ArticleThe Korean journal of thoracic and cardiovascular surgery2019
A Prospective Randomized Trial Comparing Manual Needle Aspiration to Closed Thoracostomy as an Initial Treatment for the First Episode of Primary Spontaneous Pneumothorax.
Article in The Korean journal of thoracic and cardiovascular surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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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
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Should we abandon the simple aspiration in favour of chest tube drainage in the management of spontaneous pneumothorax? A systematic review and meta-analysis.BMC pulmonary medicine · 2026Pooled it
- Pooled it
- Management of Primary Spontaneous Pneumothorax in the Emergency Department: A Cost-Effectiveness Analysis.Journal of the American College of Emergency Physicians open · 2025Article
- Conservative management of spontaneous pneumothorax: A review of evidence and guidelines.Bioinformation · 2025Article
- Article
- Risk Factors and Outcomes Associated with Pneumothorax in Very Preterm Infants.Children (Basel, Switzerland) · 2024Article
- Needle aspiration versus tube thoracostomy in patients with symptomatic primary spontaneous pneumothorax: an updated meta-analysis of randomized controlled trials.Journal of thoracic disease · 2024Article
- SPLF/SMFU/SRLF/SFAR/SFCTCV Guidelines for the management of patients with primary spontaneous pneumothorax.Annals of intensive care · 2023Review
- Management of the Secondary Spontaneous Pneumothorax: Current Guidance, Controversies, and Recent Advances.Journal of clinical medicine · 2022Review
- Effectiveness and failure factors of manual aspiration using a small needle for large pneumothorax in stable patients.Journal of thoracic disease · 2022Article
- An evidence-based review of primary spontaneous pneumothorax in the adolescent population.Journal of the American College of Emergency Physicians open · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVariation exists in the initial treatment for the first episode of primary spontaneous pneumothorax (PSP), and no definitive consensus exists due to a lack of high-quality evidence. This study examined the outcomes of needle aspiration and closed thoracostomy in first episodes of PSP requiring intervention.
methodsThis study was a randomized, prospective, single-center trial conducted between December 2015 and August 2016. Patients of all ages with a documented first episode of PSP who were unilaterally affected, hemodynamically stable, and had a pneumothorax measuring over 25% in size were included. Patients with underlying lung disease, severe comorbidities, bilateral pneumothorax, tension pneumothorax, recurrent pneumothorax, traumatic pneumothorax, and pregnancy were excluded. Patients were randomly assigned to the needle aspiration or closed thoracostomy group using a random number table.
resultsForty patients with a first episode of PSP were recruited, and 21 and 19 patients were included in the needle aspiration group and the closed thoracostomy group, respectively. The hospital stay of each group was 2.1±1.8 days and 5.4±3.6 days, respectively (p<0.01). However, no significant differences were found in the success rate of initial treatment or the 1-month and 1-year recurrence rates.
conclusionNeedle aspiration is a favorable initial treatment in patients experiencing a first episode of PSP.
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Registered trials
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