Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion

Detalhes bibliográficos
Autor(a) principal: Abrão,Fernando Conrado
Data de Publicação: 2017
Outros Autores: Abreu,Igor Renato Louro Bruno de, Cavalcanti,Maria Gabriela, Pompa-Filho,José Franklin Soares
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Pneumologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100014
Resumo: ABSTRACT Objective: To evaluate the safety and feasibility of the use of indwelling pleural catheters (IPCs) in patients with malignant pleural effusion (MPE). Methods: We prospectively collected data from patients with MPE undergoing IPC placement between January of 2014 and July of 2015. All patients submitted to IPC placement had a life expectancy > 30 days, in accordance with the MPE treatment guidelines established by the British Thoracic Society. The data collected included gender, age, body mass index, primary cancer site, duration of IPC drainage, IPC-related complications, length of hospital stay, pleural effusion recurrence, and occurrence of spontaneous pleurodesis. Results: A total of 19 patients underwent IPC placement during the study period. Median overall survival after IPC insertion was 145 days. The median follow-up among the surviving patients was 125 days (range, 53-485 days), and the median time between catheter insertion and removal was 31 days (range, 2-126 days). There were IPC-related complications in 5 patients (26.2%), and spontaneous pleurodesis was achieved in 8 (42.0%). Among those 8 patients, the IPC was removed between days 30 and 126 in 4, and spontaneous pleurodesis occurred within the first 30 days in 4. Conclusions: The use of IPCs seems to be feasible and safe in patients with MPE.
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spelling Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusionPleural effusion, malignantSurvivalPalliative careABSTRACT Objective: To evaluate the safety and feasibility of the use of indwelling pleural catheters (IPCs) in patients with malignant pleural effusion (MPE). Methods: We prospectively collected data from patients with MPE undergoing IPC placement between January of 2014 and July of 2015. All patients submitted to IPC placement had a life expectancy > 30 days, in accordance with the MPE treatment guidelines established by the British Thoracic Society. The data collected included gender, age, body mass index, primary cancer site, duration of IPC drainage, IPC-related complications, length of hospital stay, pleural effusion recurrence, and occurrence of spontaneous pleurodesis. Results: A total of 19 patients underwent IPC placement during the study period. Median overall survival after IPC insertion was 145 days. The median follow-up among the surviving patients was 125 days (range, 53-485 days), and the median time between catheter insertion and removal was 31 days (range, 2-126 days). There were IPC-related complications in 5 patients (26.2%), and spontaneous pleurodesis was achieved in 8 (42.0%). Among those 8 patients, the IPC was removed between days 30 and 126 in 4, and spontaneous pleurodesis occurred within the first 30 days in 4. Conclusions: The use of IPCs seems to be feasible and safe in patients with MPE.Sociedade Brasileira de Pneumologia e Tisiologia2017-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100014Jornal Brasileiro de Pneumologia v.43 n.1 2017reponame:Jornal Brasileiro de Pneumologia (Online)instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)instacron:SBPT10.1590/s1806-37562016000000021info:eu-repo/semantics/openAccessAbrão,Fernando ConradoAbreu,Igor Renato Louro Bruno deCavalcanti,Maria GabrielaPompa-Filho,José Franklin Soareseng2017-08-16T00:00:00Zoai:scielo:S1806-37132017000100014Revistahttp://www.jornaldepneumologia.com.br/default.aspONGhttps://old.scielo.br/oai/scielo-oai.php||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br1806-37561806-3713opendoar:2017-08-16T00:00Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)false
dc.title.none.fl_str_mv Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion
title Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion
spellingShingle Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion
Abrão,Fernando Conrado
Pleural effusion, malignant
Survival
Palliative care
title_short Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion
title_full Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion
title_fullStr Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion
title_full_unstemmed Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion
title_sort Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion
author Abrão,Fernando Conrado
author_facet Abrão,Fernando Conrado
Abreu,Igor Renato Louro Bruno de
Cavalcanti,Maria Gabriela
Pompa-Filho,José Franklin Soares
author_role author
author2 Abreu,Igor Renato Louro Bruno de
Cavalcanti,Maria Gabriela
Pompa-Filho,José Franklin Soares
author2_role author
author
author
dc.contributor.author.fl_str_mv Abrão,Fernando Conrado
Abreu,Igor Renato Louro Bruno de
Cavalcanti,Maria Gabriela
Pompa-Filho,José Franklin Soares
dc.subject.por.fl_str_mv Pleural effusion, malignant
Survival
Palliative care
topic Pleural effusion, malignant
Survival
Palliative care
description ABSTRACT Objective: To evaluate the safety and feasibility of the use of indwelling pleural catheters (IPCs) in patients with malignant pleural effusion (MPE). Methods: We prospectively collected data from patients with MPE undergoing IPC placement between January of 2014 and July of 2015. All patients submitted to IPC placement had a life expectancy > 30 days, in accordance with the MPE treatment guidelines established by the British Thoracic Society. The data collected included gender, age, body mass index, primary cancer site, duration of IPC drainage, IPC-related complications, length of hospital stay, pleural effusion recurrence, and occurrence of spontaneous pleurodesis. Results: A total of 19 patients underwent IPC placement during the study period. Median overall survival after IPC insertion was 145 days. The median follow-up among the surviving patients was 125 days (range, 53-485 days), and the median time between catheter insertion and removal was 31 days (range, 2-126 days). There were IPC-related complications in 5 patients (26.2%), and spontaneous pleurodesis was achieved in 8 (42.0%). Among those 8 patients, the IPC was removed between days 30 and 126 in 4, and spontaneous pleurodesis occurred within the first 30 days in 4. Conclusions: The use of IPCs seems to be feasible and safe in patients with MPE.
publishDate 2017
dc.date.none.fl_str_mv 2017-02-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/s1806-37562016000000021
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
dc.source.none.fl_str_mv Jornal Brasileiro de Pneumologia v.43 n.1 2017
reponame:Jornal Brasileiro de Pneumologia (Online)
instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
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reponame_str Jornal Brasileiro de Pneumologia (Online)
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