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. 2019 Aug 16;11(8):454–471. doi: 10.4253/wjge.v11.i8.454

Table 1.

Published comparative studies regarding fine needle aspiration versus fine needle biopsy needles performance in terms of diagnostic yields

Ref Study design N°Lesions, pan-creatic Rose Needles (G), FNA vs FNB Overall diagnostic yield Sample adequacy Comments
[4] RCT (56) Yes 22 vs 22 Procore Equivalent Equivalent
[29] Meta-analysis (11 observational study and 4 RCTs) 1024 (mainly pancreatic and lymph nodes) #6 NO #9 Yes 19 (only one study); 22 and 25 G vs 22 Equivalent Equivalent in the absence of ROSE, FNB was associated with better diagnostic adequacy (P  =  0.02) and FNB required less passes
[50] RCT 194 (100) No 22 vs 22 Procore 84 vs 90 Equivalent Lower n° of passes for FNB vs FNA needle (2 vs 3)
[51] RCT 377 (249) Yes 22 vs 22 Procore Equivalent 81.7 vs 92.6
[52] RCT (36) No 22 vs 22 Procore Equivalent Equivalent 1.1 passes needed for FNB vs 1.83 passes for FNA (P < 0.05)
[53] Meta-analysis (8 RCT) 921 No 22, 25, and 19 (only one study) G vs 22 Equivalent Equivalent Few passes for FNB
[54] Retrospective 42 (12) Yes 22 or 25 Equivalent Equivalent
[55] Retrospective (87) No 22 vs 22 Franseen Equivalent Equivalent
[56] Retrospective (76) No 22 vs 25 32.4 vs 60 Equivalent
[57] RCT (214) No 25 vs 25 Procore Equivalent 69.4 vs 81
[58] RCT (116) Yes 22, 25 vs 22, 25 Procore Equivalent Equivalent Few passes for FNB
[59] Meta-analysis (7 comparative studies and 4 single cohort studies) 896 (pancreatic and lymph nodes) Only in 4 studies 22 and 25 Equivalent Equivalent
[60] RCT 140 (73) YES 19, 22, 25 67 vs 90 Equivalent Diagnostic yield only for pancreatic masses was equivalent
[61] Prospective comparative 145 (69) No 22 vs 22 Procore Equivalent Equivalent Few passes for FNB
[62] RCT 58 (16) No 22 vs 22 Procore Equivalent Equivalent Few passes for FNB
[63] RCT (13 centers) 608 (312) In 7 centers 25 vs 20 Procore 44 vs 77 Equivalent

RCT: Randomized clinical trial; FNB: Fine needle biopsy; FNA: Fine needle aspiration; ROSE: Rapid on site evaluation