0
Correspondence |

Response FREE TO VIEW

Gerard A. Silvestri, MD, FCCP; Nicholas James Pastis, MD
Author and Funding Information

FINANCIAL/NONFINANCIAL DISCLOSURES: See earlier cited article for author conflicts of interest.

Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Medical University of South Carolina, Charleston, SC

CORRESPONDENCE TO: Gerard A. Silvestri, MD, FCCP, Pulmonary and Critical Care Medicine, Medical University of South Carolina, 171 Ashley Ave, Rm 812-CSB, Charleston, SC 29425-2220


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2017;151(2):514. doi:10.1016/j.chest.2016.11.051
Text Size: A A A
Published online

We wholeheartedly agree with Sharp and colleagues that cost saving is another potential benefit to transbronchial cryobiopsies in addition to safety and effectiveness. Well-designed and conducted, randomized controlled studies are needed to better define the position of transbronchial cryobiopsies in the diagnostic algorithm of interstitial and other lung diseases. There is also heterogeneity in the way the procedure is performed, so we also advocate for an evidence-based guideline to provide best practice recommendations for this procedure.

As a safer and less expensive alternative, diagnostic yields may only need to approximate the yields of surgical lung biopsies (the gold standard for interstitial lung disease). We eagerly await further studies on this promising technique and believe it has the potential to be the next “game changer” in bronchoscopy, as endobronchial ultrasound has been over the past decade.

References

Sharp C, McCabe M, Adamali H, Medford AR. Use of transbronchial cryobiopsy in the diagnosis of interstitial lung disease: a systematic review and cost analysis.QJM.In press. PII: hcw142.
 

Figures

Tables

References

Sharp C, McCabe M, Adamali H, Medford AR. Use of transbronchial cryobiopsy in the diagnosis of interstitial lung disease: a systematic review and cost analysis.QJM.In press. PII: hcw142.
 
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543