AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters.
Catheters, Indwelling
/ adverse effects
Clinical Trials as Topic
Consensus
Delphi Technique
Evidence-Based Medicine
/ methods
Humans
Palliative Care
/ methods
Pleural Effusion, Malignant
/ epidemiology
Pleurodesis
/ methods
Postoperative Complications
/ epidemiology
Practice Guidelines as Topic
/ standards
Pulmonary Medicine
/ organization & administration
Retrospective Studies
Safety
Societies, Medical
/ organization & administration
Treatment Outcome
United States
Journal
Journal of bronchology & interventional pulmonology
ISSN: 1948-8270
Titre abrégé: J Bronchology Interv Pulmonol
Pays: United States
ID NLM: 101496866
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
pubmed:
18
8
2020
medline:
9
7
2021
entrez:
18
8
2020
Statut:
ppublish
Résumé
While the efficacy of Indwelling pleural catheters for palliation of malignant pleural effusions is supported by relatively robust evidence, there is less clarity surrounding the postinsertion management. The Trustworthy Consensus-Based Statement approach was utilized to develop unbiased, scientifically valid guidance for the management of patients with malignant effusions treated with indwelling pleural catheters. A comprehensive electronic database search of PubMed was performed based on a priori crafted PICO questions (Population/Intervention/Comparator/Outcomes paradigm). Manual searches of the literature were performed to identify additional relevant literature. Dual screenings at the title, abstract, and full-text levels were performed. Identified studies were then assessed for quality based on a combination of validated tools. Appropriateness for data pooling and formation of evidence-based recommendations was assessed using predetermined criteria. All panel members participated in development of the final recommendations utilizing the modified Delphi technique. A total of 7 studies were identified for formal quality assessment, all of which were deemed to have a high risk of bias. There was insufficient evidence to allow for data pooling and formation of any evidence-based recommendations. Panel consensus resulted in 11 ungraded consensus-based recommendations. This manuscript was developed to provide clinicians with guidance on the management of patients with indwelling pleural catheters placed for palliation of malignant pleural effusions. Through a systematic and rigorous process, management suggestions were developed based on the best available evidence with augmentation by expert opinion when necessary. In addition, these guidelines highlight important gaps in knowledge which require further study.
Sections du résumé
BACKGROUND
BACKGROUND
While the efficacy of Indwelling pleural catheters for palliation of malignant pleural effusions is supported by relatively robust evidence, there is less clarity surrounding the postinsertion management.
METHODS
METHODS
The Trustworthy Consensus-Based Statement approach was utilized to develop unbiased, scientifically valid guidance for the management of patients with malignant effusions treated with indwelling pleural catheters. A comprehensive electronic database search of PubMed was performed based on a priori crafted PICO questions (Population/Intervention/Comparator/Outcomes paradigm). Manual searches of the literature were performed to identify additional relevant literature. Dual screenings at the title, abstract, and full-text levels were performed. Identified studies were then assessed for quality based on a combination of validated tools. Appropriateness for data pooling and formation of evidence-based recommendations was assessed using predetermined criteria. All panel members participated in development of the final recommendations utilizing the modified Delphi technique.
RESULTS
RESULTS
A total of 7 studies were identified for formal quality assessment, all of which were deemed to have a high risk of bias. There was insufficient evidence to allow for data pooling and formation of any evidence-based recommendations. Panel consensus resulted in 11 ungraded consensus-based recommendations.
CONCLUSION
CONCLUSIONS
This manuscript was developed to provide clinicians with guidance on the management of patients with indwelling pleural catheters placed for palliation of malignant pleural effusions. Through a systematic and rigorous process, management suggestions were developed based on the best available evidence with augmentation by expert opinion when necessary. In addition, these guidelines highlight important gaps in knowledge which require further study.
Identifiants
pubmed: 32804745
doi: 10.1097/LBR.0000000000000707
pii: 01436970-202010000-00004
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
229-245Subventions
Organisme : Marie Curie
ID : MCCC-RP-14-A17178
Pays : United Kingdom
Commentaires et corrections
Type : CommentIn
Références
Taghizadeh N, Fortin M, Tremblay A. US hospitalizations for malignant pleural effusions: data from the 2012 National Inpatient Sample. Chest. 2017;151:845–854.
Feller-Kopman DJ, Reddy CB, DeCamp MM, et al. Management of malignant pleural effusions. an official ATS/STS/STR clinical practice guideline. Am J Respir Crit Care Med. 2018;198:839–849.
Davies HE, Mishra EK, Kahan BC, et al. Effect of an indwelling pleural catheter vs chest tube and talc pleurodesis for relieving dyspnea in patients with malignant pleural effusion: the TIME2 randomized controlled trial. JAMA. 2012;307:2383–2389.
Graham R, Mancher M, Wolman D, et al. Institute of Medicine. Clinical Practice Guidelines We Can Trust. Washington, DC: The National Academies Press; 2011.
Qaseem A, Forland F, Macbeth F, et al. Guidelines International Network: toward international standards for clinical practice guidelines. Ann Intern Med. 2012;156:525–531.
Neumann I, Schunemann HJ. Guideline groups should make recommendations even if the evidence is considered insufficient. CMAJ. 2020;192:E23–E24.
Lewis S, Diekemper R, Ornelas J, et al. Methodologies for the development of CHEST Guidelines and Expert Panel Reports. Chest. 2014;146:182–192.
Diekemper RL, Patel S, Mette SA, et al. Making the GRADE: CHEST updates its methodology. Chest. 2018;153:756–759.
Sterne JAC, Savović J, Page MJ, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:14898.
Sterne JAC, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016;355:i4919.
Specialist Unit for Review Evidence (SURE) checklist. 2018. Available at: http://www.cardiff.ac.uk/specialist- unit-for-review-evidence/resources/critical-appraisal-checklists. Accessed March 15, 2019.
Whitman NI. The Delphi technique as an alternative for committee meetings. J Nurs Educ. 1990;29:377–379.
Hsu CC, Sandford BA. The Delphi technique: making sense of consensus. Prac Assess Res Eval. 2007;12:1–8.
Kwong JS, Chen H, Sun X. Development of evidence-based recommendations: implications for preparing expert consensus statements. Chin Med J (Engl). 2016;129:2998–3000.
Fink A, Kosecoff J, Chassin M, et al. Consensus methods: characteristics and guidelines for use. Am J Public Health. 1984;74:979–983.
Djulbegovic B, Guyatt G. Evidence vs consensus in clinical practice guidelines. JAMA. 2019;322:725–726.
Vial MR, Ost DE, Eapen GA, et al. Intrapleural fibrinolytic therapy in patients with nondraining indwelling pleural catheters. J Bronchology Interv Pulmonol. 2016;23:98–105.
Hak CC, Sivakumar P, Ahmed L. Safety of indwelling pleural catheter use in patients undergoing chemotherapy: a five-year retrospective evaluation. BMC Pulm Med. 2016;16:41.
Mekhaiel E, Kashyap R, Mullon JJ, et al. Infections associated with tunnelled indwelling pleural catheters in patients undergoing chemotherapy. J Bronchology Interv Pulmonol. 2013;20:299–303.
Mitchell MA, Burkett A, Li P, et al. Effect of chemotherapy on removal of indwelling pleural catheters in breast cancer patients with malignant pleural effusions. Respiration. 2018;96:552–559.
Wahidi MM, Reddy C, Yarmus L, et al. Randomized trial of pleural fluid drainage frequency in patients with malignant pleural effusions. The ASAP Trial. Am J Respir Crit Care Med. 2017;195:1050–1057.
Muruganandan S, Azzopardi M, Fitzgerald DB, et al. Aggressive versus symptom-guided drainage of malignant pleural effusion via indwelling pleural catheters (AMPLE-2): an open-label randomised trial. Lancet Respir Med. 2018;6:671–680.
Fysh ETH, Tremblay A, Feller-Kopman D, et al. Clinical outcomes of indwelling pleural catheter-related pleural infections: an international multicenter study. Chest. 2013;144:1597–1602.
Fysh ETH, Waterer GW, Kendall PA, et al. Indwelling pleural catheters reduce inpatient days over pleurodesis for malignant pleural effusion. Chest. 2012;142:394–400.
Thomas R, Fysh ETH, Smith NA, et al. Effect of an indwelling pleural catheter vs talc pleurodesis on hospitalization days in patients with malignant pleural effusion: the ample randomized clinical trial. JAMA. 2017;318:1903–1912.
Lan RS, Lo SK, Chuang ML, et al. Elastance of the pleural space: a predictor for the outcome of pleurodesis in patients with malignant pleural effusion. Ann Intern Med. 1997;126:768–774.
Roberts ME, Neville E, Berrisford RG, et al. BTS Pleural Disease Guideline Group. Management of a malignant pleural effusion: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65(suppl 2):ii32–ii40.
Chopra A, Judson MA, Doelken P, et al. The relationship of pleural manometry with postthoracentesis chest radiographic findings in malignant pleural effusion. Chest. 2020;157:421–426.
Herman DD, Cooper AZ, Esguerra V. Is the finding of an absent “sinusoid sign” on lung ultrasound meaningful? Ann Am Thorac Soc. 2019;16:1075–1075.
Efthymiou CA, Masudi T, Thorpe JA, et al. Malignant pleural effusion in the presence of trapped lung. Five-year experience of PleurX tunnelled catheters. Interact Cardiovasc Thorac Surg. 2009;9:961–964.
Lui MM, Thomas R, Lee YC. Complications of indwelling pleural catheter use and their management. BMJ Open Respir Res. 2016;3:e000123.
Tremblay A, Michaud G. Single-center experience with 250 tunnelled pleural catheter insertions for malignant pleural effusion. Chest. 2006;129:362–368.
Thomas R, Piccolo F, Miller D, et al. Intrapleural fibrinolysis for the treatment of indwelling pleural catheter-related symptomatic loculations: a multicenter observational study. Chest. 2015;148:746–751.
Pollak JS, Burdge CM, Rosenblatt M, et al. Treatment of malignant pleural effusions with tunneled long-term drainage catheters. J Vasc Interv Radiol. 2001;12:201–208.
Fysh ETH, Wrightson JM, Lee YCG, et al. Fractured indwelling pleural catheters. Chest. 2012;141:1090–1094.
Wilshire CL, Louie BE, Aye RW, et al. Safety and efficacy of fibrinolytic therapy in restoring function of an obstructed tunneled pleural catheter. Ann Am Thorac Soc. 2015;12:1317–1322.
Davies HE, Merchant S, McGown A. A study of the complications of small bore ‘Seldinger’ intercostal chest drains. Respirology. 2008;13:603–607.
Piccolo F, Popowicz N, Wong D, et al. Intrapleural tissue plasminogen activator and deoxyribonuclease therapy for pleural infection. J Thorac Dis. 2015;7:999.
Davey P, Brown E, Charani E, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2013;4:CD003543.
Korona-Glowniak I, Los R, Rybojad P, et al. Bacterial colonization of pleural drains in patients with lung cancer: an analysis of risk factors. Med Sci Monit. 2010;16:CR84–CR91.
Donlan RM, Costerton JW. Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev. 2002;15:167–193.
Szeto CC, Li PK, Johnson DW, et al. ISPD catheter-related infection recommendations: 2017 update. Perit Dial Int. 2017;37:141–154.
Cardenas-Garcia J, Fitzpatrick N, Cheng GZ. The utility of ultrasound to diagnose tunnel-tract infection related to indwelling pleural catheters. J Bronchology Interv Pulmonol. 2018;25:248–252.
Faiz SA, Pathania P, Song J, et al. Indwelling pleural catheters for patients with hematologic malignancies. a 14-year, single-center experience. Ann Am Thorac Soc. 2017;14:976–985.
Li PK, Szeto CC, Piraino B, et al. Peritoneal dialysis-related infections recommendations: 2010 update. Perit Dial Int. 2010;30:393–423.
Frost N, Brünger M, Ruwwe-Glösenkamp C, et al. Indwelling pleural catheters for malignancy-associated pleural effusion: report on a single centre’s ten years of experience. BMC Pulm Med. 2019;19:232.
Putnam JB Jr, Light RW, Rodriguez RM, et al. A randomized comparison of indwelling pleural catheter and doxycycline pleurodesis in the management of malignant pleural effusions. Cancer. 1999;86:1992–1999.
Putnam JB Jr, Walsh GL, Swisher SG, et al. Outpatient management of malignant pleural effusion by a chronic indwelling pleural catheter. Ann Thorac Surg. 2000;69:369–375.
Porcel JM, Torres M, Pardina M, et al. Predictors of indwelling pleural catheter removal and infection: a single-center experience with 336 procedures. J Bronchology Interv Pulmonol. 2020;27:86–94.
Bibby AC, Clive AO, Slade GC, et al. Survival in patients with malignant pleural effusions who developed pleural infection: a retrospective case review from six UK centers. Chest. 2015;148:235–241.
Gilbert CR, Lee HJ, Akulian JA, et al. A quality improvement intervention to reduce indwelling tunneled pleural catheter infection rates. Ann Am Thorac Soc. 2015;12:847–853.
Heffner JE, Klein JS, Hampson C. Interventional management of pleural infections. Chest. 2009;136:1148–1159.
Davies HE, Davies RJ, Davies CW. BTS Pleural Disease Guideline Group. Management of pleural infection in adults: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65(suppl 2):ii41–ii53.
Varela G, Jiménez MF, Novoa N. Portable chest drainage systems and outpatient chest tube management. Thorac Surg Clin. 2010;20:421–426.
Toth JW, Reed MF, Ventola LK. Chest tube drainage devices. Semin Respir Crit Care Med. 2019;40:386–393.
Desai U, Joshi JM. Use of pigtail catheter and urosac: numero uno for ambulatory chest drainage! Lung India. 2018;35:395.
Sahn SA. Management of complicated parapneumonic effusions. Am Rev Respir Dis. 1993;148:813–817.
Kasapoglu US, Arinc S, Gungor S, et al. Prognostic factors affecting survival in non-small cell lung carcinoma patients with malignant pleural effusions. Clin Respir J. 2016;10:791–799.
Rahman NM, Maskell NA, West A, et al. Intrapleural use of tissue plasminogen activator and DNase in pleural infection. N Engl J Med. 2011;365:518–526.
Fitzgerald D, Muruganandan S, Uribe-Becerra JP, et al. Outcomes of intrapleural tissue plasminogen activator (tPA) and deoxyribnuclease (DNase) for IPC-related pleural infection (Abstract). Eur Respir J. 2019;54(suppl 63):3835.
Warady BA, Bakkaloglu S, Newland J, et al. Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update. Perit Dial Int. 2012;32(suppl 2):S32–S86.
Gupta B, Bernardini J, Piraino B. Peritonitis associated with exit site and tunnel infections. Am J Kidney Dis. 1996;28:415–419.
Szeto CC, Chow KM, Leung CB, et al. Clinical course of peritonitis due to Pseudomonas species complicating peritoneal dialysis: a review of 104 cases. Kidney Int. 2001;59:2309–2315.
Light RW. Pleural effusion. N Engl J Med. 2002;346:1971–1977.
Gilbert CR, Lee HJ, Skalski JH, et al. the use of indwelling tunneled pleural catheters for recurrent pleural effusions in patients with hematologic malignancies: a multicenter study. Chest. 2015;148:752–758.
Maskell NA, Davies CW, Nunn AJ, et al. U.K. Controlled trial of intrapleural streptokinase for pleural infection. N Engl J Med. 2005;352:865–874.
Menzies SM, Rahman NM, Wrightson JM, et al. Blood culture bottle culture of pleural fluid in pleural infection. Thorax. 2011;66:658–662.
Warren WH, Kalimi R, Khodadadian LM, et al. Management of malignant pleural effusions using the Pleur(x) catheter. Ann Thorac Surg. 2008;85:1049–1055.
Sioris T, Sihvo E, Salo J, et al. Long-term indwelling pleural catheter (PleurX) for malignant pleural effusion unsuitable for talc pleurodesis. Eur J Surg Oncol. 2009;35:546–551.