ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Palliative semi-permanent abdominal drain for the management of refractory malignant ascites: a retrospective study in a comprehensive cancer center.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Pigtail Catheter for Treatment of Massive Postpartum Ascites: A Rare Case Report in Somalia.International journal of women's health · 2025Article
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10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeRefractory malignant ascites in the advanced palliative phase significantly impacts patients' quality of life (QoL), causing pain, respiratory difficulties, digestive issues, and impaired mobility. While iterative drainages can effectively relieve symptoms, frequent hospital visits and the significant volume of fluid requiring removal pose considerable challenges. A semi-continuous approach using a permanent bedside drain may offer more frequent drainages of smaller volumes. This study aimed to examine the feasibility, reliability, and safety of a semi-permanent bedside abdominal drain for patients in advanced palliative care with refractory malignant ascites.
methodsThis is a retrospective study, with cases identified through computerized queries of digital patient records. Data collected included patient characteristics, biological parameters, procedure details, and end-of-life outcomes.
resultsBetween 2019 and 2024, this drain was proposed to 25 palliative care patients. They had received a median of three lines of oncological treatment, with 60% of them receiving exclusively palliative care at the time of drainage. Drain placement had a beneficial impact on disabling symptoms in over 92% of cases, allowing 60% of patients to return to home hospitalization, without requiring additional hospital visits for paracentesis. The median time between drain placement and end of life was 36.5 days [4;147], while the median time from the diagnosis of refractory ascites to death was 93.7 days [14;263].
conclusionA non-tunneled semi-permanent catheter, easily implanted at the patient's bedside, may improve QoL. This study serves as a pilot for a prospective cohort that will analyze QoL improvements and economic costs.
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