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What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study

BACKGROUND: Several treatment strategies are available for primary spontaneous pneumothorax (PSP). Surgical procedures are also performed in patients with PSP without an absolute indication for surgery. This study was performed to investigate the best treatment strategy for PSP by comparison of the...

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Autores principales: Chikaishi, Yasuhiro, Kanayama, Masatoshi, Taira, Akihiro, Nabe, Yusuke, Shinohara, Shinji, Kuwata, Taiji, Hirai, Ayako, Imanishi, Naoko, Ichiki, Yoshinobu, Tanaka, Fumihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699185/
https://www.ncbi.nlm.nih.gov/pubmed/31440373
http://dx.doi.org/10.1016/j.amsu.2019.07.034
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author Chikaishi, Yasuhiro
Kanayama, Masatoshi
Taira, Akihiro
Nabe, Yusuke
Shinohara, Shinji
Kuwata, Taiji
Hirai, Ayako
Imanishi, Naoko
Ichiki, Yoshinobu
Tanaka, Fumihiro
author_facet Chikaishi, Yasuhiro
Kanayama, Masatoshi
Taira, Akihiro
Nabe, Yusuke
Shinohara, Shinji
Kuwata, Taiji
Hirai, Ayako
Imanishi, Naoko
Ichiki, Yoshinobu
Tanaka, Fumihiro
author_sort Chikaishi, Yasuhiro
collection PubMed
description BACKGROUND: Several treatment strategies are available for primary spontaneous pneumothorax (PSP). Surgical procedures are also performed in patients with PSP without an absolute indication for surgery. This study was performed to investigate the best treatment strategy for PSP by comparison of the recurrence rate. MATERIALS AND METHODS: From January 2006 to December 2013, 149 patients with PSP aged ≤50 years were treated in our institution. We reviewed the recurrence rate of PSP for each treatment strategy and evaluated the association between the recurrence rate of PSP with the clinicopathological characteristics. We also compared the surgery and non-surgery groups. RESULTS: A significant difference in the PSP recurrence rate was found between the surgery and non-surgery groups (22% vs. 52%, respectively; p < 0.001), patients aged ≥22 and < 22 years (16% vs. 44%, respectively; p < 0.001), and smokers and nonsmokers (13% vs. 43%, respectively; p < 0.001). There were also significant differences in the multivariate analysis (p < 0.001, p = 0.050, and p = 0.001, respectively). In the surgery group, the PSP recurrence rate was significantly different between patients aged ≥22 and < 22 years (7% vs. 38%, respectively; p < 0.001) and smokers and nonsmokers (5% vs. 33%, respectively; p = 0.002). No significant differences were found in the non-surgery group. CONCLUSIONS: In the surgical treatment of PSP, it is desirable that smokers stop using tobacco and that patients are ≥22 years old. Moreover, when surgery is being considered, the best timing seems to be when air leakage is present because the air leakage sites can be resected.
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spelling pubmed-66991852019-08-22 What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study Chikaishi, Yasuhiro Kanayama, Masatoshi Taira, Akihiro Nabe, Yusuke Shinohara, Shinji Kuwata, Taiji Hirai, Ayako Imanishi, Naoko Ichiki, Yoshinobu Tanaka, Fumihiro Ann Med Surg (Lond) Original Research BACKGROUND: Several treatment strategies are available for primary spontaneous pneumothorax (PSP). Surgical procedures are also performed in patients with PSP without an absolute indication for surgery. This study was performed to investigate the best treatment strategy for PSP by comparison of the recurrence rate. MATERIALS AND METHODS: From January 2006 to December 2013, 149 patients with PSP aged ≤50 years were treated in our institution. We reviewed the recurrence rate of PSP for each treatment strategy and evaluated the association between the recurrence rate of PSP with the clinicopathological characteristics. We also compared the surgery and non-surgery groups. RESULTS: A significant difference in the PSP recurrence rate was found between the surgery and non-surgery groups (22% vs. 52%, respectively; p < 0.001), patients aged ≥22 and < 22 years (16% vs. 44%, respectively; p < 0.001), and smokers and nonsmokers (13% vs. 43%, respectively; p < 0.001). There were also significant differences in the multivariate analysis (p < 0.001, p = 0.050, and p = 0.001, respectively). In the surgery group, the PSP recurrence rate was significantly different between patients aged ≥22 and < 22 years (7% vs. 38%, respectively; p < 0.001) and smokers and nonsmokers (5% vs. 33%, respectively; p = 0.002). No significant differences were found in the non-surgery group. CONCLUSIONS: In the surgical treatment of PSP, it is desirable that smokers stop using tobacco and that patients are ≥22 years old. Moreover, when surgery is being considered, the best timing seems to be when air leakage is present because the air leakage sites can be resected. Elsevier 2019-08-03 /pmc/articles/PMC6699185/ /pubmed/31440373 http://dx.doi.org/10.1016/j.amsu.2019.07.034 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Research
Chikaishi, Yasuhiro
Kanayama, Masatoshi
Taira, Akihiro
Nabe, Yusuke
Shinohara, Shinji
Kuwata, Taiji
Hirai, Ayako
Imanishi, Naoko
Ichiki, Yoshinobu
Tanaka, Fumihiro
What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study
title What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study
title_full What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study
title_fullStr What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study
title_full_unstemmed What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study
title_short What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study
title_sort what is the best treatment strategy for primary spontaneous pneumothorax? a retrospective study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699185/
https://www.ncbi.nlm.nih.gov/pubmed/31440373
http://dx.doi.org/10.1016/j.amsu.2019.07.034
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