A meta-analysis of endoscopic ultrasound-fine-needle aspiration compared to endoscopic ultrasound-fine-needle biopsy: diagnostic yield and the value of onsite cytopathological assessment

Endoscopy International Open
Muhammad Ali KhanTodd H Baron

Abstract

Background The diagnostic yield of endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) is variable, and partly dependent upon rapid onsite evaluation (ROSE) by a cytopathologist. Second generation fine-needle biopsy (FNB) needles are being increasingly used to obtain core histological tissue samples. Aims Studies comparing the diagnostic yield of EUS guided FNA versus FNB have reached conflicting conclusions. We therefore conducted a systematic review and meta-analysis to compare the diagnostic yield of FNA with FNB, and specifically evaluating the diagnostic value of ROSE while comparing the two types of needles. Methods We searched several databases from inception to 10 April 2016 to identify studies comparing diagnostic yield of second generation FNB needles with standard FNA needles. Risk ratios (RR) were calculated for categorical outcomes of interest (diagnostic adequacy, diagnostic accuracy, and optimal quality histological cores obtained). Standard mean difference (SMD) was calculated for continuous variables (number of passes required for diagnosis). These were pooled using random effects model of meta-analysis to account for heterogeneity. Meta-regression was conducted to evaluate the effect of ROSE on var...Continue Reading

Citations

Jan 18, 2018·Expert Review of Medical Devices·Theodore W James, Todd H Baron
May 9, 2019·Scandinavian Journal of Gastroenterology·David KarsentiJacqueline Zago
May 16, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Gian Eugenio TontiniLuca Elli
Apr 18, 2020·Journal of Clinical Gastroenterology·Carlos Roberto Simons-Linares, Prabhleen Chahal
Aug 5, 2020·Journal of Gastroenterology and Hepatology·Tiing Leong Ang, James Weiquan Li
May 18, 2019·Archives of Pathology & Laboratory Medicine·Kenneth P H Pritzker, Heikki J Nieminen
Jul 11, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Priscilla A van RietMarco J Bruno
Jan 3, 2018·Gut and Liver·Tiing Leong AngLai Mun Wang
Mar 29, 2020·World Journal of Gastrointestinal Endoscopy·Kemmian D JohnsonBenjamin Tharian
May 30, 2020·Diagnostics·Robert DorrellRishi Pawa
Jun 20, 2020·United European Gastroenterology Journal·J-Matthias LöhrUNKNOWN UEG guideline working group
Mar 13, 2020·Minerva gastroenterologica e dietologica·Antonio Facciorusso
Aug 17, 2019·World Journal of Clinical Cases·Kazuya MatsumotoHajime Isomoto
Nov 5, 2020·Diagnostics·Masahiro ItonagaMasayuki Kitano
Dec 10, 2020·Scandinavian Journal of Gastroenterology·Akashi FujitaMasafumi Mizuide
Dec 29, 2020·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Serena StiglianoFrancesco Maria Di Matteo
Dec 24, 2020·Scandinavian Journal of Gastroenterology·Marcel RazpotnikMarkus Peck-Radosavljevic
Apr 22, 2021·CytoJournal·Swati Satturwar, Liron Pantanowitz
May 4, 2021·Gastroenterology Research and Practice·Yuki TanisakaShomei Ryozawa
May 4, 2021·Journal of Gastroenterology and Hepatology·Kazunaga IshigakiUNKNOWN Acquire Study Group
Nov 20, 2021·The American Journal of Gastroenterology·Enad DawodSammy Saab

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Methods Mentioned

BETA
biopsy

Software Mentioned

Comprehensive Meta - analysis
Ovid
Emtree
MOOSE
EndNote
Cochrane
Scopus
Ovid MEDLINE

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