Treating malignant pleural effusions cost consciously.

نویسندگان

  • C P Belani
  • T S Pajeau
  • C L Bennett
چکیده

Malignant pleural effusions are associated with significant morbidity. Prompt clinical evaluation followed by aggressive treatment often results in successful palliation. This report summarizes the traditional and experimental approaches used in the management of malignant pleural effusion and provides an attempt at analysis of cost comparison and resource utilization associated with the use of various sclerosing agents. The standard sclerotherapy for malignant pleural effusions has routinely been performed as an inpatient procedure using a large-bore chest tube for drainage and instillation of a sclerosing agent. Use of a small-bore catheter for drainage and pleurodesis is associated with reduced patient discomfort and appears to be feasible and equally efficacious in the ambulatory setting. Results with the ambulatory procedure are preliminary but promising. Future comparisons with the traditional approach will allow therapy to be based not only on efficacy, but also on the use and expense of related resources.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Th1 and Th2 Cytokine Profiles in Malignant Pleural Effusion

Background: The alteration of Th1 and Th2 cytokine levels is the subject of controversy in pleural effusions caused by malignancy, a situation that favors a Th2 immune response. Objective: To examine the different levels of IL-4 and IL-10 (Th2 cytokines), and IL-2 and interferon-γ (IFN-γ) (Th1 cytokines) in malignant and non-malignant pleural effusions. Method: The cytokine levels in pleural fl...

متن کامل

بررسی میزان آنزیم آدنوزین دآمیناز در انواع پلورال افیوژن لنفوسیتی در بیمارستان‌های فیروزگر و رسول اکرم(ص)The Survey of ADA Level in Different Lymphocytic Pleural Effusions in Firoozgar and Rasoul-e-Akram Hospitals

    Background & Aim: Adenosine deminase(ADA) can be used in the diagnosis of tuberculous pleural effusions. In countries with high prevalence of tuberculous pleural effusions, specificity and sensitivity for ADA test is high, therefore it is an integral part of a diagnostic workup of lymphocyte-rich exudative body fluids, and it is a cheap and economically cost-effective test. No study has bee...

متن کامل

Management of pleural effusions in cancer of the breast.

To the Editor: In the article entitled "Management of Pleural Effusions in Breast Cancer" (Chest 7 5 : 5 1 5 3 , 1 9 7 9 ) , Lees and Hoy report their experience in treating pleural effusions associated with carcinoma of the breast. While their study is a retrospective analysis, the numbers are large, and their technique for instillation of sclerosing agents into the pleural space following dra...

متن کامل

Treatment of recurrent malignant pleural effusion by iodized talc pleurodesis.

Chemical pleurodesis using iodized talc is an effective method of treating symptomatic recurrent malignant pleural effusions. Twenty-three effusions occurring in 21 patients treated by this method are described with two illustrative case reports. The procedure eliminated the need for further chest aspiration in all but one instance. The histological appearances of the pleura at intervals after ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Chest

دوره 113 1 Suppl  شماره 

صفحات  -

تاریخ انتشار 1998