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Pleural recurrence after transthoracic needle lung biopsy in stage I lung cancer: a systematic review and individual patient-level meta-analysis by Hyunsook Hong; Seokyung Hahn; Haruhisa Matsuguma; Masayoshi Inoue; Yasushi Shintani; Osamu Honda; Yotaro Izumi; Keisuke Asakura; Hisao Asamura; Tetsuya Isaka; Kyungjong Lee; Yong Soo Choi; Young Tae Kim; Chang Min Park; Jin Mo Goo; Soon Ho Yoon is a Medicine article available to read on EtoBox.
What is Pleural recurrence after transthoracic needle lung biopsy in stage I lung cancer: a systematic review and individual patient-level meta-analysis about?
## Introduction Conflicting results exist regarding whether preoperative transthoracic biopsy increases the risk of pleural recurrence in early lung cancer. We conducted a systematic, patient-level meta-analysis to evaluate the risk of pleural recurrence in stage I lung cancer after percutaneous transthoracic lung biopsy. ## Methods A systematic search of OVID-MEDLINE, Embase and the Cochrane Database of Systematic Reviews was performed through October 2018. Eligible studies were original articles on the risk of pleural recurrence in stage I lung cancer after transthoracic biopsy. We contacted the corresponding authors of eligible studies to obtain individual patient-level data. We used the Fine-Gray model for time to recurrence and lung cancer-specific survival and a Cox proportional hazards model for overall survival. ## Results We analysed 2394 individual patient data from 6 out of 10 eligible studies. Compared with other diagnostic procedures, transthoracic biopsy was associated with a higher risk for ipsilateral pleural recurrence, which manifested solely (subdistribution HR (sHR), 2.58; 95% CI 1.15 to 5.78) and concomitantly with other metastases (sHR 1.99; 95% CI 1.14 to 3.4
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- Author
- Hyunsook Hong; Seokyung Hahn; Haruhisa Matsuguma; Masayoshi Inoue; Yasushi Shintani; Osamu Honda; Yotaro Izumi; Keisuke Asakura; Hisao Asamura; Tetsuya Isaka; Kyungjong Lee; Yong Soo Choi; Young Tae Kim; Chang Min Park; Jin Mo Goo; Soon Ho Yoon
- Publisher
- BMJ
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)