Risk factors of postoperative recurrence of primary spontaneous pneumothorax

Fujiwara, Taiki; Tanaka, Kazuhisa; Toyoda, Takahide; Sakairi, Yuichi; Ishibashi, Fumihiro; Suzuki, Hidemi; Nakajima, Takahiro; Yoshino, Ichiro

doi:10.21037/jtd-20-2436

Cited by 15 publications

(14 citation statements)

References 20 publications

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“…Previous studies have reported that surgery could be a risk factor for recurrence, not improving prognosis [14,28,29]. The recurrence rates in the young population who underwent surgery tended to increase [14]. In our study, with a few exceptions, PSP patients with surgical intervention experienced increased risk over those who had not been treated surgically.…”

Section: Discussioncontrasting

confidence: 44%

Trends in recurrence of primary spontaneous pneumothorax in young population after treatment for first episode based on a nationwide population data

Park

Chung

et al. 2023

Preprint

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The aim of this study is to identifying post treatment recurrence rates in pneumothorax patients under 35 and without any comorbidities according to the treatment types, gender, and age categories based on nationwide population data. Clinical information of pneumothorax patients was extracted from the Korean National Health Insurance Service (NHIS) database between January 2002 and December 2020. Enrolled patients were categorized into two groups; (1) Group I, those who underwent conservative management including pain relief, oxygen therapy, and closed thoracostomy, and (2) Group II, surgical intervention. Recurrence rates were compared according to age, gender, and type of treatment. Surgical intervention was performed in 25.6% patients as first treatment. The overall recurrence rate was 20.3%. Male patients showed a higher 5-year recurrence rate than female (20.8% vs. 10.9%, p < 0.001). Those with conservative management showed lower 5-year recurrence rates than those with surgical treatment (7.9% vs. 23.7%, p < 0.001). The 5-year recurrence rates of patients aged 14≤, and < 20 was higher than other age groups. (29.2% vs. 4.5 and 11.9%, p < 0.001). Surgical intervention, male gender and aged under 20 showed association with higher recurrence rates.

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Section: Discussioncontrasting

confidence: 44%

Trends in recurrence of primary spontaneous pneumothorax in young population after treatment for first episode based on a nationwide population data

Park

Chung

et al. 2023

Preprint

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“…However, the protective effect of surgery has remained a controversial issue 8 , 20 , 30 . Previous studies have reported that surgery could be a risk factor for recurrence, not improving prognosis 14 , 30 , 31 . The recurrence rates in the young population who underwent surgery tended to increase 14 .…”

Section: Discussionmentioning

confidence: 93%

Trends in recurrence of primary spontaneous pneumothorax in young population after treatment for first episode based on a nationwide population data

Yi,

Park,

Chung

et al. 2023

Sci Rep

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The aim of this study is to identifying post treatment recurrence rates in pneumothorax patients under 35 and without any comorbidities according to the treatment types, gender, and age categories based on nationwide population data. Clinical information of pneumothorax patients was extracted from the Korean National Health Insurance Service (NHIS) database between January 2002 and December 2020. Enrolled patients were categorized into two groups; (1) Group I, those who underwent conservative management including pain relief, oxygen therapy, and closed thoracostomy, and (2) Group II, surgical intervention. Recurrence rates were compared according to age, gender, and type of treatment. Surgical intervention was performed in 25.6% patients as first treatment. The overall recurrence rate was 20.3%. Male patients showed a higher 5-year recurrence rate than female (20.8% vs. 10.9%, p < 0.001). Those with conservative management showed lower 5-year recurrence rates than those with surgical treatment (7.9% vs. 23.7%, p < 0.001). The 5-year recurrence rates of patients aged 14≤, and < 20 was higher than other age groups (29.2% vs. 4.5 and 11.9%, p < 0.001). Surgical intervention, male gender and aged under 20 showed association with higher recurrence rates.

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“…Regarding pleurodesis, thoracoscopy is therefore proposed as a first-line procedure in many European countries. However, recurrence rate which was significantly higher after thoracoscopy compared to thoracotomy [ 139 – 141 ].…”

Section: Summary Of the Resultsmentioning

confidence: 99%

SPLF/SMFU/SRLF/SFAR/SFCTCV Guidelines for the management of patients with primary spontaneous pneumothorax

Jouneau,

Ricard,

Seguin-Givelet

et al. 2023

Ann. Intensive Care

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Introduction Primary spontaneous pneumothorax (PSP) is the presence of air in the pleural space, occurring in the absence of trauma and known lung disease. Standardized expert guidelines on PSP are needed due to the variety of diagnostic methods, therapeutic strategies and medical and surgical disciplines involved in its management. Methods Literature review, analysis of the literature according to the GRADE (Grading of Recommendation, Assessment, Development and Evaluation) methodology; proposals for guidelines rated by experts, patients and organizers to reach a consensus. Only expert opinions with strong agreement were selected. Results A large PSP is defined as presence of a visible rim along the entire axillary line between the lung margin and the chest wall and ≥ 2 cm at the hilum level on frontal chest X-ray. The therapeutic strategy depends on the clinical presentation: emergency needle aspiration for tension PSP; in the absence of signs of severity: conservative management (small PSP), needle aspiration or chest tube drainage (large PSP). Outpatient treatment is possible if a dedicated outpatient care system is previously organized. Indications, surgical procedures and perioperative analgesia are detailed. Associated measures, including smoking cessation, are described. Conclusion These guidelines are a step towards PSP treatment and follow-up strategy optimization in France.

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Risk factors of postoperative recurrence of primary spontaneous pneumothorax

Cited by 15 publications

References 20 publications

Trends in recurrence of primary spontaneous pneumothorax in young population after treatment for first episode based on a nationwide population data

Trends in recurrence of primary spontaneous pneumothorax in young population after treatment for first episode based on a nationwide population data

Trends in recurrence of primary spontaneous pneumothorax in young population after treatment for first episode based on a nationwide population data

SPLF/SMFU/SRLF/SFAR/SFCTCV Guidelines for the management of patients with primary spontaneous pneumothorax

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