Comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema: a systematic review study
Introduction: Empyema is a respiratory disease that has increased seriously in the past two decades. The usual treatments for the stage III patients includes thoracotomy and video assisted thoracoscopic surgery. Hence a systematic review was conducted to compare the effectiveness and safety of the t...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2021-06-01
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| Series: | Health Technology Assessment in Action |
| Subjects: | |
| Online Access: | https://htainaction.tums.ac.ir/index.php/hta/article/view/46 |
| _version_ | 1798028141102366720 |
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| author | leila Irani Aidin Aryankhesal Vahid Alipour |
| author_facet | leila Irani Aidin Aryankhesal Vahid Alipour |
| author_sort | leila Irani |
| collection | DOAJ |
| description | Introduction: Empyema is a respiratory disease that has increased seriously in the past two decades. The usual treatments for the stage III patients includes thoracotomy and video assisted thoracoscopic surgery. Hence a systematic review was conducted to compare the effectiveness and safety of the two procedures.
Materials and Methods: In this search systematic review the databases of PubMed, Cochrane Library, Scopus, NIHR HTA, Embace, Magiran and SID were searched from 1990 until the end of June 2018. We used CASP checklist to evaluate the quality. Data analysis was performed in STATA software. The pooled effectiveness results were demonstrated in Forest plat.
Results: Among initially 2228 retrieved records, four studies entered in the final stage of review, among which three were included in the meta-analysis. The findings showed that there was no significant difference between the two methods of thoracoscopic surgery and thoracotomy in the treatment of organizational empyema in terms of duration of surgical operation (MD = 1.33, %95 CI: -0.66 _ 3.31, p = 0.18). Postoperative hospital stay was not statistically different between two surgical methods (MD = 1.68, %95 CI: -0.20 _ 3.56, p = 0.08). In terms of safety, there was no particular risk for patients across the surgeries.
Conclusion: There is no statistically significant difference in the operation of video assisted thoracoscopic surgery with thoracotomy in terms of effectiveness and safety. Nevertheless, the results should be considered cautiously due to the little number of included studies. |
| first_indexed | 2024-04-11T19:04:15Z |
| format | Article |
| id | doaj.art-84eb0117b2e1483c9fe2e328b3bbd463 |
| institution | Directory Open Access Journal |
| issn | 2645-3835 |
| language | English |
| last_indexed | 2024-04-11T19:04:15Z |
| publishDate | 2021-06-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Health Technology Assessment in Action |
| spelling | doaj.art-84eb0117b2e1483c9fe2e328b3bbd4632022-12-22T04:07:53ZengTehran University of Medical SciencesHealth Technology Assessment in Action2645-38352021-06-014310.18502/htaa.v4i3.6346Comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema: a systematic review studyleila Irani0Aidin Aryankhesal1Vahid Alipour2MS Student in Health Technology Assessment, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranAssociate Professor, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranAssistant Professor of Health Economics, Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranIntroduction: Empyema is a respiratory disease that has increased seriously in the past two decades. The usual treatments for the stage III patients includes thoracotomy and video assisted thoracoscopic surgery. Hence a systematic review was conducted to compare the effectiveness and safety of the two procedures. Materials and Methods: In this search systematic review the databases of PubMed, Cochrane Library, Scopus, NIHR HTA, Embace, Magiran and SID were searched from 1990 until the end of June 2018. We used CASP checklist to evaluate the quality. Data analysis was performed in STATA software. The pooled effectiveness results were demonstrated in Forest plat. Results: Among initially 2228 retrieved records, four studies entered in the final stage of review, among which three were included in the meta-analysis. The findings showed that there was no significant difference between the two methods of thoracoscopic surgery and thoracotomy in the treatment of organizational empyema in terms of duration of surgical operation (MD = 1.33, %95 CI: -0.66 _ 3.31, p = 0.18). Postoperative hospital stay was not statistically different between two surgical methods (MD = 1.68, %95 CI: -0.20 _ 3.56, p = 0.08). In terms of safety, there was no particular risk for patients across the surgeries. Conclusion: There is no statistically significant difference in the operation of video assisted thoracoscopic surgery with thoracotomy in terms of effectiveness and safety. Nevertheless, the results should be considered cautiously due to the little number of included studies.https://htainaction.tums.ac.ir/index.php/hta/article/view/46Thoracotomy, video assisted thoracoscopic surgery, empyema |
| spellingShingle | leila Irani Aidin Aryankhesal Vahid Alipour Comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema: a systematic review study Health Technology Assessment in Action Thoracotomy, video assisted thoracoscopic surgery, empyema |
| title | Comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema: a systematic review study |
| title_full | Comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema: a systematic review study |
| title_fullStr | Comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema: a systematic review study |
| title_full_unstemmed | Comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema: a systematic review study |
| title_short | Comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema: a systematic review study |
| title_sort | comparison of video assisted thoracoscopic surgery with thoracotomy for treatment of chronic empyema a systematic review study |
| topic | Thoracotomy, video assisted thoracoscopic surgery, empyema |
| url | https://htainaction.tums.ac.ir/index.php/hta/article/view/46 |
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