Management of Malignant Pleural Effusions.

Indwelling pleural catheter Malignant Pleural effusion Pleurodesis Tunneled pleural catheter

Journal

Clinics in chest medicine
ISSN: 1557-8216
Titre abrégé: Clin Chest Med
Pays: United States
ID NLM: 7907612

Informations de publication

Date de publication:
06 2020
Historique:
entrez: 14 5 2020
pubmed: 14 5 2020
medline: 11 11 2020
Statut: ppublish

Résumé

Malignant pleural effusion frequently complicates both solid and hematologic malignancies and is associated with high morbidity, mortality, and health care costs. Although no pleura-specific therapy is known to impact survival, both pleurodesis and indwelling pleural catheter (IPC) placement can significantly alleviate symptoms and improve quality of life. The optimal choice of therapy in terms of efficacy and particularly cost-effectiveness depends on patient preferences and individual characteristics, including lung expansion and life expectancy. Attempting chemical pleurodesis through an IPC in the outpatient setting appears to be a particularly promising approach in the absence of a nonexpandable lung.

Identifiants

pubmed: 32402361
pii: S0272-5231(20)30011-3
doi: 10.1016/j.ccm.2020.02.009
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

259-267

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors report no disclosures.

Auteurs

Majid Shafiq (M)

Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

David Feller-Kopman (D)

Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, 1800 Orleans Street, Suite 7-125, Baltimore, MD 21287, USA. Electronic address: dfk@jhmi.edu.

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Classifications MeSH