TY - JOUR T1 - ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax JF - European Respiratory Journal JO - Eur Respir J SP - 321 LP - 335 DO - 10.1183/09031936.00219214 VL - 46 IS - 2 AU - Jean-Marie Tschopp AU - Oliver Bintcliffe AU - Philippe Astoul AU - Emilio Canalis AU - Peter Driesen AU - Julius Janssen AU - Marc Krasnik AU - Nicholas Maskell AU - Paul Van Schil AU - Thomy Tonia AU - David A. Waller AU - Charles-Hugo Marquette AU - Giuseppe Cardillo Y1 - 2015/08/01 UR - http://erj.ersjournals.com/content/46/2/321.abstract N2 - Primary spontaneous pneumothorax (PSP) affects young healthy people with a significant recurrence rate. Recent advances in treatment have been variably implemented in clinical practice. This statement reviews the latest developments and concepts to improve clinical management and stimulate further research.The European Respiratory Society's Scientific Committee established a multidisciplinary team of pulmonologists and surgeons to produce a comprehensive review of available scientific evidence.Smoking remains the main risk factor of PSP. Routine smoking cessation is advised. More prospective data are required to better define the PSP population and incidence of recurrence. In first episodes of PSP, treatment approach is driven by symptoms rather than PSP size. The role of bullae rupture as the cause of air leakage remains unclear, implying that any treatment of PSP recurrence includes pleurodesis. Talc poudrage pleurodesis by thoracoscopy is safe, provided calibrated talc is available. Video-assisted thoracic surgery is preferred to thoracotomy as a surgical approach.In first episodes of PSP, aspiration is required only in symptomatic patients. After a persistent or recurrent PSP, definitive treatment including pleurodesis is undertaken. Future randomised controlled trials comparing different strategies are required.A European Task Force reviews scientific evidence and suggests future research for primary spontaneous pneumothorax http://ow.ly/MWhuF ER -