Key result
Chest tubes and sclerotherapy remain standard for malignant pleural effusion alongside cost-effective outpatient pleuroscopy and catheters.
Why the study?
What are the current medical, economic, and social aspects of different treatment options for the management of malignant pleural effusion?
What are the current medical, economic, and social aspects of different treatment options for the management of malignant pleural effusion?
Medical pleuroscopy and indwelling pleural catheters are emerging as cost-effective, outpatient palliative treatments for malignant pleural effusion alongside standard chest tube insertion and sclerotherapy.
Answers are grounded in this paper and cite their sources.
May support outpatient options in select patients; leaves open need for randomized comparisons of efficacy and costs.
PURPOSE OF REVIEW: Thirty percent of lung cancers eventually result in malignant pleural effusion (MPE). Devastating consequences of MPE, such as dyspnea and cough, severely deteriorate the quality of life of these patients. Malignant pleural effusion portends a dismal prognosis of less than 6-month longevity, with the exception of breast and ovarian cancer. Given the poor prognosis of the majority of these patients, palliation, rather than cure, should be the goal of therapy. RECENT FINDINGS: Chest tube insertion and sclerotherapy remain the standard of care. Emerging therapeutic options such as medical pleuroscopy and indwelling pleural catheters offer cost-effective and outpatient treatments for MPE. SUMMARY: In the following review, the medical, economic, and social aspects of different current options for the management of MPE are discussed.
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Ali I. Musani (2009) conducted a review in Malignant pleural effusion. Chest tube insertion, sclerotherapy, medical pleuroscopy, and indwelling pleural catheters was evaluated. Chest tube insertion and sclerotherapy remain the standard of care for malignant pleural effusion, while medical pleuroscopy and indwelling pleural catheters offer cost-effective outpatient options.
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