Evidence map›Paper›PMID 30621729›Full record

ArticleJournal of cardiothoracic surgery2019

Changes in chest wall motion with removal of Nuss bar in repaired pectus excavatum - a cohort study.

Nicola Oswald, Zara Jalal, Salma Kadiri, Babu Naidu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02958683 (An Observational Study of Chest Wall Motion Analysis in Disease), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT02958683 completednot on this map

An Observational Study of Chest Wall Motion Analysis in Disease

TypeobservationalSponsorHeart of England NHS TrustRan2011 to 2015Enrolled400ConditionsMesothelioma, Lung Neoplasms, Surgery, Cystic FibrosisArmsChest wall motion analysis
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
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

4 authors at 3 institutions in 1 country.

Nicola OswaldInstitute of Inflammation and Ageing, College of Medical and Dental Sciences, Centre for Translational Inflammation Research, University of Birmingham Laboratories, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Zara JalalDepartment of Thoracic Research, Heartlands Hospital, Birmingham, B9 5SS, UK.
Salma KadiriDepartment of Thoracic Research, Heartlands Hospital, Birmingham, B9 5SS, UK.
Babu NaiduInstitute of Inflammation and Ageing, College of Medical and Dental Sciences, Centre for Translational Inflammation Research, University of Birmingham Laboratories, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, B15 2TT, UK. b.naidu@bham.ac.uk.
Heartlands Hospital · GBQueen Elizabeth Hospital Birmingham · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of the Nuss procedure on chest wall motion and spirometry have previously been described; we aimed to describe the effects of removal of the Nuss bar.

methodsWe studied 9 patients just prior to and 6 weeks after Nuss bar removal. Regional chest volume changes, synchrony of respiratory movement and spirometry were recorded using optoelectronic plethysmography (OEP) and compared. Recordings were performed at rest and exercise during cycle ergometry.

resultsThere were small but statistically significant changes in tidal volumes of the diaphragmatic ribcage compartment during exercise (+ 48 ml, p = 0.038, Cohen's d = 0.12) and percentage contribution of the diaphragmatic ribcage to total tidal volumes at rest (+ 2.7 percentage points, p = 0.038, Cohen's d = 0.12). Synchrony of respiratory movements at rest and during exercise was unchanged following Nuss bar removal. There were no significant changes in spirometry and exercise capacity.

conclusionsThe effects of Nuss bar removal on diaphragmatic ribcage motion are detectable but small and unlikely to be of clinical significance. No change in exercise capacity should be expected after Nuss bar removal.

trial registrationRegistered at ClinicalTrials.gov, identifier NCT02958683 , registered 5th August 2016, first patient enrolled July 2016, retrospectively registered.

Indexed as

Device RemovalMovementAdolescentCohort StudiesDiaphragmExercise ToleranceFunnel ChestHumansMaleOrgan SizeOrthopedic Fixation DevicesPostoperative PeriodPreoperative PeriodRespiratory MechanicsRib CageThoracic CavityChest wall motionNuss procedureOptoelectronic plethysmographyPectus excavatum

Identifiers

PMID30621729
PMCPMC6325662
OpenAlexW2945630827

What OpenQuestion holds

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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.