Quality of life in patients with malignant pleural effusion treated with an indwelling pleural catheter in an emerging country
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
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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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 |
_version_ |
1800222766622834688 |