Authors: Shailendra Singh Treta Purohit Elie Aoun Yatindra Patel Neil Carleton Marcia Mitre Suzanne Morrissey Manish Dhawan Shyam Thakkar
Publish Date: 2014/02/27
Volume: 59, Issue: 8, Pages: 1925-1930
Abstract
Endoscopic ultrasound EUS is an established tool in the management of gastrointestinal diseases The majority of EUS procedures are performed in tertiary care hospitals but the technology has also disseminated to community hospitals The data from community hospitals are limited and there are no published studies comparing EUSfine needle aspiration FNA outcomes in community versus tertiary settings Our objective is to compare EUS procedures performed in these two separate settingsEUS procedures performed for pancreatobiliary indications in an academic tertiary care hospital and a community hospital were retrospectively reviewed and compared The patient demographics procedure time procedure indications FNA performed pass counts needle size rapid onsite evaluation ROSE and final cytological diagnosis were compared between the two centers Cytological diagnosis was categorized as satisfactory and unsatisfactory samplesThere was no significant difference in patient age gender indications procedure time FNA performed needle size or pass counts between the tertiary hospital n = 361 and community hospital n = 119 ROSE was a significant determinant factor for adequacy of sample There was a positive linear relationship between adequacy of the sample and number of pass counts After performing a logistic regression and adjusting for target site the overall odds of having an unsatisfactory specimen were not significantly different at the two centers OR 051 CI 023–117 p = 011 Percentages of unsatisfactory samples were not significantly different at the two centers for solid lesions 74 vs 31 p = 033 cysts 333 vs 238 p = 031 or lymph nodes 250 vs 0 p = 0063
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