Evidence map›Paper›PMID 39969668›Full record

GuidelineGeneral thoracic and cardiovascular surgery2025

Guidelines for the treatment of empyema (The Japanese Association for Chest Surgery).

Yuji Shiraishi, Mitsugu Omasa, Shinichi Yamashita, Yoon Hyung-Eun, Masayuki Tanahashi, Takeshi Fukami, Shinichi Tokyooka, Yasuhisa Ode, Tatsuro Okamoto, Takashi Shiraishi and 11 more

Abstract readPractice Guideline
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In one paragraph

Guideline in General thoracic and cardiovascular surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
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  8. 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

21 authors.

Yuji ShiraishiSection of Chest Surgery, Fukujuji Hospital, Japan Anti Tuberculosis Association, Kiyose, Tokyo, Japan.
Mitsugu OmasaDepartment of Thoracic Surgery, Kobe City Nishi-Kobe Medical Center, Kobe, Japan.
Shinichi YamashitaDepartment of Thoracic and Breast Surgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
Yoon Hyung-EunDepartment of General Thoracic Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center, Osaka, Japan.
Masayuki TanahashiDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Takeshi FukamiDepartment of Thoracic Surgery, National Hospital Organization Tokyo National Hospital, Meguro, Tokyo, Japan.
Shinichi TokyookaDepartment of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
Yasuhisa OdeDivision of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Tatsuro OkamotoDepartment of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Takashi ShiraishiDepartment of General Thoracic Surgery, Breast and Pediatric Surgery, Fukuoka University School of Medicine, Fukuoka, Japan.
Yasushi ShintaniDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasuhiro HidaAdvanced Robotic and Endoscopic Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.
Sumiko MaedaDepartment of General Thoracic Surgery, Dokkyo Medical University, Tochigi, Japan.
Isao MatsumotoDepartment of Thoracic Surgery, Kanazawa University, Kanazawa, Japan.
Yuichi SakairiDepartment of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Mariko FukuiDepartment of General Thoracic Surgery, Juntendo University Hospital of Medicine, Bunkyo, Tokyo, Japan.
Katsuhiro OkudaDepartments of Thoracic and Pediatric Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Masanori TsuchidaDivision of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Akira IyodaDivision of Chest Surgery, Department of Surgery, Toho University, Ota, Tokyo, Japan. aiyoda@med.toho-u.ac.jp.
Hisashi SajiDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan. hisashisaji@gmail.com.
Ichiro YoshinoDepartment of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article translates the guidelines for the treatment of empyema established by the Japanese Association of Chest Surgery in 2023 from Japanese to English. These guidelines were developed by the Working Group on Guidelines for the Treatment of Empyema of our society, involving the establishment of clinical questions, conducting systematic reviews in accordance with the MINDS (Medical Information Distribution Service) Manual for Guideline Development 2020 version 3.0 and the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) system, and determining the levels of recommendations. Furthermore, external evaluators provided assessments. Subsequently, the guidelines were finalized after receiving public comments from the members of the society. Even in the current era of advanced antibiotic therapy, empyema remains difficult to treat. However, the specific guideline for the treatment of empyema lacks in our country. Each institution is conducting clinical practices in its own way. Therefore, aiming to standardize the treatment of empyema, we have developed a practice guideline of empyema treatment. The pathophysiology of empyema is diverse, so empyema is classified into acute, chronic, and postoperative empyema. The recommended surgical treatment for each type of empyema is described, being categorized by the strength of recommendation, strength of evidence, and consensus rate.

Indexed as

DrainageEmpyema, PleuralThoracic Surgical ProceduresAnti-Bacterial AgentsConsensusEast Asian PeopleEvidence-Based MedicineHumansJapanTreatment OutcomeAnti-Bacterial AgentsDecorticationEmpyemaOpen window thoracostomySurgery

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.