BACKGROUND: Rapid on-site evaluation (ROSE) has the potential to improve adequacy rates and affect other outcomes; however, there have been few comparative studies to assess the impact of ROSE in the setting of ultrasound-guided endoscopic fine-needle aspiration cytology for pancreatic lesions. AIMS: To determine whether ROSE improves adequacy rates of endoscopic fine-needle aspiration cytology for pancreatic lesions. METHODS: Systematic review and meta-analysis of studies reporting a head-to-head comparison of adequacy or diagnostic accuracy (with ROSE vs. without ROSE) at a single site. RESULTS: ROSE was associated with a statistically significant (p < 0.001) improvement in the adequacy rate (average 10 %, 95 % CI: 5-24 %). The impact of ROSE depends on the per-pass adequacy rate without ROSE. ROSE had no impact on diagnostic yield (p < 0.76). CONCLUSIONS: ROSE is associated with an improvement in adequacy rates when implemented at sites where the per-case adequacy rate without ROSE is low (<90 %). It is unclear whether the type of assessor (pathologist vs. non-pathologist) has a significant impact on the success rate of ROSE. ROSE has no impact on diagnostic yield. Studies should employ head-to-head comparisons of cohorts with and without ROSE at a single location.
BACKGROUND: Rapid on-site evaluation (ROSE) has the potential to improve adequacy rates and affect other outcomes; however, there have been few comparative studies to assess the impact of ROSE in the setting of ultrasound-guided endoscopic fine-needle aspiration cytology for pancreatic lesions. AIMS: To determine whether ROSE improves adequacy rates of endoscopic fine-needle aspiration cytology for pancreatic lesions. METHODS: Systematic review and meta-analysis of studies reporting a head-to-head comparison of adequacy or diagnostic accuracy (with ROSE vs. without ROSE) at a single site. RESULTS: ROSE was associated with a statistically significant (p < 0.001) improvement in the adequacy rate (average 10 %, 95 % CI: 5-24 %). The impact of ROSE depends on the per-pass adequacy rate without ROSE. ROSE had no impact on diagnostic yield (p < 0.76). CONCLUSIONS: ROSE is associated with an improvement in adequacy rates when implemented at sites where the per-case adequacy rate without ROSE is low (<90 %). It is unclear whether the type of assessor (pathologist vs. non-pathologist) has a significant impact on the success rate of ROSE. ROSE has no impact on diagnostic yield. Studies should employ head-to-head comparisons of cohorts with and without ROSE at a single location.
Authors: Therese S Cermak; Brant Wang; Pedro DeBrito; John Carroll; Nadim Haddad; Mary K Sidawy Journal: Cancer Cytopathol Date: 2012-04-19 Impact factor: 5.284
Authors: Patrick Cleveland; Kanwar Rupinder S Gill; Susan G Coe; Timothy A Woodward; Massimo Raimondo; Laith Jamil; Seth A Gross; Michael G Heckman; Julia E Crook; Michael B Wallace Journal: Gastrointest Endosc Date: 2010-06 Impact factor: 9.427
Authors: Julio Iglesias-Garcia; J Enrique Dominguez-Munoz; Ihab Abdulkader; Jose Larino-Noia; Elena Eugenyeva; Antonio Lozano-Leon; Jeronimo Forteza-Vila Journal: Am J Gastroenterol Date: 2011-04-12 Impact factor: 10.864
Authors: Robert L Schmidt; Brandon S Walker; Kirsten Howard; Lester J Layfield; Douglas G Adler Journal: Dig Dis Sci Date: 2013-07-04 Impact factor: 3.199
Authors: Sachin Wani; Michael B Wallace; Jonathan Cohen; Irving M Pike; Douglas G Adler; Michael L Kochman; John G Lieb; Walter G Park; Maged K Rizk; Mandeep S Sawhney; Nicholas J Shaheen; Jeffrey L Tokar Journal: Am J Gastroenterol Date: 2014-12-02 Impact factor: 10.864
Authors: Sachin Wani; Daniel Mullady; Dayna S Early; Amit Rastogi; Brian Collins; Jeff F Wang; Carrie Marshall; Sharon B Sams; Roy Yen; Mona Rizeq; Maria Romanas; Ozlem Ulusarac; Brian Brauer; Augustin Attwell; Srinivas Gaddam; Thomas G Hollander; Lindsay Hosford; Sydney Johnson; Vladimir Kushnir; Stuart K Amateau; Cara Kohlmeier; Riad R Azar; John Vargo; Norio Fukami; Raj J Shah; Ananya Das; Steven A Edmundowicz Journal: Am J Gastroenterol Date: 2015-09-08 Impact factor: 10.864
Authors: Patrick W Underwood; Michael H Gerber; Kathy Nguyen; Daniel Delitto; Song Han; Ryan M Thomas; Christopher E Forsmark; Jose G Trevino; William E Gooding; Steven J Hughes Journal: J Am Coll Surg Date: 2019-10-28 Impact factor: 6.113