Navigational bronchoscopy at a community hospital: clinical and economic outcomes.

IF 0.7 Q4 RESPIRATORY SYSTEM Lung Cancer Management Pub Date : 2016-11-01 Epub Date: 2016-11-29 DOI:10.2217/lmt-2016-0015

Susan K Garwood, Pam ClenDening, Nathanael D Hevelone, Kristin L Hood, Sean Pidgeon, Leonard James Wudel

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引用次数: 9

Abstract

Aim: To evaluate the clinical and financial impact of introducing electromagnetic navigation bronchoscopy (ENB) at a community center.

Methods: This retrospective, single-arm, single-center study evaluated 90 consecutive patients who had undergone ENB in 2012. Radial probe endobronchial ultrasound was used to localize the lesion after initial ENB. ENB-aided diagnoses, follow-up procedures and treatments, and adverse events were collected through 2 years.

Results: ENB was conducted for lung biopsy (86 patients), fiducial placement (five), and/or dye marking (two). ENB-aided diagnostic yield was 82.6% (71/86), including 36 malignant and 35 nonmalignant cases. NSCLC was stage I-II in 84.6%. There were four false negatives. Sensitivity and negative predictive value were 90.0 and 88.6%. Pneumothorax occurred in 6/90 (5/6 with chest tube) and minor bleeding in four. The downstream revenue of new ENB cases was US$363,654.

Conclusion: ENB introduction provided high diagnostic yield, early-stage diagnosis, acceptable safety, and was financially justified.

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社区医院导航支气管镜检查:临床和经济结果

目的:评价在社区中心引入电磁导航支气管镜检查(ENB)的临床和财政影响。方法:这项回顾性、单臂、单中心研究评估了2012年连续接受ENB治疗的90例患者。初始ENB后采用桡动脉支气管内超声定位病灶。收集2年内enb辅助诊断、随访过程和治疗以及不良事件。结果:ENB用于肺活检(86例)，基准放置(5例)和/或染料标记(2例)。enb辅助诊断率为82.6%(71/86)，其中恶性36例，非恶性35例。NSCLC为I-II期的占84.6%。有四个假阴性。敏感性90.0，阴性预测值88.6%。其中6/90例发生气胸(5/6合并胸管)，4例发生轻度出血。新ENB病例的下游收入为363,654美元。结论:ENB的引入诊断率高，早期诊断，安全性可接受，经济上合理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lung Cancer Management RESPIRATORY SYSTEM-

CiteScore

2.30

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0.00%

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