Evidence map›Paper›PMID 36562112›Full record

Trial reportThoracic cancer2023

A novel drainage strategy using chest tube plus pleural catheter in uniportal upper lobectomy: A randomized controlled trial.

Fu Yang, Xing Wang, Honglei Xu, Beatrice Aramini, Yuming Zhu, Gening Jiang, Jiang Fan

Open access · goldAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Fu YangDepartment of Thoracic Surgery, Shanghai Jiao Tong University First People's Hospital, Shanghai, China.ORCID 0000-0003-3752-4871
Xing WangDepartment of Thoracic Surgery, Shanghai Jiao Tong University First People's Hospital, Shanghai, China.
Honglei XuDepartment of Thoracic Surgery, Shanghai Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai, China.
Beatrice AraminiDivision of Thoracic Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Bologna, Forli, Italy.
Yuming ZhuDepartment of Thoracic Surgery, Shanghai Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai, China.
Gening JiangDepartment of Thoracic Surgery, Shanghai Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai, China.
Jiang FanDepartment of Thoracic Surgery, Shanghai Jiao Tong University First People's Hospital, Shanghai, China.
Tongji University · CNOspedale G.B. Morgagni - L.Pierantoni · ITShanghai Jiao Tong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study we explored whether one pleural catheter plus single chest tube drainage could achieve a noninferior drainage effect when compared with the traditional two chest tubes in uniportal video-assisted thoracoscopic surgery (VATS) for an upper pulmonary lobectomy.

methodsPatients that underwent an upper pulmonary lobectomy from January to November 2020 were enrolled in this single-center, randomized, open-label, noninferiority trial. Prior to closure, patients were randomized to an intervention group who received an improved drainage strategy involving one pleural catheter with one chest tube (24 Fr), while traditional double chest tube drainage was applied for the control group.

resultsA total of 390 patients entered the study, although 190 were excluded for changing nonuniportal surgical approaches or opting for nonlobectomy resections. Finally, 200 patients were randomized (100 in the intervention group and 100 in the control group). The baseline demographic and clinical characteristics were comparable between the groups. The incidence of pneumothorax in the intervention and control groups was similar on postoperative Day 1 (noninferiority, 10% vs. 13%, p = 0.658). In addition, there were no significant differences in secondary outcomes such as incidence of pneumothorax by Day 30, postoperative chest tube/pleural catheter removal time, amount of drainage on Day 1, total amount of drainage after operation, or postoperative hospitalization. A significantly lower pain score was observed in the intervention group (3.33 ± 0.68 vs. 3.68 ± 0.94, p = 0.003).

conclusionsThe new strategy is noninferior to double chest tube drainage after an upper pulmonary lobectomy offers superior pain control, and is recommended for an upper lobectomy by uniportal VATS.

Indexed as

Chest TubesPneumothoraxCathetersDrainageHumansPainPneumonectomyThoracic Surgery, Video-Assistedchest tubepleural catheteruniportal video-assisted thoracoscopic surgeryupper lobectomy

Identifiers

PMID36562112
PMCPMC9891854
OpenAlexW4312114454

What OpenQuestion holds

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Registered trials

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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.