Comparison of the Outcomes of Endoscopic Ultrasound Based on Community Hospital Versus Tertiary Academic Center Settings

Abstract

Cytological yield of EUS-FNA in a community hospital is similar to that of a tertiary hospital. Community hospitals can provide EUS services with reasonable success.

Assessment of morbidity and mortality associated with endoscopic ultrasound‐guided fine‐needle aspiration for pancreatic cystic lesions: A systematic review and meta‐analysis

“…Of the 40 studies included, 11 studies with a total of 2127 patients were multicenter studies . The post‐EUS‐FNA adverse event morbidity in these studies (2.74%, 95% CI: 1.54–4.26%) was comparable to that in the 29 single‐center studies (2.63%, 95% CI: 1.58–3.95%).…”

“…An analysis of the potential risk factors for adverse events after EUS‐FNA is presented in Table . Pooled data from 19 prospective studies showed a post‐EUS‐FNA adverse event morbidity of 3.69% (95% CI: 2.22–5.54%), whereas in the 21 retrospective studies the post‐EUS‐FNA incidence of adverse events was 1.90% (95% CI: 1.05–2.98%). There was no significant difference between prospective and retrospective studies in this respect.…”

“…A total of 40 articles with a combined study population of 5124 patients who underwent EUS‐FNA of PCL were included in this analysis. Of these 40 articles, 19 were prospective studies, and 11 were multicenter studies (Fig ; Table ).…”

University- Versus Community-Based Residency Programs: Does the Distinction Matter?

“…Community hospitals generally are smaller, but closely aligned with the community. 18 Although patient mix is often cited as an advantage in university-based programs, community settings can certainly provide excellent clinical exposure. One study 19 showed that family medicine residents saw similar numbers of patients and a breadth and depth of diagnoses in a university and a community hospital, while another study 20 demonstrated that pediatrics residents assigned to continuity clinics in communitybased ambulatory settings saw a higher number of patients, including more patients with chronic illnesses, and more patients seeking health supervision, compared to residents in a hospital-based practice.…”

Molecular testing on endobronchial ultrasound (EBUS) fine needle aspirates (FNA): Impact of triage

“…15,20 In the current analysis, 22 and more recent studies. 20,[23][24][25][26][27][28] However, the reported impact of ROSE varies. In a meta-analysis, ROSE increased specimen adequacy rate by 12% overall.…”