ArticleInteractive cardiovascular and thoracic surgery2022
A nomogram to predict residual cavity formation after thoracoscopic decortication in chronic tuberculous empyema.
Article in Interactive cardiovascular and thoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- A comparative study of uniportal video-assisted thoracic surgery versus thoracotomy in the treatment of TB empyema.IJTLD open · 2026Article
- Single-stage open window thoracostomy with simultaneous muscle flap transposition and early negative pressure wound therapy for chronic empyema: a propensity score- and machine learning-based study.Journal of cardiothoracic surgery · 2026Article
- Nutritional-immunological assessment by CONUT score predicts surgical outcomes in tuberculous empyema: development of a multivariate risk model.Journal of cardiothoracic surgery · 2026Review
- The safety and efficacy of decortication for stage III drug-resistant tuberculous empyema.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
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Authors and funding
9 authors.
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Abstract
objectivesThe goal of this study was to develop and validate a nomogram for predicting residual cavity formation after video-assisted thoracoscopic decortication in patients with chronic tuberculous empyema (CTE).
methodsWe retrospectively analysed patients who were diagnosed and treated for CTE at our hospital from January 2017 to December 2020. We used univariable and binary logistic regression analyses to identify independent risk factors. A predictive nomogram was developed and validated for predicting the risk of residual cavity formation after video-assisted thoracoscopic decortication in patients with CTE. The receiver operating characteristic (ROC) was used to evaluate the nomogram.
resultsData from 103 patients were analysed. The contact area between the lung and empyema (P = 0.001, odds ratio [OR] 1.017, 95% confidence interval [CI] 1.007-1.028), calcification (P = 0.004, OR 0.12, 95% CI 0.029-0.501) and thickness of the pleura (P = 0.02, OR 1.315, 95% CI 1.045-1.654) were risk factors for residual cavity formation after video-assisted thoracoscopic decortication. A 50% residual cavity formation rate was used as the cut-off to validate the nomogram model. The area under the ROC curve for the nomogram was 0.891 (95% CI, 0.82-0.963). The sensitivity and specificity of the nomogram were 86.67% and 82.19%, respectively. The calibration curve indicated good consistency between the predicted and actual risks.
conclusionsThe preliminary nomogram could contribute to preventing postoperative residual cavity formation and making appropriate surgical decisions.
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