Safety of indwelling pleural catheter use in patients undergoing chemotherapy: a five-year retrospective evaluation

BMC Pulmonary Medicine

Research Article

Liju Ahmed¹  Parthipan Sivakumar¹  Charleen Chan Wah Hak¹ 

[1] Respiratory Medicine, Guy’s and St Thomas’ NHS Foundation Trust, London, UK;School of Medicine, King’s College London, London, UK;

关键词: Antineoplastic agents;    Catheters;    Indwelling;    Pleura;    Pleural effusion;    Malignant;   

DOI  :  10.1186/s12890-016-0203-7

 received in 2015-11-13, accepted in 2016-03-01,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundIndwelling pleural catheters (IPC) are increasingly becoming a first-line treatment in the management of malignant pleural effusions. Ambulatory management using IPC are increasingly used in this patient group whilst they are receiving concurrent chemotherapy. There are currently no prospective trials examining IPC safety in chemotherapy. This study’s objective is to determine if IPC insertion is safe in patients undergoing chemotherapy.MethodsWe conducted a retrospective analysis of all patients who underwent IPC insertion for malignant pleural effusion at our trust from September 2010 to December 2014. Data was collected on IPC insertion and removal, tumour type, systemic chemotherapy, pleural infection and other complications.ResultsOne hundred four patients were identified, 43 in chemotherapy group and 61 in non-chemotherapy group. The incidence of pleural infection in chemotherapy group vs non-chemotherapy group, 4 (9.3 %) vs 3 (4.9 %) respectively, was not statistically different (Fisher’s exact p = 0.311). There was no significant difference in six-month infection-free duration from the date of IPC insertion (log rank p = 0.394). Overall six-month mortality in chemotherapy group was significantly lower than in non-chemotherapy group (log rank p = 0.007).ConclusionsThis is the second largest retrospective case–control series that concludes systemic chemotherapy is safe in patients with IPC undergoing chemotherapy.

【 授权许可】

CC BY   
© Chan Wah Hak et al. 2016