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Performance of Advanced Practice Providers compared with that of Physicians in Ultrasound-Guided Fine-Needle Aspiration of Thyroid Nodules and Superficial Neck Masses
Journal of Vascular and Interventional Radiology ( IF 2.6 ) Pub Date : 2022-09-06 , DOI: 10.1016/j.jvir.2022.08.029
Sergio Nicolas Paez 1 , Walter Zawacki 1 , Thea Nolan 1 , Stephan Wicky van Doyer 1
Affiliation  

Advanced practice providers (APPs) perform ultrasound (US)-guided fine-needle aspiration (FNA) procedures for superficial neck lesions after appropriate training in some interventional radiology practices. This allows physicians additional time to be involved in more complex procedures. This report compared the performance between physicians and APPs. This observational retrospective study analyzed data obtained from October 2017 to December 2019. A total of 309 patients underwent US-guided FNA biopsies for superficial neck lesions. The positive diagnostic rates of FNA biopsies were evaluated for both groups. APPs and physicians performed 212 (68.6%) and 97 (31.4%) FNAs, respectively. Biopsies considered diagnostic for the APP and physician groups were 195 (92.0%) and 86 (88.7%), respectively (P = .345). There was no statistically significant difference in diagnostic rates between the 2 types of providers when performing US-guided FNA for superficial neck lesions.



中文翻译:

高级实践提供者与医生在甲状腺结节和浅表颈部肿块的超声引导细针穿刺中的表现

高级实践提供者 (APP) 在经过一些介入放射学实践的适当培训后,对浅表颈部病变进行超声 (US) 引导的细针穿刺 (FNA) 程序。这使医生有更多时间参与更复杂的程序。该报告比较了医生和 APP 之间的表现。这项观察性回顾性研究分析了从 2017 年 10 月至 2019 年 12 月获得的数据。共有 309 名患者接受了超声引导下浅表颈部病变的 FNA 活检。对两组进行了 FNA 活检的阳性诊断率评估。APP 和医生分别进行了 212 次 (68.6%) 和 97 次 (31.4%) 的 FNA。被认为对 APP 和医师组具有诊断意义的活检分别为 195 (92.0%) 和 86 (88.7%)(P =.345)。在对颈部浅表病变进行超声引导 FNA 时,两种类型的提供者之间的诊断率没有统计学上的显着差异。

更新日期:2022-09-06
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