Indwelling pleural catheters for non-malignant effusions: a multicentre review of practice.
Indwelling pleural catheters (IPCs) are commonly used in the management of malignant pleural effusion (MPE). There is little data on their use in non-malignant conditions. All IPC insertions for non-malignant cases from five large UK centres were found using prospectively maintained databases. Data...
| Hoofdauteurs: | , , , , , , , , , , , , |
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| Formaat: | Journal article |
| Taal: | English |
| Gepubliceerd in: |
BMJ Publishing Group
2014
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| _version_ | 1826257835596447744 |
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| author | Bhatnagar, R Reid, E Corcoran, J Bagenal, J Pope, S Clive, A Zahan-Evans, N Froeschle, P West, D Rahman, N Chatterji, S Sivasothy, P Maskell, N |
| author_facet | Bhatnagar, R Reid, E Corcoran, J Bagenal, J Pope, S Clive, A Zahan-Evans, N Froeschle, P West, D Rahman, N Chatterji, S Sivasothy, P Maskell, N |
| author_sort | Bhatnagar, R |
| collection | OXFORD |
| description | Indwelling pleural catheters (IPCs) are commonly used in the management of malignant pleural effusion (MPE). There is little data on their use in non-malignant conditions. All IPC insertions for non-malignant cases from five large UK centres were found using prospectively maintained databases. Data were collected on 57 IPC insertions. The commonest indications were hepatic hydrothorax (33%) and inflammatory pleuritis (26%). The mean weekly fluid output was 2.8 L (SD 2.52). 48/57 (84%) patients had no complications. Suspected pleural infection was documented in 2 (3.5%) cases. 33% (19/57) of patients underwent 'spontaneous' pleurodesis at a median time of 71 days. Patients with hepatic disease achieved pleurodesis significantly less often than those with non-hepatic disease (p=0.03). These data support the use of IPCs in select cases of non-malignant disease when maximal medical therapy has failed. |
| first_indexed | 2024-03-06T18:24:28Z |
| format | Journal article |
| id | oxford-uuid:07773bdc-0668-47b7-9de7-a3717e9ef49e |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T18:24:28Z |
| publishDate | 2014 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | oxford-uuid:07773bdc-0668-47b7-9de7-a3717e9ef49e2022-03-26T09:07:40ZIndwelling pleural catheters for non-malignant effusions: a multicentre review of practice.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:07773bdc-0668-47b7-9de7-a3717e9ef49eEnglishSymplectic Elements at OxfordBMJ Publishing Group2014Bhatnagar, RReid, ECorcoran, JBagenal, JPope, SClive, AZahan-Evans, NFroeschle, PWest, DRahman, NChatterji, SSivasothy, PMaskell, NIndwelling pleural catheters (IPCs) are commonly used in the management of malignant pleural effusion (MPE). There is little data on their use in non-malignant conditions. All IPC insertions for non-malignant cases from five large UK centres were found using prospectively maintained databases. Data were collected on 57 IPC insertions. The commonest indications were hepatic hydrothorax (33%) and inflammatory pleuritis (26%). The mean weekly fluid output was 2.8 L (SD 2.52). 48/57 (84%) patients had no complications. Suspected pleural infection was documented in 2 (3.5%) cases. 33% (19/57) of patients underwent 'spontaneous' pleurodesis at a median time of 71 days. Patients with hepatic disease achieved pleurodesis significantly less often than those with non-hepatic disease (p=0.03). These data support the use of IPCs in select cases of non-malignant disease when maximal medical therapy has failed. |
| spellingShingle | Bhatnagar, R Reid, E Corcoran, J Bagenal, J Pope, S Clive, A Zahan-Evans, N Froeschle, P West, D Rahman, N Chatterji, S Sivasothy, P Maskell, N Indwelling pleural catheters for non-malignant effusions: a multicentre review of practice. |
| title | Indwelling pleural catheters for non-malignant effusions: a multicentre review of practice. |
| title_full | Indwelling pleural catheters for non-malignant effusions: a multicentre review of practice. |
| title_fullStr | Indwelling pleural catheters for non-malignant effusions: a multicentre review of practice. |
| title_full_unstemmed | Indwelling pleural catheters for non-malignant effusions: a multicentre review of practice. |
| title_short | Indwelling pleural catheters for non-malignant effusions: a multicentre review of practice. |
| title_sort | indwelling pleural catheters for non malignant effusions a multicentre review of practice |
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