Evidence map›Paper›PMID 33222091›Full record

SynthesisGeneral thoracic and cardiovascular surgery2021

Talc pleurodesis in malignant pleural effusion: a systematic review and meta-analysis.

Eleftherios T Beltsios, Georgios Mavrovounis, Antonis Adamou, Nikolaos Panagiotopoulos

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in General thoracic and cardiovascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06742099 (Outcome of Intercostal Tube Insertion and Pleurodesis for Malignant Pleural Effusion), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% 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.

NCT06742099 early_phase1not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Outcome of Intercostal Tube Insertion and Pleurodesis for Malignant Pleural Effusion

TypeinterventionalSponsorAssiut UniversityRan2024 to 2025Enrolled20ConditionsMalignant Pleural Effusions (Mpe)ArmsIntercostal chest tube, Pleurodesis
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Talc slurry versus thoracoscopic talc insufflation for malignant pleural effusion: a systematic review and meta-analysis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. [Research Progress on Local Treatment of Malignant Pleural Effusion].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2025
    Review
  6. Review
  7. NCCP-ICS joint consensus-based clinical practice guidelines on medical thoracoscopy.Lung India : official organ of Indian Chest Society · 2024
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. 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 2 institutions in 2 countries.

Eleftherios T BeltsiosDepartment of Thoracic Surgery, University College London Hospitals (UCLH), London, UK. elbeltsios@uth.med.gr.ORCID http://orcid.org/0000-0001-6193-2109
Georgios MavrovounisFaculty of Medicine, School of Health Sciences, University of Thessaly, 41500, Larissa, Biopolis, Greece.
Antonis AdamouFaculty of Medicine, School of Health Sciences, University of Thessaly, 41500, Larissa, Biopolis, Greece.
Nikolaos PanagiotopoulosDepartment of Thoracic Surgery, University College London Hospitals (UCLH), London, UK.
University College Hospital · GBUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMalignant pleural effusion is a severe and common complication in patients with primary or metastatic malignancies of the pleura. Although talc pleurodesis is widely used for managing malignant pleural effusions, there is still controversy in the literature regarding its superiority compared to other approaches. We conducted this meta-analysis to further investigate its efficacy compared to alternative interventions.

methodsWe systematically reviewed the PubMed, Cochrane, and Scopus databases to identify studies that fulfilled our inclusion criteria. Study quality was evaluated using validated tools and the pooled Risk Ratio (RR) and confidence interval (CI) were calculated. We performed sensitivity analyses based on the meta-analysis method and type of study.

resultsTwenty-four studies were included in the current systematic review meta-analysis. Talc pleurodesis was associated with statistically significant higher successful pleurodesis rates when compared with all controls [RR (95% CI) 1.15 (1.00, 1.31); P

conclusionTalc pleurodesis is an effective MPE management approach presenting borderline statistically significant superiority compared to control methods especially compared to bleomycin as well as when pleurodesis success is evaluated later than 1 month postoperatively.

Indexed as

Pleural Effusion, MalignantBleomycinHumansPleurodesisTalcBleomycinTalcChemical pleurodesisIpcsMalignant pleural effusionsMeta-analysisTalc pleurodesis

Identifiers

PMID33222091
OpenAlexW3106582177

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.