Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country

Detalhes bibliográficos
Autor(a) principal: Lauricella, Leticia Leone
Data de Publicação: 2022
Outros Autores: D'Ambrosio, Paula Duarte, Costa, Priscila Berenice da, Augusto, Marcia Cristina, Pêgo-Fernandes, Paulo Manuel, Terra, Ricardo Mingarini
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
Texto Completo: https://www.revistas.usp.br/clinics/article/view/213408
Resumo: Background: The use of Indwelling Pleural Catheter (IPC) in the care of patients with Malignant Pleural Effusion (MPE) is well established, however studies involving public health systems of low and middle-income countries are still lacking. This study aimed to determine the effect of IPC on the respiratory symptoms and Quality of Life (QoL) of patients with MPE in the setting of a Brazilian public health system. Methods: From August 2015 to November 2019, patients with MPE underwent IPC placement and were prospectively followed. QoL and respiratory symptoms were assessed by the EORTC questionnaires (QLQ-30; LC13) and Visual Analogue Scale (VAS), respectively, at pre-treatment, 30, and 60 days after IPC placement. Results: 56 patients were enrolled with 57 catheters inserted. The mean age was 63 (23‒88) years, of which 17 (30%) were men and 39 (70%) were women. Breast 24 (42%) and lung 21 (37%) were the main primary neoplasms. Cellulitis was the most common complication and all patients recovered with appropriate antimicrobial therapy. QoL did not change significantly over time, however, the VAS showed a significant improvement in dyspnea (+1.2: -0.5; p = 0.001). Conclusion: IPC relieves respiratory symptoms without compromising the QoL, with a low complication rate. It represents a suitable option for patients with MPE and short LE in an emerging country.
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spelling Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging countryBrazilian public health systemIndwelling pleural catheterLife expectancyMalignant pleural effusionQuality of lifeBackground: The use of Indwelling Pleural Catheter (IPC) in the care of patients with Malignant Pleural Effusion (MPE) is well established, however studies involving public health systems of low and middle-income countries are still lacking. This study aimed to determine the effect of IPC on the respiratory symptoms and Quality of Life (QoL) of patients with MPE in the setting of a Brazilian public health system. Methods: From August 2015 to November 2019, patients with MPE underwent IPC placement and were prospectively followed. QoL and respiratory symptoms were assessed by the EORTC questionnaires (QLQ-30; LC13) and Visual Analogue Scale (VAS), respectively, at pre-treatment, 30, and 60 days after IPC placement. Results: 56 patients were enrolled with 57 catheters inserted. The mean age was 63 (23‒88) years, of which 17 (30%) were men and 39 (70%) were women. Breast 24 (42%) and lung 21 (37%) were the main primary neoplasms. Cellulitis was the most common complication and all patients recovered with appropriate antimicrobial therapy. QoL did not change significantly over time, however, the VAS showed a significant improvement in dyspnea (+1.2: -0.5; p = 0.001). Conclusion: IPC relieves respiratory symptoms without compromising the QoL, with a low complication rate. It represents a suitable option for patients with MPE and short LE in an emerging country.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2022-06-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/21340810.1016/j.clinsp.2022.100063Clinics; Vol. 77 (2022); 100063Clinics; v. 77 (2022); 100063Clinics; Vol. 77 (2022); 1000631980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/213408/195367Copyright (c) 2023 Clinicsinfo:eu-repo/semantics/openAccessLauricella, Leticia LeoneD'Ambrosio, Paula DuarteCosta, Priscila Berenice daAugusto, Marcia CristinaPêgo-Fernandes, Paulo ManuelTerra, Ricardo Mingarini2023-07-06T13:04:57Zoai:revistas.usp.br:article/213408Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2023-07-06T13:04:57Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
title Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
spellingShingle Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
Lauricella, Leticia Leone
Brazilian public health system
Indwelling pleural catheter
Life expectancy
Malignant pleural effusion
Quality of life
title_short Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
title_full Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
title_fullStr Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
title_full_unstemmed Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
title_sort Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
author Lauricella, Leticia Leone
author_facet Lauricella, Leticia Leone
D'Ambrosio, Paula Duarte
Costa, Priscila Berenice da
Augusto, Marcia Cristina
Pêgo-Fernandes, Paulo Manuel
Terra, Ricardo Mingarini
author_role author
author2 D'Ambrosio, Paula Duarte
Costa, Priscila Berenice da
Augusto, Marcia Cristina
Pêgo-Fernandes, Paulo Manuel
Terra, Ricardo Mingarini
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Lauricella, Leticia Leone
D'Ambrosio, Paula Duarte
Costa, Priscila Berenice da
Augusto, Marcia Cristina
Pêgo-Fernandes, Paulo Manuel
Terra, Ricardo Mingarini
dc.subject.por.fl_str_mv Brazilian public health system
Indwelling pleural catheter
Life expectancy
Malignant pleural effusion
Quality of life
topic Brazilian public health system
Indwelling pleural catheter
Life expectancy
Malignant pleural effusion
Quality of life
description Background: The use of Indwelling Pleural Catheter (IPC) in the care of patients with Malignant Pleural Effusion (MPE) is well established, however studies involving public health systems of low and middle-income countries are still lacking. This study aimed to determine the effect of IPC on the respiratory symptoms and Quality of Life (QoL) of patients with MPE in the setting of a Brazilian public health system. Methods: From August 2015 to November 2019, patients with MPE underwent IPC placement and were prospectively followed. QoL and respiratory symptoms were assessed by the EORTC questionnaires (QLQ-30; LC13) and Visual Analogue Scale (VAS), respectively, at pre-treatment, 30, and 60 days after IPC placement. Results: 56 patients were enrolled with 57 catheters inserted. The mean age was 63 (23‒88) years, of which 17 (30%) were men and 39 (70%) were women. Breast 24 (42%) and lung 21 (37%) were the main primary neoplasms. Cellulitis was the most common complication and all patients recovered with appropriate antimicrobial therapy. QoL did not change significantly over time, however, the VAS showed a significant improvement in dyspnea (+1.2: -0.5; p = 0.001). Conclusion: IPC relieves respiratory symptoms without compromising the QoL, with a low complication rate. It represents a suitable option for patients with MPE and short LE in an emerging country.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-18
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/213408
10.1016/j.clinsp.2022.100063
url https://www.revistas.usp.br/clinics/article/view/213408
identifier_str_mv 10.1016/j.clinsp.2022.100063
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/213408/195367
dc.rights.driver.fl_str_mv Copyright (c) 2023 Clinics
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Clinics
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 77 (2022); 100063
Clinics; v. 77 (2022); 100063
Clinics; Vol. 77 (2022); 100063
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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