Treatment outcomes of pneumothorax with chronic obstructive pulmonary disease

Ota, Hideki; Kawai, Hideki; Matsuo, Tsubasa

doi:10.1177/0218492313505230

Cited by 6 publications

(4 citation statements)

References 19 publications

(37 reference statements)

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“…The mortality of SSP depends on the basic disease [15,16,188]. In the presence of rare lung diseases, such as interstitial lung diseases or cystic fibrosis, prompt transfer to a hospital with appropriate expertise for the examination and full use of additional therapy options (lung replacement procedure, lung transplantation) is to be recommended.…”

Section: Evidence Gradementioning

confidence: 99%

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Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

et al. 2018

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In Germany, 10,000 cases of spontaneous pneumothorax are treated inpatient every year. The German Society for Thoracic Surgery, in co-operation with the German Society for Pulmonology, the German Radiological Society, and the German Society of Internal Medicine has developed an S3 guideline on spontaneous pneumothorax and post-interventional pneumothorax moderated by the German Association of Scientific Medical Societies. Method: Based on the source guideline of the British Thoracic Society (2010) for spontaneous pneumothorax, a literature search on spontaneous pneumothorax was carried out from 2008 onwards, for post-interventional pneumothorax from 1960 onwards. Evidence levels according to the Oxford Center for Evidence-Based Medicine (2011) were assigned to the relevant studies found. Recommendations according to grade (A: “we recommend”/“we do not recommend,” B: “we suggest”/“we do not suggest”) were determined in 3 consensus conferences by the nominal group process. Results: The algorithms for primary and secondary pneumothorax differ in the indication for CT scan as well as in the indication for chest drainage application and video-assisted thoracic surgery. Indication for surgery is recommended individually taking into account the risk of recurrence, life circumstances, patient preferences, and procedure risks. For some forms of secondary pneumothorax, a reserved indication for surgery is recommended. Therapy of post-interventional spontaneous pneumothorax is similar to that of primary spontaneous pneumothorax. Discussion: The recommendations of the S3 Guideline provide assistance in managing spontaneous pneumothorax and post-interventional pneumothorax. Whether this will affect existing deviant diagnostic and therapeutic measures will be demonstrated by future epidemiological studies.

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Section: Evidence Gradementioning

confidence: 99%

“…Literature: de Novo Research: Nakajima et al [16], Ichinose et al [189] Ota et al [15] Consensus rate: 100%…”

Section: Evidence Gradementioning

confidence: 99%

Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

et al. 2018

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“…interstitielle Lungenerkrankungen fibrosierende Lungenerkrankungen [7,15,16] zystische Lungenerkrankungen:…”

Section: Iatrogener Pneumothoraxunclassified

Management of Spontaneous Pneumothorax and Postinterventional Pneumothorax: German S3-Guideline

et al. 2018

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“…8) In VATS, not only does the indispensable anesthetic during surgery bring distinct risk to this population, but high costs also prevent patients from receiving this therapy. 9)…”

Section: Introductionmentioning

confidence: 99%

Medical Thoracoscopy-Assisted Argon Plasma Coagulation Combined with Electrosurgical Unit for the Treatment of Refractory Pneumothorax in Elderly Patients

Guo

Pan²,

et al. 2019

ATCS

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Purpose: This study aims to compare the effects and prognosis of medical thoracoscopy-assisted argon plasma coagulation (APC) combined with electrosurgical unit (ESU) surgery, video-assisted thoracic surgery (VATS), and pleurodesis surgery, in providing appropriate treatment for elderly refractory pneumothorax patients.Methods: Patients with refractory pneumothorax aged over 65 years were divided into three groups: APC combined with ESU (N = 20), VATS (N = 26), and pleurodesis (N = 24). Data on demographic characteristics, lung function evaluation, and short- and long-term prognoses were collected.Results: Following surgery, compared with the APC-ESU and pleurodesis groups, patients in the VATS group demonstrated poor short-term prognoses, with high pleural effusion drainage levels and high visual analog scores (VAS; P <0.05). After the surgery, St. George’s Respiratory Questionnaire (SGRQ) scores in the pleurodesis group were slightly elevated, whereas SGRQ scores in both the APC-ESU and VATS groups demonstrated a continual decrease. Finally, medical resource consumption analysis demonstrated a significant difference in hospitalization costs among the three groups; the VATS group being the most expensive.Conclusion: Medical thoracoscopy-assisted APC combined with ESU is a safe, effective, and affordable treatment for elderly patients with refractory pneumothorax.

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Treatment outcomes of pneumothorax with chronic obstructive pulmonary disease

Cited by 6 publications

References 19 publications

Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

Management of Spontaneous Pneumothorax and Postinterventional Pneumothorax: German S3-Guideline

Medical Thoracoscopy-Assisted Argon Plasma Coagulation Combined with Electrosurgical Unit for the Treatment of Refractory Pneumothorax in Elderly Patients

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