4466 Effectiveness of eus/fna for diagnosing lung cancer in a managed care setting.

Endoscopic ultrasound: It’s accuracy in evaluating mediastinal lymphadenopathy? A meta-analysis and systematic review

“…35 Consecutive FNA and appropriate follow-up Savides et al [100] 2000 54 Consecutive FNA and appropriate follow-up Fritscher-Ravens et al [103] 2000 153 Consecutive FNA and appropriate follow-up Vazquez-Sequeiros et al [105] 2001 37 Consecutive Surgery Wallace et al [91] 2001 43 Consecutive FNA and appropriate follow-up Wiersema et al [85] 2001 82 Prospective Surgery Chhieng et al [96] 2001 103 Consecutive Surgery Devereaux et al [22] 2002 49 Consecutive Surgery Catalano et al [92] 2002 62 Consecutive Surgery Schwartz et al [66] 2002 188 Consecutive Surgery Arima et al [95] 2003 58 Consecutive Surgery Pellise et al [23] 2004 11 Consecutive Surgery Kramer et al [86] 2004 81 Prospective Surgery Walsh et al [97] 2005 27 Consecutive Surgery or appropriate follow-up Tournoy et al [88] 2005 67 Prospective Surgery Khoo et al [93] 2006 20 Prospective Surgery Beek et al [87] 2006 43 Prospective Surgery Figure 2A and B, respectively. EUS without FNA had a pooled specificity of 84.6% (95% CI: 83.2-85.9) and with FNA was 96.4% (95% CI: 95.3-97.4).…”

Endoscopic Ultrasonography

“…EUS appears to be becoming a more popular and accepted method in the staging of lung cancer and sampling mediastinal lymphadenopathy. An abstract studied the effectiveness of EUS-guided FNA in a managed care setting for diagnosing lung cancer [87]. Forty-four patients underwent EUS-guided mediastinal FNA at 54 sites.…”

EUS-guided fine-needle aspiration in the mediastinum

“…The accuracy of EUS-FNA for diagnosing metastasis to lymph nodes was 96%, and furthermore, the results of this test prompted a change in the treatment of 95% of the patients who had the procedure. Recently, Savides 39 reported, in abstract form, the effectiveness of EUS-FNA for diagnosing lung cancer in a managed care setting. Forty-four patients were studied.…”