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August 18, 2025Open Access

Efficacy and Cost-Effectiveness of VATS Versus Chest Tube Drainage in First-Episode Primary Spontaneous Pneumothorax With Blebs: A Propensity Score-Matched Retrospective Study

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QLQiaowei Lin

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Overview

Retrospective analysis finds VATS significantly lowers recurrence rates in first-episode pneumothorax, highlighting cost-effectiveness.

Key Points

  • VATS reduced 5-year recurrence rates from 48.5% to 12.1%, demonstrating a significant decrease in recurrence.
  • The incremental cost-effectiveness ratio (ICER) was ¥160,300 per quality-adjusted life-year gained, showing favorable cost-effectiveness.
  • Propensity score matching was employed to balance characteristics among patients receiving VATS or chest tube drainage.
  • Sensitivity analyses confirmed that VATS remains cost-effective even under varying cost scenarios, supporting early surgical intervention.

Cite This Study

Qiaowei Lin (2025) studied this question.

synapsesocial.com/papers/68af2ef0cf1dd9ea359e6dc7https://doi.org/10.21203/rs.3.rs-7363743/v1
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