Evidence map›Paper›PMID 32395275›Full record

ArticleJournal of thoracic disease2020

Manometry performed at indwelling pleural catheter insertion to predict unexpandable lung.

Paul J Halford, Rahul Bhatnagar, Paul White, Mohammed Haris, Richard N Harrison, Jayne Holme, Pasupathy Sivasothy, Alex West, Lesley J Bishop, Andrew E Stanton and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. A patient-centred approach to malignant pleural effusion.European clinical respiratory journal · 2025
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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

13 authors at 9 institutions in 1 country.

Paul J HalfordAcademic Respiratory Unit, University of Bristol, Bristol, UK.
Rahul BhatnagarAcademic Respiratory Unit, University of Bristol, Bristol, UK.
Paul WhiteUniversity of the West of England, Bristol, UK.
Mohammed HarisUniversity Hospital of North Midlands NHS Trust, Stoke-on-Trent, UK.
Richard N HarrisonNorth Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, Manchester, UK.
Jayne HolmeManchester University NHS Foundation Trust, Manchester, UK.
Pasupathy SivasothyCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Alex WestGuy's and St. Thomas' NHS Foundation Trust, London, UK.
Lesley J BishopPortsmouth Hospitals NHS Trust, Portsmouth, UK.
Andrew E StantonGreat Western Hospitals NHS Foundation Trust, Swindon, UK.
Mark RobertsSherwood Forest Hospitals NHS Foundation Trust, Sutton-in-Ashfield, UK.
Clare HooperWorcester Acute Hospitals NHS Trust, Worcester, UK.
Nick A MaskellAcademic Respiratory Unit, University of Bristol, Bristol, UK.
University of Bristol · GBNorth Bristol NHS Trust · GBCambridge University Hospitals NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBManchester University NHS Foundation Trust · GBNorth Tees and Hartlepool NHS Foundation Trust · GBPortsmouth Hospitals NHS Trust · GBUniversity Hospitals of North Midlands NHS Trust · GBUniversity of the West of England · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe finding of unexpandable lung (UL) at an early timepoint is of increasing importance in guiding treatment decisions in patients with malignant pleural effusion (MPE). Pleural manometry is the most common technique to delineate UL, however it has never been measured via an indwelling pleural catheter (IPC). To further the evidence base we analysed all patients in the IPC-PLUS study who had manometry performed during IPC insertion for the ability to predict substantial UL using manometry.

methodsAll patients enrolled in IPC-PLUS who had manometry performed at IPC insertion and radiographic assessment of UL at day 10 were included. Elastance curves were visually inspected for each patient. Initial pleural pressure, closing pleural pressure, and terminal elastance were analysed for their differences and predictive ability in those with substantial UL, defined as ≥25% entrapment on chest radiography.

resultsA total of 89 patients had manometry performed at IPC insertion with subsequent radiographic assessment of UL and interpretable elastance curves. Those with substantial UL had a significantly lower median closing pleural pressure (-15.00

conclusionsOur results suggest that manometry is not useful in accurately predicting substantial UL when used via an IPC at the time of insertion.

Indexed as

indwelling pleural catheter (IPC)Malignant pleural effusion (MPE)pleural manometry

Identifiers

PMID32395275
PMCPMC7212160
OpenAlexW3009247936

What OpenQuestion holds

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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.