• Cochrane Db Syst Rev · Jan 2000

    Review

    Surgery vs non-surgical treatment for bronchiectasis.

    • J A Corless and C J Warburton.
    • Aintree Chest Centre, University Hospital, Aintree, Aintree Chest Centre, University Hospital Aintree, Lower Lane, Liverpool, Merseyside, UK, L9 7AL. j.corless@bigfoot.com
    • Cochrane Db Syst Rev. 2000 Jan 1 (4): CD002180.

    BackgroundStandard 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.ObjectivesTo assess the benefit of surgical resection compared with standard ("conservative") treatment.Search StrategyThe Cochrane Airways Group trials register derived from MEDLINE, EMBASE and hand searching of major journals was searched using the terms [bronchiect* AND surg* OR resection OR lobect* OR pneumonect* OR segementect*].Selection CriteriaOnly randomised, controlled trials were consideredData Collection And AnalysisThe titles, abstracts and citations were independently reviewed by the two reviewers to assess potential relevance for full review. STATISTICAL CONSIDERATIONS Not applicableMain ResultsNo randomised or controlled clinical trials were found, other than case series or case-controlled studies.Reviewer's ConclusionsSurgical 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.

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