ArticleWorld journal of surgery2016
First Episode of Spontaneous Pneumothorax: CT-based Scoring to Select Patients for Early Surgery.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Meta-analysis of the association between emphysematous change on thoracic computerized tomography scan and recurrent pneumothorax.QJM : monthly journal of the Association of Physicians · 2022Pooled it
- Recommendation for management of patients with their first episode of primary spontaneous pneumothorax, using video-assisted thoracoscopic surgery or conservative treatment.Scientific reports · 2021Pooled it
- Efficacy and cost-effectiveness of VATS versus chest tube drainage in first-episode primary spontaneous pneumothorax with blebs: a propensity score-matched retrospective study.BMC pulmonary medicine · 2026Article
- Impact of ventilation strategy on recurrence patterns after pneumothorax surgery: a stratified analysis by lung dystrophy.Journal of thoracic disease · 2025Article
- Factors Associated With Early Recurrence in Non-Surgically Managed Primary Spontaneous Pneumothorax.World journal of surgery · 2025Article
- New strategies in the management of pneumothorax.Breathe (Sheffield, England) · 2025Review
- Prediction of ipsilateral and contralateral pneumothorax using a simple chest X-ray.Journal of thoracic disease · 2025Article
- Predicting recurrence in primary spontaneous pneumothorax: The role of the Haller index in emergency department patients.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- CT features associated with contralateral recurrence of spontaneous pneumothorax.QJM : monthly journal of the Association of Physicians · 2024Article
- Article
- Management of pneumothorax in the setting of chronic non-invasive positive pressure ventilation: A case series.Respiratory medicine case reports · 2022Article
- Utility of thoracic computed tomography to predict need for early surgery and recurrence after first episode of primary spontaneous pneumothorax.Clinical medicine (London, England) · 2022Article
- Male adolescents with contralateral blebs undergoing surgery for primary spontaneous pneumothorax may benefit from simultaneous contralateral blebectomies.BMC pulmonary medicine · 2021Article
- Chest Tube Drainage Versus Conservative Management as the Initial Treatment of Primary Spontaneous Pneumothorax: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2020Review
- Interpleural distance predicts persistent air leak after initial primary spontaneous pneumothorax.Journal of thoracic disease · 2020Article
- Conservative treatment for recurrent secondary spontaneous pneumothorax in patients with a long recurrence-free interval.Journal of thoracic disease · 2020Article
- [Recurrence score to predict the risk of recurrence after first episode of primary spontaneous pneumothorax].The Pan African medical journal · 2020Article
- Primary spontaneous pneumothorax: time for surgery at first episode?Journal of thoracic disease · 2019Article
- Do Blebs or Bullae on High-Resolution Computed Tomography Predict Ipsilateral Recurrence in Young Patients at the First Episode of Primary Spontaneous Pneumothorax?The Korean journal of thoracic and cardiovascular surgery · 2019Article
- VATS Partial Pleurectomy Versus VATS Pleural Abrasion: Significant Reduction in Pneumothorax Recurrence Rates After Pleurectomy.World journal of surgery · 2018Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough recurrence of primary spontaneous pneumothorax (PSP) is frequent, guidelines do not routinely recommend surgery after first presentation. A CT-based lung dystrophy severity score (DSS) has recently been proposed to predict recurrence following conservative therapy. This study compares the DSS in surgically and conservatively treated patients.
methodsThis is a retrospective analysis of first episode PSP patients, comparing video-assisted thoracic surgery (VATS; group A) to conservative treatment with or without chest drainage (group B). CT scans were reviewed for blebs or bullae, and patients were assigned DSS values and stratified into risk groups (low and high-grade). Primary end point was ipsilateral or contralateral recurrence.
resultsFifty-six patients were included, 33 received VATS and 23 conservative treatment. In total, 37.5 % experienced recurrence, with a 5-year estimated recurrence rate of 40.7 % (group A: 13.3 %; group B: 73.9 %; p < 0.001). In group B, detection of any dystrophic lesions resulted in significantly higher 5-year recurrence rates (86.7 vs. 50.0 %; p = 0.03), there was no significant difference in group A (17.7 vs. 7.7 %; p = 0.50). Greater DSS values correlated with higher 5-year recurrence rates in group B (p = 0.02), but not in group A (p = 0.90). Comparing low- and high-grade patients in group B resulted in a significant 5-year recurrence rate of 53.8 versus 100 % (p = 0.023).
conclusionsThe DSS is useful to indicate VATS after the first episode. For routine application, assigning patients to low- and high-grade groups seems most practical. We recommend CT-evaluation for every PSP patient and early surgery for those with lesions exceeding one bleb. After VATS, the preoperative DSS is not beneficial in predicting recurrence.
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