Evidence map›Paper›PMID 27129545›Full record

SynthesisSurgical endoscopy2017

One-port video-assisted thoracic surgery versus three-port video-assisted thoracic surgery for primary spontaneous pneumothorax: a meta-analysis.

Wu Xu, Yang Wang, Jianping Song, Lanying Mo, Tao Jiang

Abstract readComparative StudyMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
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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

5 authors at 3 institutions in 1 country.

Wu XuDepartment of Respiratory Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Yang WangDepartment of Respiratory Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Jianping SongDepartment of Respiratory Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Lanying MoDepartment of Respiratory Medicine, Dazu District People's Hospital, Chongqing, 400016, China.
Tao JiangDepartment of Respiratory Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. 523078703@qq.com.
Chongqing Medical University · CNChongqing Dazu District People's Hospital · CNFirst Affiliated Hospital of Chongqing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo further understand the effects of video-assisted thoracic surgery (VATS) with one-port versus three-port VATS for primary spontaneous pneumothorax (PSP).

methodsIn this study, we searched information from the PubMed, Cochrane Library, Embase, ScienceDirect, Web of Science, China National Knowledge Infrastructure (CNKI), and Wanfang Data databases from inception to September 2015 to collect data of randomized controlled trials (RCTs) and cohort studies about one-port VATS versus three-port VATS for PSP. Two independent authors were committed to screen literature, extract data, and assess the risk of bias of related studies. Then, we used the RevMan 5.20 software for a meta-analysis of one-port VATS versus three-port VATS for PSP.

resultsSix cohort studies involving 310 patients were finally selected in this meta-analysis. The results of our study indicate that one-port VATS had a shorter hospital stay (SMD = -0.39, 95 % CI -0.69 to 0.09, P = 0.01), lower VAS score of 24-h post-operative pain (SMD = -0.78, 95 % CI -1.40 to -0.52, P < 0.00001), shorter chest drainage time (SMD = -0.68, 95 % CI -1.15 to -0.22, P = 0.004), and lower incidence of post-operative paraesthesia (OR = 0.13, 95 % CI 0.06 to 0.29, P < 0.00001) compared with three-port VATS. However, one-port VATS had a lower patient satisfaction score at 24 h (SMD = -0.65, 95 % CI -0.95 to -0.35, P < 0.0001) and 48 h (SMD = -0.46, 95 % CI -0.71 to -0.21, P = 0.0002). No differences in the recurrence of pneumothorax (OR = 0.58, 95 % CI 0.20 to 1.67, P = 0.32), the operation time (SMD = 1.01, 95 % CI -4.63 to 2.60, P = 0.58), and the satisfaction score at 72 h (SMD = -0.11, 95 % CI -0.44 to 0.22, P < 0.00001) were noted between the groups.

conclusionCurrent evidence suggests that one-port VATS may have certain advantages over three-port VATS for PSP. More large-scale and high-quality studies are needed for authentication.

Indexed as

HumansPneumothoraxThoracic Surgery, Video-AssistedTreatment OutcomeCohort studyMeta-analysisOne-port VATSPSPThree-port VATS

Identifiers

PMID27129545
OpenAlexW2343038749

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.