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Practice patterns in FNA technique: A survey analysis

World Journal of Gastrointestinal Endoscopy 2014年第10期6卷 499-505页

作者： Christopher J DiMaio Jonathan M Buscaglia Seth A Gross Harry R Aslanian Adam J Goodman Sammy Ho Michelle K Kim Shireen Pais Felice Schnoll-Sussman amrita sethi Uzma D Siddiqui David H Robbins Douglas G Adler Satish Nagula Division of Gastroenterology Icahn School of Medicine at Mount Sinai Mount Sinai Medical CenterNew York NY 10029 United States Division of Gastroenterology and Hepatology Stony Brook University School of MedicineStony BrookNew YorkNY 11794 United States Division of Gastroenterology NYU School of Medicine New York NY 10016 United States Section of Digestive Diseases Yale School of Medicine New Haven Connecticut CT 06510 United States Division of Digestive and Liver Diseases Montefiore Medical Center Bronx New York NY 10467 United States Division of Gastroenterology and Hepatobiliary Diseases New York Medical College Valhalla New York NY 10595 United States Division of Gastroenterology and Hepatology Weill Cornell Medical College New York NY 10065 United States Division of Digestive and Liver Diseases Columbia University Medical Center New York NY 10032 United States Section of Gastroenterology Hepatology and Nutrition University of Chicago Medicine Chicago Illinois IL 60637 United States Division of Gastroenterology Lenox Hill Hospital New York NY 10075 United States Division of Gastroenterology and Hepatology University of Utah School of Medicine Salt Lake City Utah UT 84132 United States

AIM: To ascertain fine needle aspiration(FNA) tech-niques by endosonographers with varying levels of ex-perience and ***: A survey study was performed on United States based endosonographers. The subjects complet-ed an anonymous online electronic survey. The main outcome measurements were differences in needle choice, FNA technique, and clinical decision making among endosonographers and how this relates to years in practice, volume of EUS-FNA procedures, and prac-tice ***: A total of 210(30.8%) endosonographers completed the survey. Just over half(51.4%) identified themselves as academic/university-based practitioners. The vast majority of respondents(77.1%) identified themselves as high-volume endoscopic ultrasound(EUS)(> 150 EUS/year) and high-volume FNA(> 75 FNA/year) performers(73.3). If final cytology is non-diagnostic, high-volume EUS physicians were more likely than low volume physicians to repeat FNA with a core needle(60.5% vs 31.2%; P = 0.0004), and low volume physicians were more likely to refer patients for either surgical or percutaneous biopsy,(33.4% vs 4.9%, P < 0.0001). Academic physicians were more likely to repeat FNA with a core needle(66.7%) compared to community physicians(40.2%, P < 0.001). CONCLUSION: There is significant variation in EUS-FNA practices among United States endosonographers. Differences appear to be related to EUS volume and practice environment.

关键词： Endoscopic ultrasound Diagnostic procedures and techniques Fine needle biopsy Fine needle aspiration

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