[Endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of pathologies accessible by transbronchial needle aspiration requiring anatomopathological diagnosis]

Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Alcaraz A, Lopez A, Bardach A, Ciapponi A, Rey-Ares L, Cesaroni S
Record ID 32014000302
Authors' objectives: To assess the evidence available on the efficacy, safety and issues related with coverage policies on the use of endobronchial ultrasound in accessible pathologies by transbronchial needle aspiration requiring anatomopathological diagnosis.
Authors' recommendations: Based on the evidence found, EBUS could be considered a safe technique with sensitivity and diagnostic results similar to those of mediastinoscopy and higher than blind TBNA when it comes to identification of mediastinal and hilaradenopathy invasion in patients with suspected or diagnosed non-small cell lung cancer and higher than conventional needle aspiration, but lower than percutaneous transthoraxic needle aspiration in patients with peripheral lung nodules. The main obstacles found in the reviewed studies were in relation with the comparator description and variability among studies. Due to the high rate of false negatives, confirmation by more invasive techniques is recommended if results are negative or non conclusive.
Project Status: Completed
Year Published: 2012
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Humans
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration
  • Pathology, Clinical
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
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