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Endobronchial ultrasound with transbronchial needle aspiration: Evaluation of clinical practice

Abstract : Introduction. - Endobronchial ultrasound with transbronchial needle aspiration (EBUS-TBNA) has undergone a large increase in France since 2007. The aim is to study the evolution of the indications for EBUS-TBNA in our region during the period 2008-2013. Material and methods. - We conducted a retrospective observational study including all the patients who underwent an EBUS-TBNA procedure in Picardie from 2008 to 2013. The respective proportion for each indication was noted. Results. - During the study period, 1036 EBUS-TBNA procedures were performed with a continuous increase in number (86 in 2008 versus 275 in 2013). We observed an increase in the proportion of procedures performed for a suspected diagnosis of sarcoidosis (OR=1.31; IC 95% [1.09-1.58]; P=0.005) and for the simultaneous diagnosis and staging of lung cancer (OR =1.12; IC 95% [1.02-1.24]; P=0.022). For the diagnosis of sarcoidosis, we observed an improvement in the diagnostic yield between the periods [2008-2010] and [2011-201]] (42.9% versus 72.5%). Conclusion. - A continuous increase in the number of EBUS-TBNA procedures was observed during the period 2008-2013. It was associated with a modification in practice with an increased proportion of procedures performed for the diagnosis of sarcoidosis. (C) 2017 SPLF. Published by Elsevier Masson SAS. All rights reserved.
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https://hal-u-picardie.archives-ouvertes.fr/hal-03591334
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Soumis le : lundi 28 février 2022 - 15:24:00
Dernière modification le : mardi 17 mai 2022 - 14:58:11

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Damien Basille, C. Hybiak, C. Dayen, B. Toublanc, Y. Douadi, et al.. Endobronchial ultrasound with transbronchial needle aspiration: Evaluation of clinical practice. Revue des maladies respiratoires, 2018, 35 (3), pp.305-312. ⟨10.1016/j.rmr.2017.01.011⟩. ⟨hal-03591334⟩

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