Management of spontaneous pneumothorax

An American College of Chest Physicians Delphi Consensus Statement

Michael H. Bauman, Charlie Strange, John E. Heffner, Richard Light, Thomas J. Kirby, Jeffrey Klein, James D. Luketich, Edward A. Panacek, Steven A. Sahn, Michael H. Baumann, Charlie Strange, John E. Heffner, Richard Light, Steven A. Sahn, Thomas J. Kirby, Jeffrey Klein, James D. Luketich, Edward A. Panacek, Andrew C. Miller, Colin Selby & 23 others Ian Johnston, John Harvey, Marc Noppen, F. M N H Schramel, Harmeet S. Gill, David Waller, Richard Berrisford, Anthony P C Yim, Jose Ribas Milanez De Campos, Mark Ferguson, Andrus Votik, Kerry Lynn Paape, James E. Stephenson, Averel B. Snyder, Steven M. Keller, Rodney J. Landreneau, Edward F. Patz, Dewey Conces, Kenneth Frumkin, Joseph Varon, Seth Wright, Gerard Silvestri, ACCP Pneumothorax Consensus Group

Research output: Contribution to journalArticle

660 Citations (Scopus)

Abstract

Objective: Provide explicit expert-based consensus recommendations for the management of adults with primary and secondary spontaneous pneumothoraces in an emergency department and inpatient hospital setting. The use of opinion was made explicit by employing a structured questionnaire, appropriateness scores, and consensus scores with a Delphi technique. The guideline was designed to be relevant to physicians who make management decisions for the care of patients with pneumothorax. Options: Decisions for observation, chest tube placement, surgical interventions, and radiographic imaging. Outcomes: Effectiveness of pnemnothorax resolution, duration of land patient tolerance of care, and pneumothorax recurrence. Evidence: Literature review from 1967 to January 1999 and Delphi questionnaire submitted in three iterations to a multidisciplinary physician panel. Values: The guideline development group determined by consensus the relevant outcomes to be considered in developing the Delphi questionnaire. Benefits, harms, and costs: The type and magnitude of benefits, harms, and costs expected for patients from guideline implementation. Recommendations: Management decisions vary between patients with primary or secondary pneumothoraces, with observation of small pneumothoraces being appropriate only for primary pneumothoraces. The level of consensus vanes regarding the specific interventions indicated, but agreement exists for the general principles of care. Validation: Recommendations were peer reviewed by physician experts and were reviewed by the American College of Chest Physicians (ACCP) Health and Science Policy Committee. Implementation: The guideline recommendations will be published in printed and electronic form with distribution of synopses for patients and health care providers. Contents of the guideline will be incorporated into continuing medical education programs.

Original languageEnglish (US)
Pages (from-to)590-602
Number of pages13
JournalChest
Volume119
Issue number2
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Pneumothorax
Guidelines
Physicians
Cost-Benefit Analysis
Patient Care
Patient Care Management
Observation
Delphi Technique
Chest Tubes
Continuing Medical Education
Health Policy
Health Personnel
Hospital Emergency Service
Inpatients
Recurrence
Surveys and Questionnaires

Keywords

  • Consensus
  • Delphi
  • Guideline
  • Management
  • Pneumothorax
  • Practice guideline
  • Spontaneous pneumothorax

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Bauman, M. H., Strange, C., Heffner, J. E., Light, R., Kirby, T. J., Klein, J., ... ACCP Pneumothorax Consensus Group (2001). Management of spontaneous pneumothorax: An American College of Chest Physicians Delphi Consensus Statement. Chest, 119(2), 590-602. https://doi.org/10.1378/chest.119.2.590

Management of spontaneous pneumothorax : An American College of Chest Physicians Delphi Consensus Statement. / Bauman, Michael H.; Strange, Charlie; Heffner, John E.; Light, Richard; Kirby, Thomas J.; Klein, Jeffrey; Luketich, James D.; Panacek, Edward A.; Sahn, Steven A.; Baumann, Michael H.; Strange, Charlie; Heffner, John E.; Light, Richard; Sahn, Steven A.; Kirby, Thomas J.; Klein, Jeffrey; Luketich, James D.; Panacek, Edward A.; Miller, Andrew C.; Selby, Colin; Johnston, Ian; Harvey, John; Noppen, Marc; Schramel, F. M N H; Gill, Harmeet S.; Waller, David; Berrisford, Richard; Yim, Anthony P C; De Campos, Jose Ribas Milanez; Ferguson, Mark; Votik, Andrus; Paape, Kerry Lynn; Stephenson, James E.; Snyder, Averel B.; Keller, Steven M.; Landreneau, Rodney J.; Patz, Edward F.; Conces, Dewey; Frumkin, Kenneth; Varon, Joseph; Wright, Seth; Silvestri, Gerard; ACCP Pneumothorax Consensus Group.

In: Chest, Vol. 119, No. 2, 2001, p. 590-602.

Research output: Contribution to journalArticle

Bauman, MH, Strange, C, Heffner, JE, Light, R, Kirby, TJ, Klein, J, Luketich, JD, Panacek, EA, Sahn, SA, Baumann, MH, Strange, C, Heffner, JE, Light, R, Sahn, SA, Kirby, TJ, Klein, J, Luketich, JD, Panacek, EA, Miller, AC, Selby, C, Johnston, I, Harvey, J, Noppen, M, Schramel, FMNH, Gill, HS, Waller, D, Berrisford, R, Yim, APC, De Campos, JRM, Ferguson, M, Votik, A, Paape, KL, Stephenson, JE, Snyder, AB, Keller, SM, Landreneau, RJ, Patz, EF, Conces, D, Frumkin, K, Varon, J, Wright, S, Silvestri, G & ACCP Pneumothorax Consensus Group 2001, 'Management of spontaneous pneumothorax: An American College of Chest Physicians Delphi Consensus Statement', Chest, vol. 119, no. 2, pp. 590-602. https://doi.org/10.1378/chest.119.2.590
Bauman, Michael H. ; Strange, Charlie ; Heffner, John E. ; Light, Richard ; Kirby, Thomas J. ; Klein, Jeffrey ; Luketich, James D. ; Panacek, Edward A. ; Sahn, Steven A. ; Baumann, Michael H. ; Strange, Charlie ; Heffner, John E. ; Light, Richard ; Sahn, Steven A. ; Kirby, Thomas J. ; Klein, Jeffrey ; Luketich, James D. ; Panacek, Edward A. ; Miller, Andrew C. ; Selby, Colin ; Johnston, Ian ; Harvey, John ; Noppen, Marc ; Schramel, F. M N H ; Gill, Harmeet S. ; Waller, David ; Berrisford, Richard ; Yim, Anthony P C ; De Campos, Jose Ribas Milanez ; Ferguson, Mark ; Votik, Andrus ; Paape, Kerry Lynn ; Stephenson, James E. ; Snyder, Averel B. ; Keller, Steven M. ; Landreneau, Rodney J. ; Patz, Edward F. ; Conces, Dewey ; Frumkin, Kenneth ; Varon, Joseph ; Wright, Seth ; Silvestri, Gerard ; ACCP Pneumothorax Consensus Group. / Management of spontaneous pneumothorax : An American College of Chest Physicians Delphi Consensus Statement. In: Chest. 2001 ; Vol. 119, No. 2. pp. 590-602.
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