Efficacy and Safety of Stent, Valves, Vapour ablation, Coils and Sealant Therapies in Advanced Emphysema: A Meta-Analysis.
Journal
Turkish thoracic journal
ISSN: 2149-2530
Titre abrégé: Turk Thorac J
Pays: Turkey
ID NLM: 101648545
Informations de publication
Date de publication:
01 Jan 2019
01 Jan 2019
Historique:
received:
10
05
2018
accepted:
17
10
2018
entrez:
22
1
2019
pubmed:
22
1
2019
medline:
22
1
2019
Statut:
epublish
Résumé
Bronchoscopic lung volume reduction (BLVR) methods have emerged as a new treatment option for patients with severe emphysema. Endobronchial valves and coils have been extensively studied. This review assesses efficacy, safety, and cost effectiveness of the BLVR procedures (stent, valves, vapor ablation, endobronchial coils, lung sealant) in patients with severe emphysema. Databases were searched until October 2016, and randomized controlled trials (RCTs) comparing available BLVR procedures to standard medical care or sham bronchoscopy were included. Random effect model and generic inverse variance approach were used for meta-analysis. Out of 381 identified records, 16 RCTs were included. As compared to recommended medical care or sham bronchoscopy, the BLVR procedures are more effective in improving quality of life [SGRQ score (WMD=-6.38; -9.12 to -3.65)] and 6MWT (WMD=24.21; 9.68-38.74) and percentage FEV
Identifiants
pubmed: 30664426
pii: TurkThoracJ.2018.18062
doi: 10.5152/TurkThoracJ.2018.18062
pmc: PMC6340687
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
43-60Références
N Engl J Med. 2003 May 22;348(21):2059-73
pubmed: 12759479
Am J Respir Crit Care Med. 2007 Aug 1;176(3):243-52
pubmed: 17431226
PLoS Med. 2009 Jul 21;6(7):e1000100
pubmed: 19621070
Ther Adv Respir Dis. 2010 Aug;4(4):225-31
pubmed: 20538661
N Engl J Med. 2010 Sep 23;363(13):1233-44
pubmed: 20860505
Lancet. 2011 Sep 10;378(9795):997-1005
pubmed: 21907863
Eur Respir J. 2012 Jun;39(6):1326-33
pubmed: 22075481
Chest. 2012 Sep;142(3):574-582
pubmed: 22116796
Eur Respir J. 2012 Jun;39(6):1334-42
pubmed: 22282552
Respiration. 2012;83(5):400-6
pubmed: 22377613
Br J Gen Pract. 2012 Feb;62(595):e76-81
pubmed: 22520773
Eur Respir J. 2012 Jun;39(6):1319-25
pubmed: 22654006
Chest. 2012 Nov;142(5):1111-1117
pubmed: 22722233
Am J Respir Crit Care Med. 2013 Feb 15;187(4):335-6
pubmed: 23418323
Thorax. 2014 Mar;69(3):280-6
pubmed: 24008689
Lancet Respir Med. 2013 May;1(3):233-40
pubmed: 24429129
Chron Respir Dis. 2014 Nov;11(4):237-45
pubmed: 25147348
J Bronchology Interv Pulmonol. 2014 Oct;21(4):288-97
pubmed: 25321447
Eur Respir J. 2015 Sep;46(3):651-62
pubmed: 25837041
PLoS One. 2015 Apr 08;10(4):e0122656
pubmed: 25853697
Lancet. 2015 Sep 12;386(9998):1066-73
pubmed: 26116485
N Engl J Med. 2015 Dec 10;373(24):2325-35
pubmed: 26650153
JAMA. 2016 Jan 12;315(2):175-84
pubmed: 26757466
Lancet Respir Med. 2016 Mar;4(3):185-93
pubmed: 26899390
JAMA. 2016 May 24-31;315(20):2178-89
pubmed: 27179849
Respir Med. 2016 Aug;117:116-21
pubmed: 27492521
Am J Respir Crit Care Med. 2016 Nov 1;194(9):1073-1082
pubmed: 27580428
Respiration. 2016;92(6):397-403
pubmed: 27838692
Lung. 2017 Feb;195(1):19-28
pubmed: 28005150
Am J Respir Crit Care Med. 2017 Dec 15;196(12):1535-1543
pubmed: 28885054
Am J Respir Crit Care Med. 2018 Nov 1;198(9):1151-1164
pubmed: 29787288
Med Devices (Auckl). 2018 Jun 27;11:225-231
pubmed: 29983599
Mayo Clin Proc. 2018 Oct;93(10):1488-1502
pubmed: 30286833