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Point/Counterpoint Editorials |

Rebuttal From Dr Huang et alRebuttal From Dr Huang et al

Jian An Huang, MD, PhD; Robert Browning, MD, FCCP; Ko-Pen Wang, MD, FCCP
Author and Funding Information

From the Department of Respiratory Medicine (Dr Huang), The First Affiliated Hospital of Soochow University; Division of Interventional Pulmonology (Dr Browning), Walter Reed National Military Medical Center; and Division of Interventional Pulmonology (Dr Wang), The Johns Hopkins Hospital.

Correspondence to: Ko-Pen Wang, MD, FCCP, Division of Interventional Pulmonology, The Johns Hopkins Hospital, 1800 Orleans St, Baltimore, MD 21287; e-mail: Kwang7@jhmi.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the US Government.

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


Chest. 2013;144(3):738-739. doi:10.1378/chest.13-0705
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Although the argument by Drs Wahidi and Yasufuku1 for the use of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in all patients is interesting, the question we must answer as a professional community is whether the exclusive use of EBUS-TBNA in all patients throughout the world is beneficial or harmful to patients.2 Diagnostic performance of conventional transbronchial needle aspiration (C-TBNA) compared with EBUS-TBNA varies among the studies they cited, yet even in the cited studies, EBUS-TBNA only increased yield about 10% to 20% over C-TBNA. If a standard of practice included C-TBNA initially followed by EBUS-TBNA only if nondiagnostic, only a small percentage of the total patients would require EBUS-TBNA.

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