Journal article
Assessment of patient-reported outcome measures in pleural interventions
- Abstract:
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Introduction
There is a lack of data evaluating the clinical effect on symptoms of pleural intervention procedures. This has led to the development of patient-reported outcome measures (PROMs) to define what constitutes patient benefit. The primary aim of this paper was to prospectively assess the effect of pleural procedures on PROMs and investigate the relationship between symptom change and clinical factors.
Methods
We prospectively collected data as part of routine clinical care from 158 patients with pleural effusion requiring interventions. Specific questionnaires included two patient-reported scores (a seven-point Likert scale and a 100 mm visual analogue scale (VAS) to assess symptoms).
Results
Excluding diagnostic aspiration, the majority of patients (108/126, 85.7%) experienced symptomatic benefit from fluid drainage (mean VAS improvement 42.6 mm, SD 24.7, 95% CI 37.9 to 47.3). There was a correlation between symptomatic benefit and volume of fluid removed post aspiration. A negative association was identified between the number of septations seen on ultrasound and improvement in dyspnoea VAS score in patients treated with intercostal chest drain.
Conclusion
The results of our study highlight the effect of pleural interventions from a patient’s perspective. The outcomes defined have the potential to form the basis of a clinical useful tool to appraise the effect, compare the efficiency and identify the importance of pleural interventions to the patients.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 587.7KB, Terms of use)
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- Publisher copy:
- 10.1136/bmjresp-2016-000171
Authors
- Publisher:
- BMJ Publishing Group
- Journal:
- BMJ Open Respiratory Research More from this journal
- Volume:
- 4
- Issue:
- 1
- Pages:
- e000171-e000171
- Publication date:
- 2017-07-01
- Acceptance date:
- 2017-05-18
- DOI:
- EISSN:
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2052-4439
- Keywords:
- Pubs id:
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pubs:708884
- UUID:
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uuid:e46a21b7-d9c9-4694-a906-56573204ee17
- Local pid:
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pubs:708884
- Source identifiers:
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708884
- Deposit date:
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2017-07-31
Terms of use
- Copyright holder:
- Psallidas et al
- Copyright date:
- 2017
- Notes:
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© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
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