MARC details
| 000 -LEADER |
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| fixed length control field |
02990nam a22003857a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
230316s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0012-3692 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1016/j.chest.2022.12.044 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
S0012-3692(23)00030-2 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
36640994 |
| 245 ## - TITLE STATEMENT |
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| Title |
Guided bronchoscopy for the evaluation of pulmonary lesions: An updated meta-analysis. |
| 251 ## - Source |
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| Source |
Chest. 2023 Jan 11 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Chest. 2023 Jan 11 |
| 253 ## - Journal Name |
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| Journal name |
Chest |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2023 Jan 11 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Medline status |
Publisher |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Guided bronchoscopy is increasingly utilized to diagnose peripheral pulmonary lesions (PPL). A meta-analysis published in 2012 demonstrated a pooled diagnostic yield of 70%, though recent publications have documented yields as low as 40% and as high as 90%. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
INTERPRETATION: Despite the reported advances in bronchoscopic technology to diagnose peripheral pulmonary lesions, the diagnostic yield of guided bronchoscopy has not improved. Copyright © 2023. Published by Elsevier Inc. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHOD: A comprehensive search was performed of studies evaluating the diagnostic yield of differing bronchoscopic technologies utilized to reach PPL's. Study quality was assessed using the QUADAS-2 assessment tool. Number of lesions, type of technology utilized, overall diagnostic yield and yield by size were extracted. Adverse events were recorded. Meta-analytic techniques were used to summarize findings across all studies. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESEARCH QUESTION: Has the diagnostic yield of guided bronchoscopy in patients with peripheral pulmonary lesions improved over the past decade? |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULT: A total of 16,389 lesions from 126 studies were included. There was no significant difference in diagnostic yield prior to 2012 (39 studies, 3052 lesions; yield 70.5%) versus after 2012 (87 studies, 13,535 lesions; yield 69.2% (P>0.05). Additionally, there was no significant difference in yield when comparing different technologies. Studies with low risk of overall bias had a lower diagnostic yield than those with high risk of bias (66% versus 71%, respectively; (p = 0.018). Lesion size>2cm, presence of bronchus sign, and reports with a high prevalence of malignancy in the study population were associated with significantly higher diagnostic yield. Significant (p<0.0001) between-study heterogeneity was also noted. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Medicine/Pulmonary-Critical Care |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Wang Memoli, Jessica S |
| Institution Code |
MWHC |
| 790 ## - Authors |
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| All authors |
Nadig TR |
| -- |
Thomas N |
| -- |
Nietert PJ |
| -- |
Lozier J |
| -- |
Tanner NT |
| -- |
Memoli JSW |
| -- |
Pastis NJ |
| -- |
Silvestri GA |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1016/j.chest.2022.12.044">https://dx.doi.org/10.1016/j.chest.2022.12.044</a> |
| Public note |
https://dx.doi.org/10.1016/j.chest.2022.12.044 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Journal Article |
