ArticleThorax2000
Epidemiology of pneumothorax in England.
Article in Thorax, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02573285 (Simple Aspiration for Initial Management of Primary Spontaneous Pneumothorax in Children), which is not on this map. Cited by 118 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Simple Aspiration for Initial Management of Primary Spontaneous Pneumothorax in Children: A Multi-Center Pilot Study
Who cites it
118 citing papers in PubMed, 10 syntheses or guidelines pooled it, 395 citations in OpenAlex.
- Should we abandon the simple aspiration in favour of chest tube drainage in the management of spontaneous pneumothorax? A systematic review and meta-analysis.BMC pulmonary medicine · 2026Pooled it
- Probability of sporadic lymphangioleiomyomatosis in women presenting with spontaneous pneumothorax.Orphanet journal of rare diseases · 2023Pooled it
- Pooled it
- Effectiveness of chemical pleurodesis in spontaneous pneumothorax recurrence prevention: a systematic review.Thorax · 2017Pooled it
- Simple aspiration versus intercostal tube drainage for primary spontaneous pneumothorax in adults.The Cochrane database of systematic reviews · 2017Pooled it
- Pooled it
- Conservative versus interventional management for primary spontaneous pneumothorax in adults.The Cochrane database of systematic reviews · 2014Pooled it
- Spontaneous pneumothorax.BMJ clinical evidence · 2011Pooled it
- Spontaneous pneumothorax.BMJ clinical evidence · 2008Pooled it
- Guideline
- Study Protocol of the Endobronchial VAlves for Pneumothorax to Reduce Admission Time (EVAPoRATe) Pilot Multicentre Randomised Clinical Trial.Respirology case reports · 2026Trial
- Ambulatory management of primary spontaneous pneumothorax: an open-label, randomised controlled trial.Lancet (London, England) · 2020Trial
- Trial
- Pneumothorax: Demographics, Treatment, and Nursing Care.Healthcare (Basel, Switzerland) · 2026Article
- Catamenial Pneumothorax as an Underrecognized Manifestation of Thoracic Endometriosis: A 25-Year Single-Center Experience.Journal of clinical medicine · 2026Article
- Trends in pneumothorax mortality in England (2004-2023): a population-based observational study.The Lancet regional health. Europe · 2026Article
- Age > 50 years and PaO₂ ≤ 90 mmHg are the two dominant predictive factors for secondary spontaneous pneumothorax in male patients: an observational study.BMC pulmonary medicine · 2026Observational
- Spontaneous Pneumothorax: A Review of Underlying Etiologies and Diagnostic Imaging Modalities.Tomography (Ann Arbor, Mich.) · 2025Review
- Prevalence of Smoking Among Spontaneous Pneumothorax Patients and Its Impact on Treatment in Syria Country: A Cross-Sectional Study.Health science reports · 2025Article
- Survival analysis of primary spontaneous pneumothorax in children treated with thoracoscopy: a single-center experience.Pediatric surgery international · 2025Article
58 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known of the epidemiology of pneumothorax. Routinely available data on pneumothorax in England are described.
methodsPatients consulting in primary care with a diagnosis of pneumothorax in each year from 1991 to 1995 inclusive were identified from the General Practice Research Database (GPRD). Emergency hospital admissions for pneumothorax were identified for the years 1991-4 from the Hospital Episode Statistics (HES) data. Mortality data for England & Wales were obtained for 1950-97. Analyses of pneumothorax rates by age and sex were performed for all data sources. Seasonal and geographical analyses were carried out for the HES data.
resultsThe overall person consulting rate for pneumothorax (primary and secondary combined) in the GPRD was 24. 0/100 000 each year for men and 9.8/100 000 each year for women. Hospital admissions for pneumothorax as a primary diagnosis occurred at an overall incidence of 16.7/100 000 per year and 5.8/100 000 per year for men and women, respectively. Mortality rates were 1. 26/million per year for men and 0.62/million per year for women. The age distribution in both men and women showed a biphasic distribution for both GP consultations and hospital admissions. Deaths showed a single peak with highest rates in the elderly. There was an urban-rural trend observed for hospital admissions in the older age group (55+ years) with admission rates in the conurbations significantly higher than in the rural areas. Analysis for trends in mortality data for 1950-97 showed a striking increase in the death rate for pneumothorax in those aged 55+ years between 1960 and 1990, with a steep decline in the 1990s. Mortality in the younger age group (15-34 years) remained low and constant.
conclusionThere is evidence of two epidemiologically distinct forms of spontaneous pneumothorax in England. The explanation for the rise and fall in mortality for secondary pneumothorax is obscure.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.