ArticleJournal of thoracic disease2018
Current practice in management of exudative pleural effusions-a survey of American Association of Bronchology and Interventional Pulmonology (AABIP).
Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 6 citations in OpenAlex.
- Mortality after treatment of malignant pleural effusions with indwelling pleural catheters versus chemical pleurodesis: a population-based study.Respiratory research · 2024Article
- A survey of medical thoracoscopy practices in India.Lung India : official organ of Indian Chest SocietyArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith increased availability of techniques to address pleural effusions including medical thoracoscopy (MT) and tunneled pleural catheter (TPC), we anticipate there has been an evolution in the practice pattern. We sought to evaluate the current practice patterns in the management of exudative pleural effusion in the interventional pulmonary (IP) community.
methodsA questionnaire was developed and was disseminated to all listed American Association of Bronchology and Interventional Pulmonology (AABIP) members. Survey addressed the approach to the management of recurrent exudative pleural effusions with emphasis on the roles of Semi-rigid and rigid thoracoscopy.
resultsOf 388 members who opened the survey, 165 (43%) completed it. The majority were interventional pulmonologists representing academic and private practice in the United States (US), with approximately one third of respondents from other countries. Almost two thirds (61%) of them perform thoracoscopy. For those who do perform thoracoscopy, 93% would perform thoracoscopy for recurrent undiagnosed exudate. Equal numbers perform rigid and semi-rigid thoracoscopy and 31 (44%) perform both procedures, there was no statistically significant difference. There was a slight preference for Semi-rigid thoracoscopy although opinion was skewed slightly in favor of rigid thoracoscopy when asked about diagnostic yield. TPCs play a large role in management patterns, sometimes without and sometimes after thoracoscopy, 59% of the respondents chose a TPC alone for the management of known malignant effusion, while a 16% would combine it with MT (P value <0.0001).
conclusionsThoracoscopy is accepted as the diagnostic procedure of choice for undiagnosed exudative effusion. TPCs play a dominant role in management even when thoracoscopy is performed.
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