Evidence map›Paper›PMID 34097199›Full record

ArticleGeneral thoracic and cardiovascular surgery2021

Is surgery a risk factor for contralateral recurrence pneumothorax in adolescent with primary spontaneous pneumothorax?

Henglun Liang, Yuanting Liu, Junwei Jiang, Guimian Zhong

Abstract read
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In one paragraph

Article 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. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Postoperative pneumothorax occurrence in patients with Marfan syndrome.General thoracic and cardiovascular surgery · 2025
    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 1 institution in 1 country.

Henglun LiangDepartment of Cardiothoracic Surgery, Guangzhou Panyu Central Hospital, Guangdong, 511400, People's Republic of China. 297024986@qq.com.ORCID http://orcid.org/0000-0003-3030-1747
Yuanting LiuInformation Statistics Center, Guangzhou Panyu Central Hospital, Guangdong, 511400, People's Republic of China.
Junwei JiangDepartment of Cardiothoracic Surgery, Guangzhou Panyu Central Hospital, Guangdong, 511400, People's Republic of China.
Guimian ZhongDepartment of Radiology, Guangzhou Panyu Central Hospital, Guangdong, 511400, People's Republic of China.
Panyu District Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesControversy exists regarding the justification of primary surgery in primary spontaneous pneumothorax, and surgery is not free from recurrence. We hypothesized that surgery is a risk factor for contralateral recurrence pneumothorax in adolescent.

methodsWe performed a retrospective cohort study of 163 adolescent with pneumothorax who were treated conservatively with chest tube (n = 100) or chest tube followed by video-assisted thoracoscopic surgery (n = 63) from January 2009 through December 2017.

resultsIpsilateral recurrence was significantly more common following conservative treatment than surgical treatment (25.0 vs. 3.2%, P < 0.001), while contralateral recurrence was more common in the surgical group than in the conservative group (15.9 vs. 6.0%, P = 0.039). The rates of second episode pneumothorax did not significantly differ between the two treatment groups (P = 0.092). Univariate analysis identified that patients who were treated conservatively had greater risk of ipsilateral recurrence (P = 0.002), while those who proceeded to surgery had greater risk of contralateral recurrence (P = 0.046). No predictors for second episode pneumothorax were found.

conclusionTo avoid over treatment, we recommend that conservative treatment should be the superior option and CT scan should not be a routine examination in adolescent with their first episode of PSP.

Indexed as

PneumothoraxAdolescentHumansResearch DesignRetrospective StudiesRisk FactorsPrimary spontaneous pneumothoraxPrimary surgeryRecurrenceRisk factorsVideo-assisted thoracoscopic surgery

Identifiers

PMID34097199
OpenAlexW3171965963

What OpenQuestion holds

Textmetadata
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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.