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Commentary |

The Changing Face of Outpatient Bronchoscopy in 2013Outpatient Bronchoscopy in 2013

Scott Manaker, MD, PhD, FCCP; Anil Vachani, MD, MSCE
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From the Department of Medicine, University of Pennsylvania, Philadelphia, PA.

Correspondence to: Scott Manaker, MD, PhD, FCCP, Department of Medicine, Pulmonary, Allergy, and Critical Care Division, Perelman School of Medicine at the University of Pennsylvania, 8 Penn Tower, Ste 800, One Convention Ave, Philadelphia, PA 19104-4283; e-mail: scott.manaker@uphs.upenn.edu


Funding/Support: This work was funded, in part, by the Pennsylvania Department of Health [Grant 4100059202].

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(5):1214-1218. doi:10.1378/chest.13-0066
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In 2013, the outpatient hospital payment from Medicare for a transbronchial needle aspiration more than doubled. At the same time, the recently updated American College of Chest Physicians guidelines for the diagnosis and management of lung cancer now recommend needle techniques, such as transbronchial needle aspiration, over surgical staging. The convergence of these two events will accelerate the existing forces of technology and economics that have been influencing both the practices of outpatient bronchoscopy and mediastinoscopy and the management of patients with lung cancer over the past 20 years.

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