Diagnostic utility of conventional transbronchial needle aspiration in older patients

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dc.contributor.authorUlaşlı, Sevinç Sarınç
dc.contributor.authorKöksal, Deniz
dc.contributor.authorKarcıoğlu, Oğuz
dc.contributor.authorBabaoğlu, Elif
dc.contributor.authorÖnder, Sevgen
dc.contributor.authorEmri, Salih
dc.contributor.authorBabaoğlu, Elif
dc.date.accessioned2021-05-15T12:41:53Z
dc.date.available2021-05-15T12:41:53Z
dc.date.issued2018
dc.departmentTıp Fakültesi, Göğüs Hastalıkları Ana Bilim Dalıen_US
dc.descriptionKoksal, Deniz/0000-0001-8374-3691
dc.description.abstractBackground In older patients, diagnosis and initial treatment should be considered as soon as possible because of high disease burden and complications. Conventional transbronchial needle aspiration (C-TBNA) is an important and safe method for the diagnosis of mediastinal lesions and staging lung cancer in the general population. We aimed to evaluate the diagnostic utility and complications of C-TBNA procedure in older patients aged >= 65 years. Method We retrospectively evaluated C-TBNA results consecutively. Demographic data, clinical, radiological and flexible bronchoscopy (FB) findings, complications during C-TBNA and incidence of diagnostic C-TBNA with the presence of abundant lymphoid cells of polymorphous appearance both in patients aged >= 65 years and in younger patients were determined. Results C-TBNA was performed to a total of 317 patients, including 109 older and 208 younger patients attended to our clinic between 2012 and 2016. The mean ages of older and younger patients were 70.3 +/- 4.6 and 52.5 +/- 10 years, respectively (p < 0.001). Overall, 75.2% of older and 80.3% of younger patients had diagnostic C-TBNA. The diagnostic utility of C-TBNA did not differ significantly between older and younger patients (p = 0.297). During C-TBNA, one older patient had a complication of bronchospasm, and four younger patients had complications such as bleeding (n = 1) and bronchospasm (n = 3). There was no statistically significant difference between older and younger patients in terms of complications during C-TBNA procedure (p = 0.49). Conclusion C-TBNA is a safe procedure with similar diagnostic yield in older patients.en_US
dc.identifier.doi10.1007/s41999-018-0036-4
dc.identifier.endpage267en_US
dc.identifier.issn1878-7649
dc.identifier.issn1878-7657
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85044591073
dc.identifier.scopusqualityQ1
dc.identifier.startpage263en_US
dc.identifier.urihttps://doi.org/10.1007/s41999-018-0036-4
dc.identifier.urihttps://hdl.handle.net/20.500.12939/866
dc.identifier.volume9en_US
dc.identifier.wosWOS:000428472300018
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorEmri, Salih
dc.language.isoen
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofEuropean Geriatric Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectElderlyen_US
dc.subjectConventional Transbronchial Needle Aspirationen_US
dc.subjectDiagnosisen_US
dc.subjectComplicationen_US
dc.titleDiagnostic utility of conventional transbronchial needle aspiration in older patients
dc.typeArticle

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