{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T03:12:04Z","timestamp":1791429124149,"version":"4.3.3"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pleural empyema is significant cause of morbidity and mortality. Debate in the literature exists regarding the best initial and definitive therapy, with recent research demonstrating superior short\u2010term outcomes with initial surgical intervention. Despite this, the impact of surgical intervention on long\u2010term outcomes has been incompletely described. A systematic review was undertaken to assess the current evidence evaluating the long\u2010term impact of surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review was undertaken according to PRISMA guidelines utilizing three databases. Articles included all papers where patients received surgical intervention for empyema with outcomes evaluated beyond 90\u2009days. Two reviewers extracted and reviewed the articles. Grey literature was included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven studies and two abstracts were extracted. One study and two abstracts evaluated the quality of life outcomes, two studies evaluated dyspnoea outcomes, seven studies evaluated long\u2010term lung function and two studies evaluated mortality and re\u2010admissions. 60\u201365% of patients had no dyspnoea between 2 and 7\u2009years follow\u2010up. In six of seven studies, normal lung function was achieved in patients with chronic fibrothorax with FEV1% and FVC% improvements between 14\u201330% and 13\u201350%, respectively. The results from such biased cohorts could not be extrapolated to conclude that surgical intervention results in better outcomes than ICC drainage. Risk of bias was severe for all 11 studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Surgical intervention potentially improves post\u2010operative lung function, long\u2010term dyspnoea, and mortality. The impact this has on quality of life remains unknown. Future prospective trials with homogenous comparative groups are required to better define the role of surgery and its impact on long\u2010term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.19123","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T05:19:10Z","timestamp":1718774350000},"page":"1491-1501","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Long\u2010term outcomes in surgically intervened empyema patients: a systematic review"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9892-7741","authenticated-orcid":false,"given":"Jarrod","family":"Jolliffe","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6248-1642","authenticated-orcid":false,"given":"Ben","family":"Dunne","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jazmin","family":"Eckhaus","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2853-1420","authenticated-orcid":false,"given":"Phillip","family":"Antippa","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2020-215267"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2012.02214.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.156406"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2008\/975312"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-1912"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4137\/CCRPM.S5066"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2004.030676"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200510-113JH"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.118.4.1158"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.137000"},{"key":"e_1_2_9_12_1","first-page":"394","article-title":"Assessment of the usefulness of video\u2010assisted thoracoscopic surgery in patients with non\u2010tuberculous thoracic empyema","volume":"7","author":"Lee H","year":"2015","journal-title":"J. Thorac. Dis."},{"key":"e_1_2_9_13_1","first-page":"2855","article-title":"ICD versus VATS as primary treatment in fibrinopurulent stage of empyema thoracis","volume":"7","author":"Nandeesh M","year":"2013","journal-title":"J. Clin. Diagn. Res."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.07.035"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.01.028"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2013.12.010"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.01.030"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492311435338"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042473"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.5152\/TurkThoracJ.2019.180146"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.203190"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2004.45.4.643"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt288.179"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2009.04.043"},{"key":"e_1_2_9_26_1","first-page":"99","article-title":"Surgical treatment of pleural empyema \u2010 our results","volume":"38","author":"Kondov G","year":"2017","journal-title":"Pril (Makedon. Akad. Nauk. Umet. Odd. Med. Nauki)"},{"key":"e_1_2_9_27_1","unstructured":"MeggyesyAW CandiceWilshire ShihTingChiuet al. \"Complicated Pleural Space Infections Are Associated with Prolonged Recovery and Reduced Work Effectiveness Chest 2021 Annual Meeting Orlando Florida\" Articles Abstracts and Reports. 7574. (2021).https:\/\/digitalcommons.psjhealth.org\/publications\/7574."},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.05.090"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1022231"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)01167-8"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.02.027"},{"key":"e_1_2_9_32_1","first-page":"203","article-title":"Management of thoracic empyema: review of 112 cases","volume":"50","author":"Vaziri M","year":"2012","journal-title":"Acta Med. Iran."},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5164-7"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt288.179"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.07.1807"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-018-0146-2"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201505-272OC"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.160.5.9903002"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00130-2020"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resinv.2019.06.008"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1012740"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-1558"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.19123","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T11:45:51Z","timestamp":1764503151000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.19123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,19]]},"references-count":41,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/ans.19123"],"URL":"https:\/\/doi.org\/10.1111\/ans.19123","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,19]]},"assertion":[{"value":"2022-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}