Literature Archives

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Respiratory medicine

Environmental and Occupational Risks in Asthma Burden: A Global Analysis of Trends, Disparities, and Future Projections for Ages 5-39.

Study Takeaway
For clinicians, the study highlights that environmental and occupational risks contribute significantly to asthma, particularly among young adults where these risks account for 13.9% of the burden, and predicts that the global age-standardized prevalence rate will rise from approximately 4,132 per 100,000 in 2021 to 4,698 per 100,000 by 2050.
Respiratory research

Ultrasonic elastography-guided pleural biopsy followed by as-needed semi-rigid thoracoscopic pleural biopsy versus immediate semi-rigid thoracoscopic pleural biopsy for the diagnosis of pleural effusion (UPDATE-3): a protocol of randomised controlled trial.

Study Takeaway
This trial will determine if starting with ultrasound elastography-guided biopsy is non-inferior to semi-rigid thoracoscopy using a non-inferiority margin of - 5% for diagnostic yield, potentially shifting practice toward a less invasive step-up approach and reducing the need for thoracoscopy.
Respirology

Diagnostic Yield of EBUS Mediastinal Cryobiopsy Versus TBNA in Suspected Lymphoproliferative Disorders: A Prospective Multicentre Study

Study Takeaway
Endobronchial ultrasound-guided transbronchial mediastinal cryobiopsy significantly outperforms standard transbronchial needle aspiration in diagnostic yield and overall accuracy for suspected mediastinal lymphoproliferative disorders.
BMC pulmonary medicine

Comparison of nasal and oral linear endobronchial ultrasound: a retrospective single-center study.

Study Takeaway
For interventional pulmonologists, the nasal approach is a safe and feasible alternative that offers practical advantages, including reduced sedative requirements and fewer hypoxemia-related interruptions, while maintaining comparable diagnostic performance and complication rates to the oral route.
BMC pulmonary medicine

Diagnostic value of EBUS-TBNA for intrathoracic tuberculous lymphadenitis: a retrospective cohort analysis stratified by anti-tuberculosis treatment duration.

Study Takeaway
EBUS-TBNA is a safe and highly effective diagnostic tool for tuberculous lymphadenitis, achieving an overall diagnostic sensitivity of 96.2% that remains consistent regardless of prior anti-tuberculosis treatment duration (P = 0.42).
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