Evidence map›Paper›PMID 40628689›Full record

Observational studyBMJ open respiratory research2025

Psychosocial impact of living with an indwelling pleural catheter in patients with malignant pleural effusions: a thematic analysis.

Junyi Zhang, Janeth Liang, Laletha Agoramoorthy, Shanik Montalvo, Owais Kadwani, Gillian Radcliffe, Parthipan Sivakumar

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMJ open respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05372055 (Malignant Pleural Effusions), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05372055 completednot on this map

Malignant Pleural Effusions: Evaluating the psYchosocial Impact of Indwelling Pleural Catheters on Patients (MY-IPC)

TypeobservationalSponsorGuy's and St Thomas' NHS Foundation TrustRan2022 to 2023Enrolled18ConditionsMalignant Pleural Effusion, Indwelling Pleural CatheterArmsSemi-structure interviews
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Junyi ZhangDepartment of Thoracic Medicine, Guy's and St Thomas' Hospitals NHS Trust, London, UK junyi.2.zhang@kcl.ac.uk.ORCID http://orcid.org/0000-0002-9024-9533
Janeth LiangDepartment of Thoracic Medicine, Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Laletha AgoramoorthyDepartment of Thoracic Medicine, Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Shanik MontalvoFaculty of Life Sciences and Medicine, King's College London, London, UK.
Owais KadwaniDepartment of Thoracic Medicine, Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Gillian RadcliffeDepartment of Thoracic Medicine, Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Parthipan SivakumarWestern Sydney University, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreathlessness is a frequent and debilitating symptom experienced by patients with malignant pleural effusions (MPEs). Indwelling pleural catheters (IPCs) are a recommended first line treatment option, but the psychological and social impact of living with one is poorly understood.

objectivesTo determine the psychosocial impact of living with an IPC among patients with MPEs.

methods18 adult English-speaking patients undergoing IPC management for MPEs were recruited at a single pleural centre in London, UK, between May 2022 and 2023. 23 semi-structured interviews were conducted at 2 weeks and 6-8 weeks post IPC insertion. Inductive thematic analysis of the interview transcripts was used to identify key psychosocial impacts and modulatory factors.

results13 participants completed the semi-structured interviews, mean age 67, 54% female. Seven themes relating to the psychosocial impacts experienced by individuals living with an IPC were identified: anxiety, activities, relationships, independence and control, expectations and adjustments to IPC, acceptance and confidence. These evolved over time, with both positive and negative effects. The effects of the psychosocial impacts were further mediated by three modulatory factors: IPC mediated changes, challenges of IPC care and the overarching impact of cancer. These exerted varying degrees of influence on individuals' psychosocial wellbeing.

conclusionsThis qualitative study highlights for the first time the range of psychosocial impacts experienced by individuals living with an IPC. Identifying the modulatory factors and understanding how these impact patient experience can help to direct future interventions aiming to improve the psychosocial wellbeing for this population. TRIAL REGISTRATION NUMBER: NCT05372055.

Indexed as

Catheters, IndwellingPleural Effusion, MalignantQuality of LifeAdaptation, PsychologicalAgedAged, 80 and overAnxietyDyspneaFemaleHumansLondonMaleMiddle AgedQualitative ResearchPleural DiseasePsychology

Identifiers

PMID40628689
PMCPMC12243593

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Registered trials

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.