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Utilization and Safety of Percutaneous Lung Biopsy: A 10-Year Nationwide Population-Based Study

Author

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  • Chun-Ku Chen

    (Department of Radiology, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    Department of Radiology, Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Institute of Hospital and Health Care Administration, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan)

  • Hsiao-Ting Chang

    (Department of Family Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    Department of Family Medicine, Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan)

  • Yu-Chun Chen

    (Institute of Hospital and Health Care Administration, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Department of Family Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    Department of Family Medicine, Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan)

  • Shu-Chiung Chiang

    (Institute of Hospital and Health Care Administration, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan)

  • Hsiao-Ping Chou

    (Department of Radiology, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    Department of Radiology, Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Division of Radiology, Yonghe Cardinal Tien Hospital, New Taipei City 23445, Taiwan)

  • Tzeng-Ji Chen

    (Institute of Hospital and Health Care Administration, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Department of Family Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    Department of Family Medicine, Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan)

Abstract

Percutaneous lung biopsy is a technique used for sampling peripherally located lung masses and has been gaining in popularity. However, its exact utilization is unknown, and its safety has not been well studied. The current study aimed to assess the trend of utilization and study the safety of this procedure. Using the National Health Insurance Research Database, we retrospectively determined the total number of procedures that were performed on subjects older than 20 years between 2001 and 2010. We also estimated the rates of major complications, such as pneumothorax, requiring intercostal drainage. A total of 630 percutaneous biopsies were performed in 2001, while 3814 were performed in 2010, representing a 6.1-fold increase. The compound annual growth rate was 22.1%. The number of hospitals that performed the procedure increased from 55 to 99. Pneumothorax requiring drainage occurred in 1.5% of the procedures. The factors associated with a higher complication rate included male gender, chronic obstructive pulmonary disease, rural hospital, and low-volume hospital. Percutaneous lung biopsies are a relatively safe procedure, and their performance has been rapidly increasing. The number of procedures performed by a hospital was associated with the complication rate.

Suggested Citation

  • Chun-Ku Chen & Hsiao-Ting Chang & Yu-Chun Chen & Shu-Chiung Chiang & Hsiao-Ping Chou & Tzeng-Ji Chen, 2019. "Utilization and Safety of Percutaneous Lung Biopsy: A 10-Year Nationwide Population-Based Study," IJERPH, MDPI, vol. 16(8), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1316-:d:222162
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    Citations

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    Cited by:

    1. Chia-Hao Liu & Yu-Chieh Lee & Jeff Chien-Fu Lin & I-San Chan & Na-Rong Lee & Wen-Hsun Chang & Wei-Min Liu & Peng-Hui Wang, 2019. "Radical Hysterectomy After Neoadjuvant Chemotherapy for Locally Bulky-Size Cervical Cancer: A Retrospective Comparative Analysis between the Robotic and Abdominal Approaches," IJERPH, MDPI, vol. 16(20), pages 1-19, October.
    2. Szu-Chun Yang & Ching-Han Lai & Chin-Wei Kuo & Chien-Chung Lin & Wu-Wei Lai & Jung-Der Wang, 2021. "Downstream Complications and Healthcare Expenditure after Invasive Procedures for Lung Lesions in Taiwan," IJERPH, MDPI, vol. 18(8), pages 1-9, April.

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