What question did this study set out to answer?

The review aims to compare the effectiveness of thoracoscopy and closed pleural biopsy with Cope needle in diagnosing undiagnosed exudative pleural effusions.

July 22, 2026Open Access

Thoracoscopy versus closed pleural biopsy with Cope needle in undiagnosed exudative pleural effusions: systematic review

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The review aims to compare the effectiveness of thoracoscopy and closed pleural biopsy with Cope needle in diagnosing undiagnosed exudative pleural effusions.
Systematic review following PRISMA 2020 guidelines
Assessment of methodological quality using validated tools
Evaluation of certainty of evidence using the GRADE approach.
Thoracoscopy shows higher diagnostic yield for malignant pleural disease compared to Cope needle biopsy.
Complication rates and additional diagnostic needs will be analyzed for both procedures.
The study aims to optimize diagnostic strategies across diverse healthcare settings, especially in low-income countries.

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Implication

Systematic review compares diagnostics of thoracoscopy and closed pleural biopsy in undiagnosed exudative pleural effusions, indicating important clinical implications.

Cite This Study

Oliveira et al. (2026) studied this question.

synapsesocial.com/papers/6a605f464163e025518d89cc https://doi.org/10.17605/osf.io/w537b

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Implication

Systematic review compares diagnostics of thoracoscopy and closed pleural biopsy in undiagnosed exudative pleural effusions, indicating important clinical implications.

Thoracoscopy versus closed pleural biopsy with Cope needle in undiagnosed exudative pleural effusions: systematic review

Key Points

Discussion

Implication

Cite This Study

Thoracoscopy versus closed pleural biopsy with Cope needle in undiagnosed exudative pleural effusions: systematic review

Key Points

Discussion

Implication

Cite This Study

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