Home | About us | Editorial Board | Search | Ahead of print | Current Issue | Archives | Instructions | Online submissionContact Us   |  Subscribe   |  Advertise   |  Login  Page layout
Wide layoutNarrow layoutFull screen layout
Lung India Official publication of Indian Chest Society  
  Users Online: 1908   Home Print this page  Email this page Small font size Default font size Increase font size


 
  Table of Contents    
LETTER TO EDITOR
Year : 2014  |  Volume : 31  |  Issue : 4  |  Page : 435  

Comments on non-utilising of rapid onsite evaluation with transbronchial needle aspiration


1 Department of Pulmonary Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India
2 Department of Pulmonary Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand

Date of Web Publication1-Oct-2014

Correspondence Address:
Girish Sindhwani
Department of Pulmonary Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.142117

Rights and Permissions

How to cite this article:
Sindhwani G, Khanduri R. Comments on non-utilising of rapid onsite evaluation with transbronchial needle aspiration. Lung India 2014;31:435

How to cite this URL:
Sindhwani G, Khanduri R. Comments on non-utilising of rapid onsite evaluation with transbronchial needle aspiration. Lung India [serial online] 2014 [cited 2019 Nov 13];31:435. Available from: http://www.lungindia.com/text.asp?2014/31/4/435/142117

Sir,

This communication is regarding an article e-published in the July-September 2014 issue of your journal. The article is entitled 'Diagnostic utility of conventional transbronchial needle aspiration without rapid onsite evaluation in patients with lung cancer,' by Ritika Walia et al.

Our comments are with regard to non-utilization of rapid onsite cytology (ROSE) with transbronchial needle aspiration (TBNA) in your study. It is understandable that despite many studies on the efficacy of ROSE with TBNA, it is largely underutilized in most of the bronchoscopy suites in India, be it a secondary or tertiary care center. This underutilization of ROSE is likely due to factors like non-familiarity with the procedure, lack of cytopathologists for bronchoscopy suites, and so on. However, in a study done at our center, which is a teaching institute in the Himalayan region of north India, it has been proved that ROSE is feasible, cost-effective, and patient-friendly in terms of reduction in the number and repetition of bronchoscopy procedures. [1]

In tertiary care centers with attached teaching institutes, where postgraduate programs for Pathology are being run, there is availability of trainees of Pathology. In our study, we utilized the second and third year residents of Pathology as resource persons and they were able to bring good yield of ROSE. In our study, we have also assessed the cost-effectiveness of ROSE in terms of reduction of repeat procedures in case of negative first results and we found that 45% of the patients would have required a repeat procedure in the absence of ROSE. Similar results have been reported in other studies as well. [2],[3],[4]

Hence, ROSE should be promoted in bronchoscopy centers in India and studies on TBNA or other procedures used for getting cytological material should be performed with ROSE, so that the message about the feasibility of ROSE is passed on to the pulmonologists of our country.

 
   References Top

1.Sindhwani G, Rawat J, Chandra S, Kusum A, Rawat M. Transbronchial needle aspiration with rapid on-site evaluation: A prospective study on efficacy, feasibility and cost effectiveness. Indian J Chest Dis Allied Sci 2013;55:141-4.  Back to cited text no. 1
    
2.Davenport RD. Rapid on-site evaluation of transbronchial aspirates. Chest 1990;98:59-61.  Back to cited text no. 2
    
3.Diacon AH, Schuurmans MM, Theron J, Louw M, Wright CA, Brundyn K, et al. Utility of rapid on-site evaluation of transbronchial needle aspirates. Respiration 2005;72:182-8.  Back to cited text no. 3
    
4.Baram D, Garcia RB, Richman PS. Impact of rapid on-site cytologic evaluation during transbronchial needle aspiration. Chest 2005;128:869-75.  Back to cited text no. 4
    




 

Top
  
 
  Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References

 Article Access Statistics
    Viewed602    
    Printed6    
    Emailed0    
    PDF Downloaded153    
    Comments [Add]    

Recommend this journal