Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis.
Spontaneous pneumothorax is an extremely frequent pathology. Despite this, there is still no clear consensus on managing these patients. Therefore, we perform a systematic review and meta-analysis of the effectiveness of percutaneous aspiration compared with tube drainage for treating idiopathic spontaneous pneumothorax. Controlled, randomised clinical trials were selected, in which the effectiveness of percutaneous aspiration is compared with that of chest tube drainage, in terms of resolution of the pneumothorax and rates of relapse and hospital admission. Relevant articles were identified by searching electronic databases (e.g., Medline, EMBASE, CENTRAL, mRCT and Pascal), as well as the references of the papers found in this manner, with a cut-off date of April 2009. Quality was assessed by two independent evaluators, using the CASPe appraisal tool. Effectiveness of percutaneous aspiration is compared with that of chest tube drainage, in terms of resolution of the pneumothorax and rates of relapse and hospital admission.
Aguinagalde
Borja
B
Thoracic Surgery Service, Hospital Donostia, Paseo Dr. Beguiristain 115, Donostia-San Sebastián 20014, Spain. aguinavali@hotmail.com
Zabaleta
Jon
J
Fuentes
Marta
M
Bazterargui
Nerea
N
Hernández
Carlos
C
Izquierdo
José Miguel
JM
Pijuan
José Ignacio
JI
Emparanza
José Ignacio
JI
D000328:Adult; D004322:Drainage / Q000379:methods; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000628:therapy*; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence; D012107:Research Design; D013396:Suction / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult