Feasibility of breast duct lavage performed by a physician extender

Redlich, Philip N.; Purdy, Anna; Shidham, Vinod B.; Yun, Hyun J.; Walker, Alonzo P.; Ota, David M.

doi:10.1016/j.surg.2004.08.004

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…A total of 19 studies 24,[39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56] were included in the diagnostic arm of the systematic review. These all contained clinical data on the diagnoses acquired from NAF cytology, which were correlated with either imaging or histology following a biopsy.…”

Section: Malignant Diagnostic Cytologymentioning

confidence: 99%

Diagnostic Accuracy of Nipple Aspirate Fluid Cytology in Asymptomatic Patients: A Meta-analysis and Systematic Review of the Literature

et al. 2020

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Purpose To calculate the diagnostic accuracy of nipple aspirate fluid (NAF) cytology. Background Evaluation of NAF cytology in asymptomatic patients conceptually offers a non-invasive method for either screening for breast cancer or else predicting or stratifying future cancer risk. Methods Studies were identified by performing electronic searches up to August 2019. A meta-analysis was conducted to attain an overall pooled sensitivity and specificity of NAF for breast cancer detection. Results A search through 938 studies yielded a total of 19 studies. Overall, 9308 patients were examined, with cytology results from 10,147 breasts [age (years), mean ± SD = 49.73 ± 4.09 years]. Diagnostic accuracy meta-analysis of NAF revealed a pooled specificity of 0.97 (95% CI 0.97–0.98), and sensitivity of 0.64 (95% CI 0.62–0.66). Conclusions The diagnostic accuracy of nipple smear cytology is limited by poor sensitivity. If nipple fluid assessment is to be used for diagnosis, then emerging technologies for fluid biomarker analysis must supersede the current diagnostic accuracy of NAF cytology.

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Section: Malignant Diagnostic Cytologymentioning

confidence: 99%

Diagnostic Accuracy of Nipple Aspirate Fluid Cytology in Asymptomatic Patients: A Meta-analysis and Systematic Review of the Literature

et al. 2020

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Technical Enhancements to Breast Ductal Lavage

et al. 2008

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Outcomes of Tube Thoracostomies Performed by Advanced Practice Providers vs Trauma Surgeons

Bevis

Berg-Copas

Thomas

et al. 2008

American Journal of Critical Care

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Background The role of advanced registered nurse practitioners and physician assistants in emergency departments, trauma centers, and critical care is becoming more widely accepted. These personnel, collectively known as advanced practice providers, expand physicians’ capabilities and are being increasingly recruited to provide care and perform invasive procedures that were previously performed exclusively by physicians. Objectives To determine whether the quality of tube thoracostomies performed by advanced practice providers is comparable to that performed by trauma surgeons and to ascertain whether the complication rates attributable to tube thoracostomies differ on the basis of who performed the procedure. Methods Retrospective blinded reviews of patients’ charts and radiographs were conducted to determine differences in quality indicators, complications, and outcomes of tube thoracostomies by practitioner type: trauma surgeons vs advanced practice providers. Results Differences between practitioner type in insertion complications, complications requiring additional interventions, hospital length of stay, and morbidity were not significant. The only significant difference was a complication related to placement of the tube: when the tube extended caudad, toward the feet, from the insertion site. Interrater reliability ranged from good to very good. Conclusions Use of advanced practice providers provides consistent and quality tube thoracostomies. Employment of these practitioners may be a safe and reasonable solution for staffing trauma centers.

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Feasibility of breast duct lavage performed by a physician extender

Cited by 3 publications

References 10 publications

Diagnostic Accuracy of Nipple Aspirate Fluid Cytology in Asymptomatic Patients: A Meta-analysis and Systematic Review of the Literature

Diagnostic Accuracy of Nipple Aspirate Fluid Cytology in Asymptomatic Patients: A Meta-analysis and Systematic Review of the Literature

Technical Enhancements to Breast Ductal Lavage

Outcomes of Tube Thoracostomies Performed by Advanced Practice Providers vs Trauma Surgeons

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