{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:06:49Z","timestamp":1788952009009,"version":"build-2803163510"},"reference-count":43,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007812","name":"University of Washington","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007812","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jacepopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACEP Open"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.acepjo.2025.100209","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T07:56:34Z","timestamp":1751442994000},"page":"100209","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Management of Primary Spontaneous Pneumothorax in the Emergency Department: A Cost-Effectiveness Analysis"],"prefix":"10.1016","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1700-3913","authenticated-orcid":false,"given":"Margaret L.","family":"Davis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Andrew","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Klemisch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhood","family":"Farjah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Kennedy","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"117","key":"10.1016\/j.acepjo.2025.100209_bib1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1183\/09059180.00005310","article-title":"Spontaneous pneumothorax: epidemiology, pathophysiology and cause","volume":"19","author":"Noppen","year":"2010","journal-title":"Eur Respir Rev"},{"issue":"12","key":"10.1016\/j.acepjo.2025.100209_bib2","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1056\/NEJM200003233421207","article-title":"Spontaneous pneumothorax","volume":"342","author":"Sahn","year":"2000","journal-title":"N Engl J Med"},{"key":"10.1016\/j.acepjo.2025.100209_bib3","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1136\/thorax-2023-220304","article-title":"British Thoracic Society Guideline for pleural disease","volume":"78","author":"Roberts","year":"2023","journal-title":"Thorax"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100209_bib4","first-page":"1398","article-title":"Diagnosis and management of spontaneous pneumothorax","volume":"62","author":"Kirchner","year":"2000","journal-title":"Am Fam Physician"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100209_bib5","article-title":"The contemporary management of spontaneous pneumothorax in adults","volume":"19","author":"Shorthose","year":"2023","journal-title":"Breathe (Sheff)"},{"issue":"5","key":"10.1016\/j.acepjo.2025.100209_bib6","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1056\/NEJMoa1910775","article-title":"Conservative versus interventional treatment for spontaneous pneumothorax","volume":"382","author":"Brown","year":"2020","journal-title":"N Engl J Med"},{"key":"10.1016\/j.acepjo.2025.100209_bib7","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.f1049","article-title":"Consolidated health economic evaluation reporting standards (CHEERS) statement","volume":"346","author":"Husereau","year":"2013","journal-title":"BMJ"},{"key":"10.1016\/j.acepjo.2025.100209_bib8","doi-asserted-by":"crossref","first-page":"e36","DOI":"10.1016\/j.ejim.2017.05.015","article-title":"Incremental cost-effectiveness ratio and net monetary benefit: current use in pharmacoeconomics and future perspectives","volume":"43","author":"Trippoli","year":"2017","journal-title":"Eur J Intern Med"},{"issue":"5","key":"10.1016\/j.acepjo.2025.100209_bib9","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1111\/j.1523-1755.2004.00950.x","article-title":"Acceptance and rejection: cost-effectiveness and the working nephrologist","volume":"66","author":"McFarlane","year":"2004","journal-title":"Kidney Int"},{"issue":"11","key":"10.1016\/j.acepjo.2025.100209_bib10","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1016\/j.hlc.2020.05.107","article-title":"Age and clinical presentation for primary spontaneous pneumothorax","volume":"29","author":"Ghisalberti","year":"2020","journal-title":"Heart Lung Circ"},{"issue":"3","key":"10.1016\/j.acepjo.2025.100209_bib11","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1183\/09031936.06.00091505","article-title":"Aspiration versus tube drainage in primary spontaneous pneumothorax: a randomised study","volume":"27","author":"Ayed","year":"2006","journal-title":"Eur Respir J"},{"issue":"9","key":"10.1016\/j.acepjo.2025.100209_bib12","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1016\/j.ajem.2010.05.017","article-title":"A randomized controlled trial comparing minichest tube and needle aspiration in outpatient management of primary spontaneous pneumothorax","volume":"29","author":"Ho","year":"2011","journal-title":"Am J Emerg Med"},{"issue":"9","key":"10.1016\/j.acepjo.2025.100209_bib13","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1164\/rccm.200111-078OC","article-title":"Manual aspiration versus chest tube drainage in first episodes of primary spontaneous pneumothorax: a multicenter, prospective, randomized pilot study","volume":"165","author":"Noppen","year":"2002","journal-title":"Am J Respir Crit Care Med"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100209_bib14","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01296-2016","article-title":"Randomised comparison of needle aspiration and chest tube drainage in spontaneous pneumothorax","volume":"49","author":"Thelle","year":"2017","journal-title":"Eur Respir J"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100209_bib15","doi-asserted-by":"crossref","first-page":"85","DOI":"10.5090\/kjtcs.2019.52.2.85","article-title":"A prospective randomized trial comparing manual needle aspiration to closed thoracostomy as an initial treatment for the first episode of primary spontaneous pneumothorax","volume":"52","author":"Kim","year":"2019","journal-title":"Korean J Thorac Cardiovasc Surg"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100209_bib16","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.12669\/pjms.346.16126","article-title":"Randomized controlled trial on the comparison of chest tube drainage and needle aspiration in the treatment of primary spontaneous pneumothorax","volume":"34","author":"Ramouz","year":"2018","journal-title":"Pak J Med Sci"},{"issue":"11","key":"10.1016\/j.acepjo.2025.100209_bib17","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.1016\/j.rmed.2012.08.005","article-title":"A prospective, randomised trial of pneumothorax therapy: manual aspiration versus conventional chest tube drainage","volume":"106","author":"Parlak","year":"2012","journal-title":"Respir Med"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100209_bib18","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1378\/chest.108.2.335","article-title":"Spontaneous pneumothorax. Comparison of thoracic drainage vs immediate or delayed needle aspiration","volume":"108","author":"Andrivet","year":"1995","journal-title":"Chest"},{"issue":"25","key":"10.1016\/j.acepjo.2025.100209_bib19","first-page":"1749","article-title":"Effects of pleural drainage using central venous catheter and simple aspiration in treatment of spontaneous pneumothorax: a clinical comparative study","volume":"87","author":"Ma","year":"2007","journal-title":"Zhonghua Yi Xue Za Zhi"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100209_bib20","first-page":"403","article-title":"Comparison of simple manual aspiration and chest tube drainage in the first occurrence of a primary spontaneous pneumothorax","volume":"14","author":"Oh","year":"2003","journal-title":"J Korean Soc Emerg Med"},{"issue":"10243","key":"10.1016\/j.acepjo.2025.100209_bib21","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/S0140-6736(20)31043-6","article-title":"Ambulatory management of primary spontaneous pneumothorax: an open-label, randomised controlled trial","volume":"396","author":"Hallifax","year":"2020","journal-title":"Lancet"},{"issue":"6965","key":"10.1016\/j.acepjo.2025.100209_bib22","doi-asserted-by":"crossref","first-page":"1338","DOI":"10.1136\/bmj.309.6965.1338","article-title":"Simple aspiration versus intercostal tube drainage for spontaneous pneumothorax in patients with normal lungs. British Thoracic Society Research Committee","volume":"309","author":"Harvey","year":"1994","journal-title":"BMJ"},{"key":"10.1016\/j.acepjo.2025.100209_bib23","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1007\/5584_2015_146","article-title":"Comparison of small bore catheter aspiration and chest tube drainage in the management of spontaneous pneumothorax","volume":"866","author":"Korczy\u0144ski","year":"2015","journal-title":"Adv Exp Med Biol"},{"issue":"11","key":"10.1016\/j.acepjo.2025.100209_bib24","first-page":"330","article-title":"The management of pneumothorax with the thoracic vent versus conventional intercostal tube drainage","volume":"108","author":"R\u00f6ggla","year":"1996","journal-title":"Wien Klin Wochenschr"},{"issue":"15","key":"10.1016\/j.acepjo.2025.100209_bib25","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1001\/jama.1996.03540150055031","article-title":"Recommendations of the panel on cost-effectiveness in health and medicine","volume":"276","author":"Weinstein","year":"1996","journal-title":"JAMA"},{"issue":"44","key":"10.1016\/j.acepjo.2025.100209_bib26","first-page":"739","article-title":"Spontaneous pneumothorax","volume":"114","author":"Schnell","year":"2017","journal-title":"Dtsch Arztebl Int"},{"key":"10.1016\/j.acepjo.2025.100209_bib27","author":"Higgins"},{"key":"10.1016\/j.acepjo.2025.100209_bib28","author":"Kochanek"},{"key":"10.1016\/j.acepjo.2025.100209_bib31","author":"Nguyen"},{"key":"10.1016\/j.acepjo.2025.100209_bib32","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1186\/1477-7525-1-54","article-title":"The Health Utilities Index (HUI): concepts, measurement properties and applications","volume":"1","author":"Horsman","year":"2003","journal-title":"Health Qual Life Outcomes"},{"issue":"9","key":"10.1016\/j.acepjo.2025.100209_bib33","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1136\/thoraxjnl-2021-218479","article-title":"Cost-effectiveness of ambulatory care management of primary spontaneous pneumothorax: an open-label, randomised controlled trial","volume":"77","author":"Luengo-Fernandez","year":"2022","journal-title":"Thorax"},{"issue":"11","key":"10.1016\/j.acepjo.2025.100209_bib34","first-page":"12","article-title":"Health Utilities Index Mark 3 Scores for Major Chronic Conditions: Population Norms for Canada Based on the 2013 and 2014 Canadian Community Health Survey","volume":"29","author":"Guertin","year":"2018","journal-title":"Health Rep"},{"issue":"8112","key":"10.1016\/j.acepjo.2025.100209_bib35","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/S0140-6736(79)92893-9","article-title":"Two unexpected deaths from pneumothorax","volume":"1","author":"Peatfield","year":"1979","journal-title":"Lancet"},{"key":"10.1016\/j.acepjo.2025.100209_bib36","series-title":"Methods for the Economic Evaluation of Health Care Programmes","author":"Drummond","year":"2015"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100209_bib37","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1378\/chest.117.6.1551","article-title":"Patient preferences regarding possible outcomes of lung resection: what outcomes should preoperative evaluations target?","volume":"117","author":"Cykert","year":"2000","journal-title":"Chest"},{"key":"10.1016\/j.acepjo.2025.100209_bib38","series-title":"In: StatPearls [Internet]","article-title":"Chest Tube","author":"Ravi","year":"2017"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100209_bib39","doi-asserted-by":"crossref","first-page":"e833","DOI":"10.1016\/S2214-109X(23)00162-6","article-title":"Determining the efficiency path to universal health coverage: cost-effectiveness thresholds for 174 countries based on growth in life expectancy and health expenditures","volume":"11","author":"Pichon-Riviere","year":"2023","journal-title":"Lancet Glob Health"},{"issue":"1","key":"10.1016\/j.acepjo.2025.100209_bib40","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.annemergmed.2020.01.009","article-title":"Comparative effectiveness of interventions in initial management of spontaneous pneumothorax: a systematic review and a Bayesian network meta-analysis","volume":"76","author":"Mummadi","year":"2020","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.acepjo.2025.100209_bib41","series-title":"UpToDate [Internet]","article-title":"Treatment of primary spontaneous pneumothorax in adults","author":"Lee","year":"2022"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100209_bib42","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1378\/chest.119.2.590","article-title":"Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement","volume":"119","author":"Baumann","year":"2001","journal-title":"Chest"},{"issue":"8","key":"10.1016\/j.acepjo.2025.100209_bib43","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1007\/s40273-020-00915-5","article-title":"Why it\u2019s time to abandon the ICER","volume":"38","author":"Paulden","year":"2020","journal-title":"Pharmacoeconomics"},{"key":"10.1016\/j.acepjo.2025.100209_bib45","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.ajem.2020.01.061","article-title":"Use of a telehealth follow-up system to facilitate treatment and discharge of emergency department patients with severe cellulitis","volume":"41","author":"Koziatek","year":"2021","journal-title":"Am J Emerg Med"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100209_bib44","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1183\/09031936.00219214","article-title":"ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax","volume":"46","author":"Tschopp","year":"2015","journal-title":"Eur Respir J"}],"container-title":["JACEP Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2688115225001675?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2688115225001675?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T22:07:24Z","timestamp":1754431644000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2688115225001675"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":43,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["S2688115225001675"],"URL":"https:\/\/doi.org\/10.1016\/j.acepjo.2025.100209","relation":{},"ISSN":["2688-1152"],"issn-type":[{"value":"2688-1152","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Management of Primary Spontaneous Pneumothorax in the Emergency Department: A Cost-Effectiveness Analysis","name":"articletitle","label":"Article Title"},{"value":"JACEP Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acepjo.2025.100209","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of American College of Emergency Physicians.","name":"copyright","label":"Copyright"}],"article-number":"100209"}}