Evaluating the Cost-Effectiveness of Endobronchial Ultrasound for Novice Practitioners: Insights from a Single-Center Learning Curve Study - Scorecard - MDSpire

Evaluating the Cost-Effectiveness of Endobronchial Ultrasound for Novice Practitioners: Insights from a Single-Center Learning Curve Study

  • By

  • Oğuzhan Turan

  • Mehmet Akif Ekici

  • Bayram Metin

  • İbrahim Ethem Özsoy

  • Mehmet Akif Tezcan

  • Ömer Faruk Demir

  • October 29, 2025

  • 0 min

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Clinical Scorecard: Evaluating the Cost-Effectiveness of Endobronchial Ultrasound for Novice Practitioners: Insights from a Single-Center Learning Curve Study

At a Glance

CategoryDetail
ConditionMediastinal lymph node evaluation
Key MechanismsEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)
Target PopulationPatients requiring mediastinal lymph node sampling
Care SettingThoracic surgery department

Key Highlights

  • EBUS-TBNA offers 100% specificity for mediastinal lymph node metastasis detection.
  • Approximately 40 procedures are needed to achieve proficiency in EBUS-TBNA.
  • Cost-effectiveness studies show favorable outcomes for EBUS-TBNA compared to conventional methods.

Guideline-Based Recommendations

Diagnosis

  • Utilize EBUS-TBNA for mediastinal lymph node sampling in lung cancer staging.

Management

  • Implement simulation-based training for novice practitioners to enhance EBUS skills.

Monitoring & Follow-up

  • Assess procedure duration and lymph node identification accuracy during the learning curve.

Risks

  • Monitor for complications such as pneumothorax, which occurred in 1 patient.

Patient & Prescribing Data

100 patients undergoing EBUS procedures and 100 patients undergoing conventional methods.

Cost analysis includes preoperative workup, anesthesia, procedure costs, and postoperative care.

Clinical Best Practices

  • Conduct preoperative laboratory tests for all patients scheduled for EBUS or conventional procedures.
  • Use general anesthesia with a laryngeal mask airway for EBUS procedures.

References

Original Source(s)

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