Evidence map›Paper›PMID 31129790›Full record

ArticleGeneral thoracic and cardiovascular surgery2019

The clinical characteristics and surgical results of smoking-related young pneumothorax.

Kenji Tsuboshima, Yasumi Matoba, Teppei Wakahara, Takahiro Uchida, Shigeharu Moriyama

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Article in General 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 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kenji TsuboshimaDepartment of Thoracic Surgery and Pneumothorax Center, Takasago Municipal Hospital, 33-1 Kamimachi, Arai Town, Takasago, 676-8585, Hyogo, Japan. drniwatori@smn.enjoy.ne.jp.ORCID http://orcid.org/0000-0003-0527-4265
Yasumi MatobaDepartment of Thoracic Surgery and Pneumothorax Center, Takasago Municipal Hospital, 33-1 Kamimachi, Arai Town, Takasago, 676-8585, Hyogo, Japan.
Teppei WakaharaDepartment of Thoracic Surgery and Pneumothorax Center, Takasago Municipal Hospital, 33-1 Kamimachi, Arai Town, Takasago, 676-8585, Hyogo, Japan.
Takahiro UchidaDepartment of Thoracic Surgery, Akashi Medical Center, Akashi, Japan.
Shigeharu MoriyamaDepartment of Thoracic Surgery, Japanese Red Cross Okayama Hospital, Okayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrimary spontaneous pneumothorax is a common disease that develops in relatively young healthy patients. Although smoking is generally believed to have a negative effect on the lungs, some authors reported that smokers with primary spontaneous pneumothorax had significantly lower postoperative recurrence rates than nonsmokers. This unexpected result suggests that primary spontaneous pneumothorax is classified into two categories: smoking-related young pneumothorax and residual primary spontaneous pneumothorax. We compared these two categories to determine their characteristics and corresponding surgical results.

methodsBetween January 2009 and December 2018, we enrolled 267 consecutive cases that underwent first surgery for primary spontaneous pneumothorax in our hospital. A total of 252 eligible cases (211 residual primary spontaneous pneumothorax and 41 smoking-related young pneumothorax) underwent evaluation. Smoking-related young pneumothorax cases were defined as cases with characteristic HRCT findings and smoking habit.

resultsThe mean ages for the residual primary spontaneous pneumothorax and smoking-related young pneumothorax groups were 25.9 ± 13.1 and 30.5 ± 6.9 years, respectively. The groups included 186 (88.2%) and 41 (100.0%) men, and the mean body mass indices were 19.1 ± 2.2 and 20.0 ± 1.9, respectively. Fifty-nine (28.0%) and 41 (100.0%) subjects were smokers, and there were 43 (20.4%) and 1 (2.4%) cases of postoperative recurrence, respectively. These results were significantly different between the two groups.

conclusionsIndividuals with smoking-related young pneumothorax were older, predominantly men, and had higher body mass index and significantly lower postoperative recurrence rates than those with residual primary spontaneous pneumothorax.

Indexed as

AdultAge FactorsBody Mass IndexFemaleHumansJapanMalePneumothoraxRecurrenceSex FactorsSmokingSurvival AnalysisYoung AdultNew classificationPrimary spontaneous pneumothoraxSmoking-related young pneumothorax

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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.