Pleurodesis outcome in malignant pleural mesothelioma

被引:43
作者
Fysh, Edward Thomas Hamilton [1 ,2 ]
Tan, Sze Khen [1 ,3 ]
Read, Catherine Ann [1 ]
Lee, Felicity [1 ]
McKenzie, Kate [1 ]
Olsen, Nola [4 ]
Weerasena, Indunil [1 ]
Threlfall, Timothy [5 ]
de Klerk, Nicholas [4 ]
Musk, A. William [1 ,4 ]
Lee, Y. C. Gary [1 ,2 ]
机构
[1] Sir Charles Gairdner Hosp, Resp Dept, Perth, WA, Australia
[2] Univ Western Australia, Dept Med, Sch Med & Pharmacol, Ctr Asthma Allergy & Resp Res, Perth, WA 6009, Australia
[3] Khoo Teck Puat Hosp, Dept Gen Med, Singapore, Singapore
[4] Univ Western Australia, Sch Populat Hlth, Perth, WA 6009, Australia
[5] Western Australia Dept Hlth, Western Australian Canc Registry, Mt Claremont, WA, Australia
基金
英国医学研究理事会;
关键词
D O I
10.1136/thoraxjnl-2012-203043
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Few data exist on the pleurodesis outcome in patients with malignant pleural mesothelioma (MPM). A retrospective review of the Western Australian Mesothelioma Registry over 5 years revealed 390 evaluable patients. Only a subset of patients (42.3%) underwent pleurodesis, surgically (n=78) or by bedside instillation of sclerosants (n=87). Surgical pleurodesis showed no advantages over bedside pleurodesis in efficacy (32% vs 31% failures requiring further drainage, p=0.98), patient survival (p=0.52) or total time spent in hospital from procedure till death (p=0.36). No clinical, biochemical or radiographic parameters tested adequately predict pleurodesis outcome.
引用
收藏
页码:594 / 596
页数:3
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