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Surgery versus non-surgical treatment for bronchiectasis

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Removal of affected parts of the lung is often carried out in patients with bronchiectasis. A review was performed with the aim of identifying evidence for the benefit of surgery in bronchiectasis. No randomised controlled trials were identified so it is not possible to provide an unbiased estimate of the benefit of surgery for patients with bronchiectasis.

Hintergrund

Standard treatment for bronchiectasis comprises postural drainage and various regimes of antibiotic therapy. If the disease is confined to localised areas of lung, surgical resection of the affected segments is often performed.

Zielsetzungen

To assess the benefit of surgical resection compared with standard ("conservative") treatment.

Suchstrategie

The Cochrane Airways Group Specialised Register of trials was searched up to May 2011.

Auswahlkriterien

Only randomised, controlled trials were considered

Datensammlung und ‐analyse

The titles, abstracts and citations were independently reviewed by the two reviewers to assess potential relevance for full review.

Hauptergebnisse

No randomised or controlled clinical trials were found, other than case series or case-controlled studies. Subsequent update searches have failed to identify any trials.

Schlussfolgerungen der Autoren

Surgical treatment of bronchiectasis is widely used, but there appear to be no randomised controlled trials. It is not possible to provide an unbiased estimate of its benefit compared to conservative therapy .

Zitierung
Warburton CJ, Corless JA. Surgery versus non-surgical treatment for bronchiectasis. Cochrane Database of Systematic Reviews 2000, Issue 4. Art. No.: CD002180. DOI: 10.1002/14651858.CD002180.

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