ReviewInteractive cardiovascular and thoracic surgery2013
Three-step management of pneumothorax: time for a re-think on initial management.
Review in Interactive cardiovascular and thoracic surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Pooled it
- Effectiveness of intercostal tube drainage versus other invasive approaches in initial management of pneumothorax in adults: a systematic review and meta-analysis.Annals of Saudi medicinePooled it
- Management of spontaneous pneumothorax: a mini-review on its latest evidence.Journal of thoracic disease · 2024Review
- A retrospective analysis of treatment selection and risk factors of treatment failure and recurrence in patients with spontaneous pneumothorax.Journal of thoracic disease · 2023Article
- Effectiveness and failure factors of manual aspiration using a small needle for large pneumothorax in stable patients.Journal of thoracic disease · 2022Article
- Bronchopleural fistula and bilateral pneumothorax in a patient with COVID-19.Clinical case reports · 2021Article
- Successful endobronchial occlusion in empyema with broncho-pleural fistula secondary to COVID-19 pneumonia: a case report and literature review.Respirology case reports · 2021Article
- Diagnosis of Traumatic Pneumothorax: A Comparison between Lung Ultrasound and Supine Chest Radiographs.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
- Measurement of intrapleural pressure in patients with spontaneous pneumothorax: a pilot study.BMC pulmonary medicine · 2019Article
- Closure Of Thoracic Wall Defect Using Breast Implant Capsule Tissue As A Rotation Flap - A Case Report.Case reports in plastic surgery & hand surgery · 2018Article
- Chest tube drainage versus needle aspiration for primary spontaneous pneumothorax: which is better?Journal of thoracic disease · 2017Article
- New aspects in the diagnosis and treatment of primary spontaneous pneumothorax.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2017Article
- Primary and Secondary Spontaneous Pneumothorax: Prevalence, Clinical Features, and In-Hospital Mortality.Canadian respiratory journal · 2017Article
- Is it possible to standardize the treatment of primary spontaneous pneumothorax? Part 1: etiology, symptoms, diagnostics, minimally invasive treatment.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2016Article
- First Episode of Spontaneous Pneumothorax: CT-based Scoring to Select Patients for Early Surgery.World journal of surgery · 2016Article
- The role for medical thoracoscopy in pneumothorax.Journal of thoracic disease · 2014Review
- Approach of the treatment for pneumothorax.Journal of thoracic disease · 2014Review
- Conservative versus invasive treatment of primary spontaneous pneumothorax: a retrospective cohort study.Acute medicine & surgery · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pneumothorax is a common disease worldwide, but surprisingly, its initial management remains controversial. There are some published guidelines for the management of spontaneous pneumothorax. However, they differ in some respects, particularly in initial management. In published trials, the objective of treatment has not been clarified and it is not possible to compare the treatment strategies between different trials because of inappropriate evaluations of the air leak. Therefore, there is a need to outline the optimal management strategy for pneumothorax. In this report, we systematically review published randomized controlled trials of the different treatments of primary spontaneous pneumothorax, point out controversial issues and finally propose a three-step strategy for the management of pneumothorax. There are three important characteristics of pneumothorax: potentially lethal respiratory dysfunction; air leak, which is the obvious cause of the disease; frequent recurrence. These three characteristics correspond to the three steps. The central idea of the strategy is that the lung should not be expanded rapidly, unless absolutely necessary. The primary objective of both simple aspiration and chest drainage should be the recovery of acute respiratory dysfunction or the avoidance of respiratory dysfunction and subsequent complications. We believe that this management strategy is simple and clinically relevant and not dependent on the classification of pneumothorax.
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.