Evidence map›Paper›PMID 40538923›Full record

Trial reportRespirology case reports2025

Evaluation of a Digital Health Model of Care for the Management of Adults With Symptomatic Malignant Pleural Effusion.

Victor Duong, Kirstin Tirant, Urooj Raza Khan, Pierce Marsden, Daniel Steinfort, Nicholas Wilsmore, Wasek Faisal, Mani Suleiman, An Tran-Duy, Paul Amores and 2 more

Erratum issuedAbstract readClinical Trial
In one paragraph

Trial report in Respirology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Victor DuongDepartment of Respiratory Medicine Northern Health Melbourne Victoria Australia.
Kirstin TirantDepartment of Respiratory Medicine Northern Health Melbourne Victoria Australia.
Urooj Raza KhanSchool of Psychology and Public Health Latrobe University Melbourne Victoria Australia.
Pierce MarsdenDepartment of Respiratory Medicine Northern Health Melbourne Victoria Australia.
Daniel SteinfortFaculty of Medicine, Dentistry and Health Sciences University of Melbourne Melbourne Victoria Australia.
Nicholas WilsmoreDepartment of Respiratory and Sleep Medicine Eastern Health Melbourne Victoria Australia.
Wasek FaisalDepartment of Medical Oncology Grampians Health Melbourne Victoria Australia.
Mani SuleimanDepartment of Research Northern Health Melbourne Victoria Australia.
An Tran-DuyCentre for Health Policy, Melbourne School of Population and Global Health University of Melbourne Melbourne Australia.
Paul AmoresCentre for Health Policy, Melbourne School of Population and Global Health University of Melbourne Melbourne Australia.ORCID https://orcid.org/0000-0002-3507-2982
Liam M HannanDepartment of Respiratory Medicine Northern Health Melbourne Victoria Australia.
Sanjeevan MuruganandanDepartment of Respiratory Medicine Northern Health Melbourne Victoria Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The management of malignant pleural effusion (MPE) is inconsistent across health services. Many centres do not routinely offer all treatment options for MPE, with indwelling pleural catheter (IPC) being a primary example. This may be due to lack of specialist expertise or nursing capability to support the community-based treatment. New approaches are required to improve access to MPE treatments. This proof-of-concept study examines the feasibility of a virtual model of care for MPE, known as the specialist ambulatory pleural service (SAPS) model of care. This model will be compared with current approaches at other health services in the state, in terms of healthcare utilisation and costs. It will also assess health-related quality of life in individuals with MPE and report patient, carer and nurse experiences with the SAPS model of care. Methods: A prospective, multi-centre, mixed-methods study will be performed. Participants with symptomatic MPE requiring intervention will be consecutively enrolled. The primary outcome is pleural effusion-related hospitalisation from enrolment to death or end of study participation. Secondary outcomes include: Overall hospitalisation, unplanned pleural effusion-related outpatient and emergency department (ED) visits, pleural-related healthcare costs, adverse events, overall survival, percentage of screened patients recruited, percentage dropped out/lost to follow up, percentage of scheduled home visits carried out, percentage of teleultrasound assessments completed, technical issues, percentage of symptom logbooks completed, quality of life, longitudinal symptom monitoring, participant and nursing attitudes to the SAPS model of care, patient activation measure and a stakeholder interview of the SAPS model of care implementation. Discussion: Digital health may improve access to MPE treatments by reducing barriers to specialist care and facilitating training and support for community staff. This trial assesses the SAPS model of care, providing data on barriers and facilitators to its implementation, its efficacy, costs and qualitative outcomes.

Indexed as

digital healthmalignant pleural effusionnursing carepatient‐reported outcomesteleultrasound

Identifiers

PMID40538923
PMCPMC12176497

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.