Evidence map›Paper›PMID 37850216›Full record

ArticleERJ open research2023

Clinical characteristics of chylothorax: results from the International Collaborative Effusion database.

José M Porcel, Silvia Bielsa, Carmen Civit, Avinash Aujayeb, Julius Janssen, Uffe Bodtger, Katrine Fjaellegaard, Jesper Koefod Petersen, Hugh Welch, Jenny Symonds and 12 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. An unusual case of chylothorax.Breathe (Sheffield, England) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. [A case of chylothorax and chylous fistula following neck dissection with literature review].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Review
  7. Article
  8. Practical therapeutic options for postoperative chylothorax.Journal of cardiothoracic surgery · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
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

22 authors at 13 institutions in 9 countries.

José M PorcelPleural Medicine Unit, Department of Internal Medicine, Arnau de Vilanova University Hospital, IRBLleida, University of Lleida, Lleida, Spain.ORCID https://orcid.org/0000-0002-2734-8061
Silvia BielsaPleural Medicine Unit, Department of Internal Medicine, Arnau de Vilanova University Hospital, IRBLleida, University of Lleida, Lleida, Spain.
Carmen CivitPleural Medicine Unit, Department of Internal Medicine, Arnau de Vilanova University Hospital, IRBLleida, University of Lleida, Lleida, Spain.
Avinash AujayebRespiratory Department, Northumbria Healthcare Foundation Trust, Cramlington, UK.ORCID https://orcid.org/0000-0002-0859-5550
Julius JanssenRespiratory Department, Canisius Wilhelmina Ziekenhuis, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-4045-2274
Uffe BodtgerRespiratory Research Unit PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Naestved, Denmark.
Katrine FjaellegaardRespiratory Research Unit PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Naestved, Denmark.
Jesper Koefod PetersenRespiratory Research Unit PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Naestved, Denmark.
Hugh WelchAcademic Respiratory Unit, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0001-6906-2718
Jenny SymondsRespiratory Department, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Michael A MitchellDepartment of Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID https://orcid.org/0000-0003-4163-837X
Elżbieta Magdalena GrabczakRespiratory Department, University Clinical Center, Warsaw, Poland.ORCID https://orcid.org/0000-0003-0901-118X
Mohamed EllayehDepartment of Chest Medicine, Mansoura University, Mansoura, Egypt.
Dinesh AddalaOxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
John M WrightsonOxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Najib M RahmanOxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Mohammed MunavvarRespiratory Department, Lancashire Teaching Hospitals NHS Trust, Preston, UK.
Coenraad F N KoegelenbergDivision of Pulmonology, Department of Medicine, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-5563-8429
Gonzalo LabarcaDivision of Internal Medicine, Complejo Asistencial Dr Víctor Ríos Ruiz, Los Angeles, Chile.ORCID https://orcid.org/0000-0002-0069-3420
Federico MeiRespiratory Disease Unit, Department of Internal Medicine, University Hospital, Ancona, Italy.
Nick MaskellAcademic Respiratory Unit, University of Bristol, Bristol, UK.
Rahul BhatnagarAcademic Respiratory Unit, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0003-3906-1997
North Bristol NHS Trust · GBUniversitat de Lleida · ESZealand University Hospital · DKOxford University Hospitals NHS Trust · GBCanisius-Wilhelmina Ziekenhuis · NLLancashire Teaching Hospitals NHS Foundation Trust · GBMansoura University · EGMarche Polytechnic University · ITNorthumbria Healthcare NHS Foundation Trust · GBOxford BioMedica (United Kingdom) · GBStellenbosch University · ZAUniversity of Concepción · CLWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chylothorax is an uncommon medical condition for which limited data are available regarding the contemporary aetiology, management and outcomes. The goal of this study was to better define these poorly characterised features. Methods: The medical records of adult patients diagnosed with chylothorax at 12 centres across Europe, America and South Africa from 2009-2021 were retrospectively reviewed. Descriptive and inferential statistics were performed. Results: 77 patients (median age 69 years, male to female ratio 1.5) were included. Subacute dyspnoea was the most typical presenting symptom (66%). The commonest cause of chylothorax was malignancy (68.8%), with lymphoma accounting for 62% of these cases. Other aetiologies were trauma (13%), inflammatory/miscellaneous conditions (11.7%) and idiopathic cases (6.5%). At the initial thoracentesis, the pleural fluid appeared milky in 73%, was exudative in 89% and exhibited triglyceride concentrations >100 mg·dL Conclusion: Chylothoraces have a poor prognosis and most require pleural interventions. Despite the standard recommendations, lymphatic imaging is seldom used, nor are dietary restrictions followed.

Identifiers

PMID37850216
PMCPMC10577597
OpenAlexW4386935529

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.