Table 2.
Initial Invasive Testing Procedures Used in Patients With Lung Cancer; Regional Spread From 2004 to 2013
| First Test | Frequency | Percent | Cumulative Frequency | Cumulative Percent |
|---|---|---|---|---|
| Guideline-inconsistent | ||||
| CT scan-guided biopsy | 6,161 | 38.7 | 6,161 | 38.7 |
| Bronchoscopy without TBNA | 5,703 | 35.8 | 11,864 | 74.6 |
| Guideline-consistent | ||||
| Bronchoscopy with TBNA | 1,192 | 7.5 | 13,056 | 82.1 |
| Bronchoscopy with TBNA + EBUS or EUSa | 954 | 6.0 | 14,010 | 88.0 |
| Mediastinoscopy alone | 824 | 5.2 | 14,834 | 93.2 |
| Mediastinoscopy + one of the following thoracotomy-related surgeries | ||||
| Any major resectionb | 127 | 0.8 | 14,961 | 94.0 |
| Wedge resection or wedge resection plus other biopsies of pleura or mediastinum | 15 | 0.1 | 14,976 | 94.1 |
| Only biopsies of pleura or mediastinum | 20 | 0.1 | 14,996 | 94.2 |
| Thoracotomy, one of the following types: | ||||
| Any major resectionb | 745 | 4.7 | 15,741 | 98.9 |
| Wedge resection only | 68 | 0.4 | 15,809 | 99.3 |
| Wedge resection plus other biopsies of pleura or mediastinum | 43 | 0.3 | 15,852 | 99.6 |
| Only biopsies of pleura or mediastinum | 62 | 0.4 | 15,914 | 100 |
EBUS = endobronchial ultrasound; EUS = endoscopy with ultrasound-guided needle aspiration; TBNA = transbronchial needle aspiration.
a
Strata with ≤ 10 patients were suppressed as per National Cancer Institute policy and are reported as “< 11” to ensure confidentiality. EUS was performed in < 11 patients and was therefore included in the bronchoscopy with TBNA + EBUS category to protect patient confidentiality.
b
Major resection is anything more than a wedge resection. This is defined as a segmentectomy, lobectomy, pneumonectomy, tracheal resection, or chest wall resection.