Evidence map›Paper›PMID 40689755›Full record

ArticleWorld journal of surgery2025

Factors Associated With Early Recurrence in Non-Surgically Managed Primary Spontaneous Pneumothorax.

Sercan Aydin, Seda Kahraman Aydin, Dilara Gursoy, Ayse Gul Ergonul, Tevfik Ilker Akcam, Kutsal Turhan, Ufuk Cagirici, Alpaslan Cakan, Omer Faruk Dadas

Abstract readMulticenter Study
In one paragraph

Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Sercan AydinDepartment of Thoracic Surgery, Izmir Democracy University Buca Seyfi Demirsoy Education and Research Hospital, Izmir, Turkey.ORCID https://orcid.org/0000-0002-7952-5891
Seda Kahraman AydinDepartment of Thoracic Surgery, Izmir Democracy University Buca Seyfi Demirsoy Education and Research Hospital, Izmir, Turkey.ORCID https://orcid.org/0000-0001-6162-4878
Dilara GursoyDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0002-4561-4589
Ayse Gul ErgonulDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0001-8854-953X
Tevfik Ilker AkcamDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0001-7108-9469
Kutsal TurhanDepartment of Thoracic Surgery, Acibadem Kent Hospital, Izmir, Turkey.ORCID https://orcid.org/0000-0003-4150-0514
Ufuk CagiriciDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0001-7827-793X
Alpaslan CakanDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0002-4958-0996
Omer Faruk DadasDepartment of Biostatistics and Medical Informatics, Ege University Faculty of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0003-2692-3762

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe indications for surgery in primary spontaneous pneumothorax (PSP) at first episode are clearly defined. Despite the indications, some patients avoid surgical treatment. This study examines the factors affecting early recurrence in patients who have not undergone surgical intervention.

methodsThis retrospective and multicenter study was conducted between January 2018 and June 2023. The impact of demographic characteristics, inflammatory response, smoking habits before and after the episode, treatment modality, duration of chest tube drainage, and quantitative measurements of bullae-bleb structures on the risk and timing of recurrence was examined in 117 cases of first episode PSP.

resultsAge, sex, inflammatory response indicators, pre-episode smoking history, pneumothorax volume, and bullae size were not associated with earlier recurrence. The detection of bullae-blebs on computed tomography in first episode PSP and smoking post-episode in non-surgically treated cases were correlated with earlier recurrence (p = 0.031; p = 0.019, respectively). In cases that surgical intervention had not been performed, a prolonged duration of chest tube drainage correlated with increased recurrence-free survival and decreased recurrence risk (p = 0.002).

conclusionIn cases of first episode PSP, surgical intervention may be advised when bullae-bleb formations are detected via tomography. Patients who did not undergo surgical treatment during the first episode and smoke after discharge are at higher risk of earlier recurrence. Prolonged chest tube drainage duration reduces the risk of earlier recurrence in first-episode PSP cases that have not undergone surgical intervention. This finding suggests that extended drainage is not a disadvantageous outcome for cases hesitant to undergo surgical treatment.

Indexed as

PneumothoraxAdultBlisterChest TubesDrainageFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsSmokingTime FactorsTomography, X-Ray ComputedYoung Adultblebbullaedisease‐free survivalprimary spontaneous pneumothoraxsmokingsurgical treatment

Identifiers

PMID40689755
PMCPMC12435598

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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.