FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2023757864> ?p ?o ?g. }

• W2023757864 endingPage "895" @default.
• W2023757864 startingPage "894" @default.
• W2023757864 abstract "We read with interest the editorial of Drs Folch and Majid.1Folch E Majid A Point: are >50 supervised procedures required to develop competency in performing endobronchial ultrasound-guided transbronchial needle aspiration for mediastinal staging? Yes.Chest. 2013; 143: 888-891Abstract Full Text Full Text PDF PubMed Scopus (32) Google Scholar Much of their argument that >50 supervised procedures should be required for an operator to be deemed competent to perform endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for lung cancer staging relies on the evidence from two correspondences to the editor describing the initial experience of three operators. Despite not performing any prior supervised procedures, Fernández-Villar et al2Fernández-Villar A Leiro-Fernández V Botana-Rial M Represas-Represas C Núñez-Delgado M The endobronchial ultrasound-guided transbronchial needle biopsy learning curve for mediastinal and hilar lymph node diagnosis.Chest. 2012; 141: 278-279Abstract Full Text Full Text PDF PubMed Scopus (42) Google Scholar reported that the average sample adequacy reached by the two operators was 87% between 40 and 60 procedures. In comparison, sampling adequacy of lymph nodes via EBUS-TBNA in the American College of Chest Physicians Quality Improvement Registry, Evaluation, and Education (AQuIRE) Bronchoscopy Registry in high volume centers (>276 TBNAs per year) was 90%.3Ost DE Ernst A Lei X et al.Diagnostic yield of endobronchial ultrasound-guided transbronchial needle aspiration: results of the AQuIRE Bronchoscopy Registry.Chest. 2011; 140: 1557-1566Abstract Full Text Full Text PDF PubMed Scopus (130) Google Scholar Medford4Medford AR Learning curve for endobronchial ultrasound-guided transbronchial needle aspiration.Chest. 2012; 141: 1643Abstract Full Text Full Text PDF PubMed Scopus (37) Google Scholar describes the experience of one operator, who attained a diagnostic accuracy of 85% in the first 20 procedures. The accuracy after performing 81 to 100 cases was only slightly better at 90%.4Medford AR Learning curve for endobronchial ultrasound-guided transbronchial needle aspiration.Chest. 2012; 141: 1643Abstract Full Text Full Text PDF PubMed Scopus (37) Google Scholar These data suggest that the learning curve for EBUS-TBNA “flattens out” relatively early. Do Drs Folch and Majid propose that an operator who has completed 61 EBUS-TBNA procedures must then perform double that number to achieve an additional 5% accuracy? Their argument seems to emphasize the need for maximal competency. We believe that this approach is neither practical not justified. Rather, we need to focus on minimal competency, or the ability to perform the procedure safely and effectively. It should also be noted that many of the published data on endobronchial ultrasound (EBUS) training and yield were generated at a time when, due to lack of available supervision, practitioners were self-taught. It is logical to surmise that cases performed under the supervision of an experienced operator will provide a far higher quality of learning than those procedures performed without the same guidance. We agree with Drs Folch and Majid1Folch E Majid A Point: are >50 supervised procedures required to develop competency in performing endobronchial ultrasound-guided transbronchial needle aspiration for mediastinal staging? Yes.Chest. 2013; 143: 888-891Abstract Full Text Full Text PDF PubMed Scopus (32) Google Scholar that EBUS-TBNA for staging needs to be thoroughly and properly performed to prevent inaccurate staging. Unfortunately, there are no convincing data to support their argument that >50 supervised procedures are needed to perform a staging EBUS procedure correctly. We also agree that there remain many complexities and uncertainties related to the proper staging technique, and it goes without saying that a well-trained operator performing EBUS will understand the nuances of this process In reality, neither the pro nor con argument addresses the real point, that “one size does not fit all,” whether it is 50, 100, or 1,000 procedures. What is needed is a tool to assess an individual operator's competency to perform the procedure. Only then can we ensure optimal safety and accuracy. The use of EBUS-TBNA simulators and advanced statistical means of quantitating performance may be important tools to assess operator learning.5Stather DR MacEachern P Chee A Dumoulin E Tremblay A Evaluation of clinical endobronchial ultrasound skills following clinical versus simulation training.Respirology. 2012; 17: 291-299Crossref PubMed Scopus (43) Google Scholar, 6Kemp SV El Batrawy SH Harrison RN et al.Learning curves for endobronchial ultrasound using cusum analysis [published erratum in Thorax. 2010;65(9):844].Thorax. 2010; 65: 534-538Crossref PubMed Scopus (122) Google Scholar A validated, comprehensive assessment tool has recently been published by Davoudi and colleagues7Davoudi M, Colt HG, Osann KE, et al. EBUS-STAT: assessing the validity evidence for a test of EBUS-TBNA operator skill [published online ahead of print July 26, 2012]. Am J Respir Crit Care Med. doi:10-1164/rccm.201111-1968OC.Google Scholar and may offer a practical, systematic method for determining competency for each operator. In summary, there are no compelling data to support the recommendation that >50 supervised procedures are needed for competency in EBUS-TBNA for lung cancer staging. As EBUS-TBNA is rapidly becoming the first procedure in the staging evaluation, we believe that a standard of 50 supervised procedures will provide the necessary training while maintaining patient access to this important tool for lung cancer staging." @default.
• W2023757864 created "2016-06-24" @default.
• W2023757864 creator A5006776966 @default.
• W2023757864 creator A5091242168 @default.
• W2023757864 date "2013-04-01" @default.
• W2023757864 modified "2023-10-17" @default.
• W2023757864 title "Rebuttal From Drs Kinsey and Channick" @default.
• W2023757864 cites W1563085794 @default.
• W2023757864 cites W1989862975 @default.
• W2023757864 cites W2025115881 @default.
• W2023757864 cites W2029177620 @default.
• W2023757864 cites W2057790076 @default.
• W2023757864 cites W2119025583 @default.
• W2023757864 doi "https://doi.org/10.1378/chest.12-2465" @default.
• W2023757864 hasPublicationYear "2013" @default.
• W2023757864 type Work @default.
• W2023757864 sameAs 2023757864 @default.
• W2023757864 citedByCount "0" @default.
• W2023757864 crossrefType "journal-article" @default.
• W2023757864 hasAuthorship W2023757864A5006776966 @default.
• W2023757864 hasAuthorship W2023757864A5091242168 @default.
• W2023757864 hasBestOaLocation W20237578641 @default.
• W2023757864 hasConcept C126838900 @default.
• W2023757864 hasConcept C142724271 @default.
• W2023757864 hasConcept C19527891 @default.
• W2023757864 hasConcept C2776256026 @default.
• W2023757864 hasConcept C2778996910 @default.
• W2023757864 hasConcept C3020762335 @default.
• W2023757864 hasConcept C61434518 @default.
• W2023757864 hasConcept C71924100 @default.
• W2023757864 hasConceptScore W2023757864C126838900 @default.
• W2023757864 hasConceptScore W2023757864C142724271 @default.
• W2023757864 hasConceptScore W2023757864C19527891 @default.
• W2023757864 hasConceptScore W2023757864C2776256026 @default.
• W2023757864 hasConceptScore W2023757864C2778996910 @default.
• W2023757864 hasConceptScore W2023757864C3020762335 @default.
• W2023757864 hasConceptScore W2023757864C61434518 @default.
• W2023757864 hasConceptScore W2023757864C71924100 @default.
• W2023757864 hasIssue "4" @default.
• W2023757864 hasLocation W20237578641 @default.
• W2023757864 hasOpenAccess W2023757864 @default.
• W2023757864 hasPrimaryLocation W20237578641 @default.
• W2023757864 hasRelatedWork W1486569249 @default.
• W2023757864 hasRelatedWork W1991336461 @default.
• W2023757864 hasRelatedWork W2001463484 @default.
• W2023757864 hasRelatedWork W2021608832 @default.
• W2023757864 hasRelatedWork W2038223250 @default.
• W2023757864 hasRelatedWork W2080881890 @default.
• W2023757864 hasRelatedWork W2155887765 @default.
• W2023757864 hasRelatedWork W2441348925 @default.
• W2023757864 hasRelatedWork W2959308911 @default.
• W2023757864 hasRelatedWork W2094389697 @default.
• W2023757864 hasVolume "143" @default.
• W2023757864 isParatext "false" @default.
• W2023757864 isRetracted "false" @default.
• W2023757864 magId "2023757864" @default.
• W2023757864 workType "article" @default.