Bone marrow biopsies: A hospitalist bedside procedure service 5-year experience

J Hosp Med. 2023 Jan;18(1):15-20. doi: 10.1002/jhm.12983. Epub 2022 Oct 13.

Abstract

Background: Bone marrow aspiration and biopsies (BMAB) are a relatively frequent procedure needed in the inpatient setting, especially in a tertiary care center.

Objective: Procedure-focused hospitalists can provide an excellent option for doing inpatient BMAB. Here we present five years of experience with a hospitalist bedside procedure service (BPS) performing BMAB.

Design: In 2016, the BPS partnered with the oncology service to begin performing inpatient BMAB.

Settings and participants: We evaluated internally collected data from the procedures performed by the BPS from 2016-2020.

Intervention: From 2015-2016, faculty members on the BPS team were trained by the oncology department to do a BMAB, which was then offered as an inpatient procedure by the BPS from 2016-2021.

Main outcome and measures: Total number of BMAB performed, success rates, bleeding risk profiles of patients, rate of trainee participation, and complication rates.

Results: The BPS performed a total of 432 BMAB from 2016-2021. Forty-six (10.6%) were unsuccessful and required referral for CT guidance. Elevated bleeding risk was present in 88 (20.4%) of patients. Trainees assisted in 62 (14.4%) of the procedures.There was one complication (0.2%).

MeSH terms

  • Biopsy
  • Bone Marrow / pathology
  • Hospitalists*
  • Humans
  • Referral and Consultation
  • Tertiary Care Centers