Joint ERS/EACTS/ESTS clinical practice guidelines on adults with spontaneous pneumothorax-Reference-Cited by-同舟云学术

Joint ERS/EACTS/ESTS clinical practice guidelines on adults with spontaneous pneumothorax

Published:2024-05-01 Issue:5 Volume:65 Page:
ISSN:1873-734X
Container-title:European Journal of Cardio-Thoracic Surgery
language:en
Short-container-title:

Author:

Walker Steven¹²^ORCID,Hallifax Robert³⁴^ORCID,Ricciardi Sara⁵⁶^ORCID,Fitzgerald Deirdre⁷⁸^ORCID,Keijzers Marlies⁹,Lauk Olivia¹⁰,Petersen Jesper¹¹^ORCID,Bertolaccini Luca¹²^ORCID,Bodtger Uffe¹¹,Clive Amelia¹³,Elia Stefano¹⁴¹⁵^ORCID,Froudarakis Marios¹⁶¹⁷^ORCID,Janssen Julius¹⁸^ORCID,Lee Y C Gary⁷⁸,Licht Peter¹⁹,Massard Gilbert²⁰,Nagavci Blin²¹^ORCID,Neudecker Jens²²²³,Roessner Eric²⁴,Van Schil Paul²⁵,Waller David²⁶,Walles Thorsten²⁷,Cardillo Giuseppe⁵⁶²⁸²⁹^ORCID,Maskell Nick¹¹³²⁹^ORCID,Rahman Najib³⁴³⁰³¹²⁹^ORCID

Affiliation:

1. Academic Respiratory Unit, Southmead Hospital , Bristol, UK

2. Junior Chair of the Task Force

3. Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Trust , Oxford, UK

4. Oxford Respiratory Trials Unit, University of Oxford , Oxford, UK

5. Unit of Thoracic Surgery, Azienda Ospedaliera San Camillo Forlanini , Rome, Italy

6. Alma Mater Studiorum, University of Bologna , Bologna, Italy

7. Pleural Medicine Unit, Institute for Respiratory Health , Perth, Australia

8. Medical School and Centre for Respiratory Health, University of Western Australia , Perth, Australia

9. Department of Surgery, Maxima Medical Center , Veldhoven, Netherlands

10. Department of Thoracic Surgery, University Hospital Zurich , Zurich, Switzerland

11. Respiratory Research Unit PLUZ, Department of Respiratory Medicine Zealand, University Hospital , Naestved, Denmark

12. Division of Thoracic Surgery IEO, European Institute of Oncology IRCCS , Milan, Italy

13. North Bristol Lung Centre, Southmead Hospital , Bristol, UK

14. Department of Medicine and Health Sciences “V. Tiberio”, University of Molise , Campobasso, Italy

15. Thoracic Surgical Oncology Programme, Tor Vergata University Hospital , Rome, Italy

16. Medical School, Democritus University of Thrace , Alexandroupolis, Greece

17. Medical School, University Jean Monnet , Saint Etienne, France

18. Department of Pulmonology, Canisius Wilhelmina Hospital , Nijmegen, Netherlands

19. Department of Cardiothoracic Surgery, Odense University Hospital , Odense, Denmark

20. Department of Thoracic Surgery, University of Luxembourg, Hôpitaux Robert Schuman , Luxembourg, Luxembourg

21. Institute for Evidence in Medicine, University Medical Center Freiburg , Freiburg, Germany

22. Competence Center for Thoracic Surgery, Charité – Universitätsmedizin , Berlin, Germany

23. Department of Surgery, Campus Charité Mitte, Campus Virchow-Klinikum , Berlin, Germany

24. Department of Thoracic Surgery, Center for Thoracic Diseases, University Medical Center of the Johannes Gutenberg University Mainz , Mainz, Germany

25. Department of Thoracic and Vascular Surgery, Antwerp University Hospital , Edegem, Belgium

26. Thorax Centre, St Bartholomew's Hospital , London, UK

27. Clinic for Cardiac and Thoracic Surgery, Magdeburg University Hospital , Magdeburg, Germany

28. Unicamillus—International University of Health Sciences , Rome, Italy

29. Senior Chairs of the Task Force

30. Oxford NIHR Biomedical Research Centre , Oxford, UK

31. Chinese Academy of Medical Sciences Oxford Institute , Oxford, UK

Abstract

Abstract OBJECTIVES The optimal management for spontaneous pneumothorax (SP) remains contentious, with various proposed approaches. This joint clinical practice guideline from the ERS, EACTS and ESTS societies provides evidence-based recommendations for the management of SP. METHODS This multidisciplinary Task Force addressed 12 key clinical questions on the management of pneumothorax, using ERS methodology for guideline development. Systematic searches were performed in MEDLINE and Embase. Evidence was synthesised by conducting meta-analyses, if possible, or narratively. Certainty of evidence was rated with GRADE (Grading, Recommendation, Assessment, Development and Evaluation). The Evidence to Decision framework was used to decide on the direction and strength of the recommendations. RESULTS The panel makes a conditional recommendation for conservative care of minimally symptomatic patients with primary spontaneous pneumothorax (PSP) who are clinically stable. We make a strong recommendation for needle aspiration over chest tube drain for initial PSP treatment. We make a conditional recommendation for ambulatory management for initial PSP treatment. We make a conditional recommendation for early surgical intervention for the initial treatment of PSP in patients who prioritise recurrence prevention. The panel makes a conditional recommendation for autologous blood patch in secondary SP patients with persistent air leak (PAL). The panel could not make recommendations for other interventions, including bronchial valves, suction, pleurodesis in addition to surgical resection or type of surgical pleurodesis. CONCLUSIONS With this international guideline, the ERS, EACTS and ESTS societies provide clinical practice recommendations for SP management. We highlight evidence gaps for the management of PAL and recurrence prevention, with research recommendations made. Shareable Abstract This update of an ERS Task Force statement from 2015 provides a concise comprehensive update of the literature base. 24 evidence-based recommendations were made for management of pneumothorax, balancing clinical priorities and patient views.https://bit.ly/3TKGp9e

Publisher

Oxford University Press (OUP)

Link

https://academic.oup.com/ejcts/article-pdf/65/5/ezae189/57923754/ezae189.pdf

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