitial Lung Disease Hospitalized for Acute Respiratory Worsening: A Large Cohort Analysis.

    abstract:BACKGROUND:Acute respiratory worsening (ARW) requiring hospitalization in patients with fibrotic interstitial lung disease (f-ILD) is common. Little is known about the frequency and implications of ARW in IPF and non-IPF ILD patients hospitalized for acute exacerbation (AE) vs known causes of ARW. METHODS:All consecut...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2015.12.026

    authors: Moua T,Westerly BD,Dulohery MM,Daniels CE,Ryu JH,Lim KG

    更新日期:2016-05-01 00:00:00

  • Management of pediatric acute hypoxemic respiratory insufficiency with bilevel positive pressure (BiPAP) nasal mask ventilation.

    abstract:OBJECTIVES:To evaluate the efficacy and complications of noninvasive nasal mask bilevel continuous positive airway pressure ventilation in pediatric patients with hypoxemic respiratory insufficiency. DESIGN:Retrospective chart review. SETTING:Intensive care unit, university affiliated tertiary care children's hospita...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.4.1059

    authors: Fortenberry JD,Del Toro J,Jefferson LS,Evey L,Haase D

    更新日期:1995-10-01 00:00:00

  • Treatment and prevention of heparin-induced thrombocytopenia: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition).

    abstract::This chapter about the recognition, treatment, and prevention of heparin-induced thrombocytopenia (HIT) is part of the Antithrombotic and Thrombolytic Therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Grade 1 recommendations are strong and indicate that the benefi...

    journal_title:Chest

    pub_type: 杂志文章,实务指引

    doi:10.1378/chest.08-0677

    authors: Warkentin TE,Greinacher A,Koster A,Lincoff AM

    更新日期:2008-06-01 00:00:00

  • A 61-Year-Old Caribbean Man With Thrush and Acute Respiratory Failure.

    abstract:CASE PRESENTATION:A 61-year-old Caribbean man presented to the ED with dyspnea that had progressed over the previous week with associated cough and high fevers. Four days prior to admission, his primary care physician noted oral thrush and obtained a chest radiograph that revealed a right middle lobe infiltrate. He was...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2017.11.001

    authors: Gong J,Melamud A,Koenig S

    更新日期:2018-07-01 00:00:00

  • An unusual case of pneumorrhachis following resection of lung carcinoma.

    abstract::We report an unusual case of a patient with a bronchopleural-subcutaneous fistula that occurred 3 years following a lobectomy and en bloc chest wall resection for carcinoma. Following a sudden resolution of subcutaneous emphysema, an epidural air collection developed. Spontaneous pneumorrhachis is a previously unrepor...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.5.1712

    authors: Ristagno RL,Hiratzka LF,Rost RC Jr

    更新日期:2002-05-01 00:00:00

  • Massive hemoptysis during catheterization of the internal jugular vein.

    abstract::Percutaneous cannulation of the internal jugular vein is commonly performed to obtain central venous access. We report the first case of massive hemoptysis occurring during cannulation of the internal jugular vein. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.5.1143

    authors: Friedman Y,Tilly E,Rackow EC,Weil MH

    更新日期:1989-05-01 00:00:00

  • Addressing resource allocation issues in recommendations from clinical practice guideline panels: suggestions from an American College of Chest Physicians task force.

    abstract::Most panels that develop clinical practice guidelines are poorly equipped to address resource allocation or cost issues associated with management options. This risks neglect, arbitrariness, lack of transparency, and methodological flaws in consideration of resource allocation. We provide recommendations for guideline...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.129.1.182

    authors: Guyatt G,Baumann M,Pauker S,Halperin J,Maurer J,Owens DK,Tosteson AN,Carlin B,Gutterman D,Prins M,Lewis SZ,Schünemann H

    更新日期:2006-01-01 00:00:00

  • Safety and Tolerability of Alveolar Type II Cell Transplantation in Idiopathic Pulmonary Fibrosis.

    abstract:BACKGROUND:Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal lung disease with limited response to currently available therapies. Alveolar type II (ATII) cells act as progenitor cells in the adult lung, contributing to alveolar repair during pulmonary injury. However, in IPF, ATII cells die and are replace...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2016.03.021

    authors: Serrano-Mollar A,Gay-Jordi G,Guillamat-Prats R,Closa D,Hernandez-Gonzalez F,Marin P,Burgos F,Martorell J,Sánchez M,Arguis P,Soy D,Bayas JM,Ramirez J,Tetley TD,Molins L,de la Bellacasa JP,Rodríguez-Villar C,Rovira I,Fi

    更新日期:2016-09-01 00:00:00

  • Recurrent, self-limited, menstrual-associated bronchiolitis obliterans organizing pneumonia.

    abstract::A 39-year-old woman presented with recurrent acute illness, characterized by high-grade fever, pleuritic chest pain, and unilateral nodular infiltrate on chest radiograph. During the follow-up period, there were six similar episodes, each starting 2 to 3 days prior to her menstrual period and resolving within 5 to 10 ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.1.253

    authors: Yigla M,Ben-Itzhak O,Solomonov A,Guralnik L,Oren I

    更新日期:2000-07-01 00:00:00

  • Pretransplantation bone disease in patients with primary pulmonary hypertension.

    abstract:INTRODUCTION:Osteoporosis is a common condition in patients with end-stage lung disease, but little attention has been given to bone disease in patients with primary pulmonary hypertension (PPH). The purposes of this study were as follows: (1) to determine the prevalence of osteoporosis in patients with severe PPH befo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.4.1002

    authors: Tschopp O,Schmid C,Speich R,Seifert B,Russi EW,Boehler A

    更新日期:2006-04-01 00:00:00

  • Radiographic pseudofracture of bipolar pacemaker wire.

    abstract::We present a case in which the radiographic appearance of a bipolar pacing lead mimics a wire fracture. Recognition of this normal finding--due to lead construction--will help avoid erroneous diagnosis of wire fracture on chest x-ray films. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.88.2.302

    authors: Hecht S,Berdoff R,Van Tosh A,Goldberg E

    更新日期:1985-08-01 00:00:00

  • A Randomized Trial of Initiation of Chronic Noninvasive Mechanical Ventilation at Home vs In-Hospital in Patients With Neuromuscular Disease and Thoracic Cage Disorder: The Dutch Homerun Trial.

    abstract:BACKGROUND:There is an increasing demand for home mechanical ventilation (HMV) in patients with chronic respiratory insufficiency. At present, noninvasive ventilation is exclusively initiated in a clinical setting at all four centers for HMV in the Netherlands. In addition to its high societal costs and patient discomf...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.07.007

    authors: van den Biggelaar RJM,Hazenberg A,Cobben NAM,Gaytant MA,Vermeulen KM,Wijkstra PJ

    更新日期:2020-12-01 00:00:00

  • Diagnosis of tracheoesophageal fistula by analysis of gastric air.

    abstract::Two patients receiving positive pressure ventilation experienced marked gaseous abdominal distension. Analysis of gases from the stomach, ventilator, and room air suggested that the gastric gases came from the ventilator in one patient. The diagnosis of tracheoesophageal fistula was confirmed by esophagoscopy. Analysi...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.2.641

    authors: Kovitz KL,Siebens A,Brower RG

    更新日期:1993-08-01 00:00:00

  • Chronic tuberculous empyema with bronchopleural fistula resulting in treatment failure and progressive drug resistance.

    abstract::We treated five patients with a past history of tuberculous pleural infection that led to chronic, quiescent, loculated empyema. Reactivation of TB was associated with formation of BPF and recovery of drug-susceptible Mycobacterium tuberculosis from sputum. All patients had recurrence of positive sputum cultures that ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.1.124

    authors: Iseman MD,Madsen LA

    更新日期:1991-07-01 00:00:00

  • Decreased Serum Sirtuin-1 in COPD.

    abstract:BACKGROUND:The protein deacetylase sirtuin-1 (SIRT1) is an antiaging molecule that is decreased in the lung in patients with COPD. Recently, SIRT1 was reported to be detectable in serum, but serum SIRT1 (s120S) levels have not yet been reported in patients with COPD. METHODS:Serum SIRT1 protein of all samples was meas...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2017.05.004

    authors: Yanagisawa S,Papaioannou AI,Papaporfyriou A,Baker JR,Vuppusetty C,Loukides S,Barnes PJ,Ito K

    更新日期:2017-08-01 00:00:00

  • Angioimmunoblastic lymphadenopathy presenting as superior vena caval obstruction.

    abstract::A 60-year-old man presented with features of superior vena cava (SVC) obstruction. On evaluation, he was diagnosed as having angioimmunoblastic lymphadenopathy with dysproteinemia (AILD). SVC obstruction due to AILD, to our knowledge, has not been described. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.6.1721

    authors: Sanghvi S,Kothari AS,Hathi BC,Sharma RG

    更新日期:1991-12-01 00:00:00

  • Development of a giant bulla after lung volume reduction surgery.

    abstract::Lung volume reduction surgery (LVRS) is being evaluated in the treatment of emphysema. The proposed mechanisms of improvement are increased elastic recoil of the lung and improved mechanical efficiency of the muscles of respiration. We report a unique patient with emphysema who developed a giant bulla 3 years subseque...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.6.1809

    authors: Iqbal M,Rossoff L,McKeon K,Graver M,Scharf SM

    更新日期:1999-12-01 00:00:00

  • Range in pulmonary artery systolic pressure among highly trained athletes.

    abstract:BACKGROUND:Although the physiologic range of pulmonary artery systolic pressure (PASP) has been reported, data on how it is manifested in athletes are limited. The aim of the present study was to explore the full spectrum of PASP and the long-term training impact in a large population of highly trained athletes. METHO...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-1260

    authors: D'Andrea A,Naeije R,D'Alto M,Argiento P,Golia E,Cocchia R,Riegler L,Scarafile R,Limongelli G,Di Salvo G,Citro R,Caso P,Russo MG,Calabrò R,Bossone E

    更新日期:2011-04-01 00:00:00

  • Investigating the natural history of lung function: facts, pitfalls, and opportunities.

    abstract::COPD is currently defined as a progressive, preventable, and treatable disease that is characterized by an accelerated decline of lung function. However, contrary to other common chronic conditions like cardiovascular disease or cancer, there are no lifelong population-based studies describing the natural history of l...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.08-1750

    authors: Kohansal R,Soriano JB,Agusti A

    更新日期:2009-05-01 00:00:00

  • Accuracy of individual variables in the monitoring of long-term change in pulmonary sarcoidosis as judged by serial high-resolution CT scan data.

    abstract:BACKGROUND:In pulmonary sarcoidosis, the optimal means of quantifying change is uncertain. The comparative usefulness of simple lung function trends and chest radiography remains unclear. We aimed to explore and contrast the disease-monitoring strategies of serial pulmonary function tests (PFTs) and chest radiography c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-2479

    authors: Zappala CJ,Desai SR,Copley SJ,Spagnolo P,Sen D,Alam SM,du Bois RM,Hansell DM,Wells AU

    更新日期:2014-01-01 00:00:00

  • Complete resolution of roentgenographic changes in a patient with pulmonary histiocytosis X.

    abstract::A smoker presented with pleuritic chest pain and was found to have reticulonodular interstitial opacities on chest x-ray film. Open lung biopsy revealed changes consistent with histiocytosis X, a disease seen almost exclusively in smokers. Smoking cessation was recommended, and the patient complied. A chest x-ray film...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.3.765

    authors: Von Essen S,West W,Sitorius M,Rennard SI

    更新日期:1990-09-01 00:00:00

  • Effects of weight loss on peak flow variability, airways obstruction, and lung volumes in obese patients with asthma.

    abstract:STUDY OBJECTIVES:To clarify the pathophysiologic features of the relation between asthma and obesity, we measured the effects of weight reduction on peak expiratory flow (PEF) variability and airways obstruction, compared to simultaneous changes in lung volumes and ventilatory mechanics in obese patients with stable as...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.5.1315

    authors: Hakala K,Stenius-Aarniala B,Sovijärvi A

    更新日期:2000-11-01 00:00:00

  • Detection and evaluation of asymptomatic myocarditis in schoolchildren: report of four cases.

    abstract:STUDY OBJECTIVE:Data on the prevalence of myocarditis in children are limited. Autopsy studies have shown that myocarditis is often undiagnosed. We attempted to investigate the clinical features of asymptomatic myocarditis in four schoolchildren detected during a mass ECG screening in schoolchildren. DESIGN AND SETTIN...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.2.340

    authors: Nakagawa M,Sato A,Okagawa H,Kondo M,Okuno M,Takamatsu T

    更新日期:1999-08-01 00:00:00

  • The utility of 99mTc depreotide compared with F-18 fluorodeoxyglucose positron emission tomography and surgical staging in patients with suspected non-small cell lung cancer.

    abstract:STUDY OBJECTIVES:The findings from conventional imaging modalities, such as chest CT, are frequently unreliable in patients with lung cancer. This study was designed to compare the relative diagnostic accuracies and utility of the two most widely used functional imaging examinations, F-18-2-fluoro-2-deoxyglucose (FDG) ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.2.494

    authors: Kahn D,Menda Y,Kernstine K,Bushnell D,McLaughlin K,Miller S,Berbaum K

    更新日期:2004-02-01 00:00:00

  • Prediction of postoperative performance status in patients with giant bulla.

    abstract::To predict the postoperative improvement in performance status after bullectomy, preoperative pulmonary function and dyspneic grade were evaluated in 20 patients with giant bulla. The patients were divided into two groups, based on postoperative performance status: group 1 consisted of 15 patients with improved status...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.3.668

    authors: Ohta M,Nakahara K,Yasumitsu T,Ohsugi T,Maeda M,Kawashima Y

    更新日期:1992-03-01 00:00:00

  • Spontaneous middle lobe torsion secondary to pleural effusion.

    abstract::Pulmonary torsion is very rare, and usually occurs following lung resection. We report a case of spontaneous middle lobe torsion in a patient presenting with a right pleural effusion. The condition was treated by lobectomy through a totally thoracoscopic approach. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2373

    authors: Raynaud C,Lenoir S,Caliandro R,Raffenne L,Validire P,Gossot D

    更新日期:2009-07-01 00:00:00

  • Usefulness of quantitative cultures of BAL fluid for diagnosing nosocomial pneumonia in ventilated patients.

    abstract:STUDY OBJECTIVE:To evaluate the role of quantitative cultures of BAL for diagnosing nosocomial pneumonia in mechanically ventilated patients. DESIGN:Cohort study. SETTING:Medical ICU, Hôpital Bichat, Paris, France, an academic tertiary care center. PATIENTS:A total of 141 episodes of suspected lung infection in 84 c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.111.2.411

    authors: Jourdain B,Joly-Guillou ML,Dombret MC,Calvat S,Trouillet JL,Gibert C,Chastre J

    更新日期:1997-02-01 00:00:00

  • Daytime sleepiness and vascular morbidity at seven-year follow-up in obstructive sleep apnea patients.

    abstract::To evaluate the morbidity associated with obstructve sleep apnea syndrome (OSAS), we undertook a seven-year follow-up study of 198 OSAS patients seen between 1972 and 1980. The patients had been submitted to tracheostomy (71 patients) or had received a weight-loss recommendation (127 patients). Despite a lower mean ap...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.1.27

    authors: Partinen M,Guilleminault C

    更新日期:1990-01-01 00:00:00