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Management of spontaneous pneumothorax and post-interventional pneumothorax: German S3 guideline

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 spont...

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Main Authors: Schnell, Jost (Author) , Beer, Meinrad (Author) , Eggeling, Stephan (Author) , Gesierich, Wolfgang (Author) , Gottlieb, Jens Tobias (Author) , Herth, Felix (Author) , Hofmann, Hans-Stefan (Author) , Jany, Berthold (Author) , Kreuter, Michael (Author) , Ley-Zaporozhan, Julia (Author) , Scheubel, Robert (Author) , Walles, Thorsten (Author) , Wiesemann, Sebastian David (Author) , Worth, Heinrich (Author) , Stoelben, Erich (Author)
Format: Article (Journal)
Language:English
Published: April 2019
In: Respiration
Year: 2019, Volume: 97, Issue: 4, Pages: 370-402
ISSN:1423-0356
DOI:10.1159/000490179
Online Access:Verlag, Volltext: https://doi.org/10.1159/000490179
Verlag, Volltext: https://www.karger.com/Article/FullText/490179
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Author Notes:Jost Schnell, Meinrad Beer, Stephan Eggeling, Wolfgang Gesierich, Jens Gottlieb, Felix J. F. Herth, Hans-Stefan Hofmann, Berthold Jany, Michael Kreuter, Julia Ley-Zaporozhan, Robert Scheubel, Thorsten Walles, Sebastian Wiesemann, Heinrich Worth, Erich Stoelben
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Summary: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. <b><i>Method:</i></b> 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. <b><i>Results:</i></b> 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. <b><i>Discussion:</i></b> 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.
Item Description:Gesehen am 25.07.2019
Physical Description:Online Resource
ISSN:1423-0356
DOI:10.1159/000490179

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