Evidence map›Paper›PMID 26206407›Full record

ArticleSurgery today2016

Novel approach to pleurodesis with 50 % glucose for air leakage after lung resection or pneumothorax.

Kosuke Fujino, Yamato Motooka, Takamasa Koga, Hironobu Osumi, Eri Matsubara, Hidekatsu Shibata, Koei Ikeda, Kenji Shiraishi, Takeshi Mori, Koji Hayashi and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Surgery today, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07548047 (Dextrose Pleurodesis Versus Standard of Care for the Management of Post-Operative Air Leak), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT07548047 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Dextrose Pleurodesis Versus Standard of Care for the Management of Post-Operative Air Leak: A Single Center Prospective Trial

TypeinterventionalSponsorThomas Jefferson UniversityRan2026 to 2029Enrolled80ConditionsPost Operative Pulmonary Air LeakArms50% Dextrose Pleurodesis, Standard of Care Chest Drainage
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Comparison of 40% Glucose Solution and Autologous Blood Patch Pleurodesis for the Treatment of Postoperative Air Leak After Lung Resections: A Prospective Randomized Controlled Study.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
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  11. A Comparison of the Efficacies of OK-432 and Talc Slurry for Pleurodesis in Patients with Prolonged Air Leak after Pulmonary Resection.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Kosuke FujinoDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan. kousukefujino_0330@yahoo.co.jp.
Yamato MotookaDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Takamasa KogaDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Hironobu OsumiDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Eri MatsubaraDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Hidekatsu ShibataDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Koei IkedaDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Kenji ShiraishiDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Takeshi MoriDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Koji HayashiDepartment of Surgery, Kumamoto Red Cross Hospital, Kumamoto, Japan.
Kentaro YoshimotoDepartment of Thoracic Surgery, National Hospital Organization Minamikyushu Hospital, Kagoshima, Japan.
Jyoeji WakimotoDepartment of Thoracic Surgery, National Hospital Organization Minamikyushu Hospital, Kagoshima, Japan.
Ichiro KubotaDepartment of Thoracic Surgery, National Hospital Organization Minamikyushu Hospital, Kagoshima, Japan.
Makoto SuzukiDepartment of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Japan.
Kumamoto University · JPNational Hospital Organization · JPJapanese Red Cross Kumamoto Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePleurodesis is performed in patients demonstrating air leakage after lung resection and in those with pneumothorax who must avoid surgery. However, there have so far been very few reports of pleurodesis with 50 % glucose. We herein examined the feasibility and effectiveness of this novel pleurodesis technique.

methodsThirty-five patients after lung resection and 11 pneumothorax patients without surgery were treated with pleurodesis using 50 % glucose. Approximately, 200 mL of 50 % glucose solution was injected into the pleural space and repeated until the air leakage stopped. Cases in which the air leakage did not stop after three injections were considered to be unsuccessful and subsequently treated with conventional pleurodesis using OK-432.

resultsThirty-nine patients were successfully treated with 50 % glucose, although 7 patients required further treatment with OK-432. The unsuccessful group had some pulmonary comorbidities (P < 0.001), and the pleural effusion volume after pleurodesis was less than that in the successful group (P < 0.001). Although the air leakage did not stop in unsuccessful patients, the amount of air leakage markedly decreased. A temporary elevation of the blood sugar level was observed in 20 patients, but no other side effects had appeared.

conclusionsPleurodesis with 50 % glucose is an easy, safe, and effective treatment modality. It is therefore considered to be a useful alternative method for pleurodesis.

Indexed as

AirPneumonectomyAdolescentAdultAgedAged, 80 and overAnastomotic LeakFeasibility StudiesFemaleGlucoseHumansInjectionsMaleMiddle AgedPleuraPleurodesisGlucose50 % Glucose solutionLung resectionPleurodesisPneumothoraxPostoperative care

Identifiers

PMID26206407
PMCPMC4819551
OpenAlexW1948380959

What OpenQuestion holds

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LicenceCC BY
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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.