A multicenter, prospective, advanced diagnostic bronchoscopy outcomes registry.

Area of Science:

• Pulmonology
• Interventional Pulmonology
• Diagnostic Bronchoscopy

Background:

• Limited data exists on the comparative performance of new diagnostic bronchoscopic technologies.
• Assessing diagnostic yields, morbidity, and mortality of advanced bronchoscopic procedures is crucial.

Purpose of the Study:

• To establish a multi-institutional prospective-outcomes database for advanced diagnostic bronchoscopic procedures.
• To assess the diagnostic yields, morbidity, and mortality associated with these procedures.

Main Methods:

• Data collected from a paper-based, prospective, multi-institutional outcomes database.
• Included demographics, procedure details, lesion characteristics, and complications.
• Descriptive statistical analyses were performed.

Main Results:

• 310 procedures were performed by 15 clinicians across four institutions over one year.
• Transbronchial needle aspiration (TBNA) was the most common procedure (n=198).
• Overall diagnostic yield was 75% with low complication rates.

Conclusions:

• Prospective data analysis of bronchoscopic procedures is feasible and beneficial.
• Lesion-adjusted yields can aid in comparative assessments and quality improvement.
• Expanding center participation and utilizing web-based submission are future steps.