https://scholars.lib.ntu.edu.tw/handle/123456789/552154
標題: | Learning curve and advantages of endobronchial ultrasound-guided transbronchial needle aspiration as a first-line diagnostic and staging procedure | 作者: | CHING-KAI LIN CHAO LUN LAI LIH-YU CHANG Wen Y.-F. CHAO-CHI HO |
公開日期: | 2018 | 出版社: | John Wiley and Sons Inc. | 卷: | 9 | 期: | 1 | 起(迄)頁: | 75-82 | 來源出版物: | Thoracic Cancer | 摘要: | Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is now the standard for mediastinal lymph node staging of lung cancer. Training and maintenance of technical skills is very important in order to apply new techniques in clinical use. Methods: A retrospective chart review was performed of patients who underwent EBUS-TBNA from November 2009 to December 2015. We assessed the learning curve, accuracy (%), and whether this procedure shortened the duration of lung cancer staging. Results: The EBUS-TBNA learning curve continued to improve beyond 120 procedures. Diagnostic accuracy was similar between benign and malignant populations. There was no difference in the learning curve between the groups. Non-small cell lung cancer patients who underwent EBUS-TBNA as the first investigative procedure underwent fewer subsequent investigative procedures (1.47 vs. 2.05; P < 0.001), and had a shorter staging duration (4.52 vs. 11.05 days; P = 0.006) compared to those who underwent other procedures for the first investigation. Conclusion: EBUS-TBNA should be one of the preferred options for lung cancer diagnosis and staging because it reduces the staging duration compared to the use of other invasive procedures in initial investigation. ? 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032745814&doi=10.1111%2f1759-7714.12539&partnerID=40&md5=e106938481848fce2451844921879165 https://scholars.lib.ntu.edu.tw/handle/123456789/552154 |
ISSN: | 1759-7706 | DOI: | 10.1111/1759-7714.12539 | SDG/關鍵字: | adolescent; adult; aged; Article; bronchoscopy; cancer staging; controlled study; diagnostic accuracy; diagnostic test accuracy study; disease duration; endobronchial ultrasonography; female; follow up; human; human tissue; informed consent; lung adenocarcinoma; major clinical study; male; non small cell lung cancer; nuclear magnetic resonance imaging; population research; positron emission tomography-computed tomography; predictive value; priority journal; retrospective study; sensitivity and specificity; small cell lung cancer; squamous cell lung carcinoma; transbronchial aspiration; cancer staging; endoscopic ultrasound guided fine needle biopsy; lung tumor; middle aged; pathology; procedures; very elderly; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Endoscopic Ultrasound-Guided Fine Needle Aspiration; Female; Humans; Lung Neoplasms; Male; Middle Aged; Neoplasm Staging; Retrospective Studies; Young Adult |
顯示於: | 醫學系 |
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