Recommendations of the Spanish Society of Thoracic Surgery for the management of malignant pleural effusion.

Autor: Recuero Díaz JL; Servicio de Cirugía Torácica, Hospital Universitario Miguel Servet, Zaragoza, Spain; Instituto de Investigación Sanitaria (IIS) de Aragón, Zaragoza, Spain. Electronic address: jl_recuero@hotmail.com., Figueroa Almánzar S; Servicio de Cirugía Torácica, Hospital Clínico Universitario de Valencia, Valencia, Spain., Gálvez Muñoz C; Servicio de Cirugía Torácica, Hospital Universitario de Alicante, Alicante, Spain., Lázaro Sierra J; Instituto de Investigación Sanitaria (IIS) de Aragón, Zaragoza, Spain; Servicio de Neumología, Hospital Royo Villanova, Zaragoza, Spain., López Porras M; Servicio de Cirugía Torácica, Hospital Universitario Virgen Macarena, Sevilla, Spain., Márquez Medina D; Instituto de Investigación Sanitaria (IIS) de Aragón, Zaragoza, Spain; Servicio de Oncología Médica, Hospital Universitario Miguel Servet, Zaragoza, Spain; Universidad de Zaragoza, Zaragoza, Spain., Nabal Vicuña M; Cuidados Paliativos, Hospital Universitario Arnau de Vilanova, Lleida, Spain., Sánchez Moreno L; Servicio de Cirugía Torácica, Hospital Universitario Marqués de Valdecilla, Santander, Spain., González Cantalejo M; Servicio de Información Biomédica y Biblioteca, Hospital Universitario Miguel Servet, Zaragoza, Spain., Porcel JM; Unidad de Medicina Pleural, Servicio de Medicina Interna, Hospital Universitario Arnau de Vilanova, Lleida, Spain; Institut de Recerca Biomèdica de Lleida Fundació Dr. Pifarré (IRBLleida), Lleida, Spain; Universitat de Lleida, Lleida. Spain.
Jazyk: angličtina
Zdroj: Cirugia espanola [Cir Esp (Engl Ed)] 2022 Nov; Vol. 100 (11), pp. 673-683. Date of Electronic Publication: 2022 Jun 03.
DOI: 10.1016/j.cireng.2022.06.009
Abstrakt: This article summarizes the clinical guidelines for the diagnosis and treatment of malignant pleural effusion (MPE) sponsored by the Spanish Society of Thoracic Surgery (SECT). Ten clinical controversies were elaborated under the methodology of PICO (Patient, Intervention, Comparison, Outcome) questions and the quality of the evidence and grading of the strength of the recommendations was based on the GRADE system. Immunocytochemical and molecular analyses of pleural fluid may avoid further invasive diagnostic procedures. Currently, the definitive control of MPE can be achieved either by pleurodesis (talc poudrage or slurry) or the insertion of a indwelling pleural catheter (IPC). It is likely that the combination of both techniques (i.e., thoracoscopy with talc poudrage and insertion of a IPC, or instillation of talc slurry through a IPC) will have a predominant role in the future therapeutic management.
(Copyright © 2022 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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