{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T11:03:54Z","timestamp":1784027034484,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010477","name":"Intuitive Surgical","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010477","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Shape\u2010sensing robotic\u2010assisted bronchoscopy (ssRAB) is a navigation platform for biopsy of indeterminate pulmonary lesions. Large\u2010scale, real\u2010world evidence confirming the safety profile of ssRAB compared to transthoracic needle biopsy (TTNB) is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design and Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was performed using the PINC AI healthcare database among patients who underwent ssRAB or TTNB lung lesion biopsy at participating hospitals between April 2019 and March 2023. Outcomes were rates of pneumothorax and pneumothorax requiring chest\u2010tube intervention within 3\u2009days, and rates of in\u2010hospital bleeding or all\u2010cause death. Quasi\u2010binomial logistic regression analysis was performed after one\u2010to\u2010five propensity score matching (PSM) accounting for patient\u2010 and hospital\u2010related characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 119\u2009424 patients (5121 ssRAB, 114\u2009303 TTNB) were identified with 4554 ssRAB and 14\u2009319 TTNB patients after PSM. Relative to ssRAB, TTNB had significantly higher risk of pneumothorax (18.4% vs. 2.6%, OR\u2009=\u20097.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and pneumothorax requiring chest\u2010tube (10.8% vs. 1.4%, OR\u2009=\u20097.62,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). TTNB was associated with a higher risk for bleeding (1.5% vs. 0.6%, OR\u2009=\u20092.20,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and all\u2010cause death (0.48% vs. 0.15%, OR\u2009=\u20092.47,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023); however, rates for both outcomes were relatively low.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>In this large\u2010scale, real\u2010world database analysis with diverse patient populations, physician experience, and health care settings, ssRAB demonstrated a better safety profile compared to TTNB. Superior safety combined with a potentially comparable performance profile and known advantages of bronchoscopy, including concurrent staging, support ssRAB as an optimal choice for non\u2010surgical biopsies for suspicious pulmonary lesions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1759-7714.70324","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:07:36Z","timestamp":1783649256000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing Complications Between Shape\u2010Sensing Robotic\u2010Assisted Bronchoscopy and Trans\u2010Thoracic Needle Pulmonary Biopsy Approaches: Insights From a Large Nationally Representative Administrative Database"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2064-292X","authenticated-orcid":false,"given":"David","family":"Abia\u2010Trujilo","sequence":"first","affiliation":[{"name":"Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Fernandez\u2010Bussy","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik E.","family":"Folch","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care and Sleep Medicine, Keck School of Medicine University of Southern California  California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan C.","family":"Husta","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, 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