A prospective study of patient-centred outcomes in the management of malignant pleural effusions

Background: In a patient population with a limited life expectancy, malignant pleural effusion can significantly impact quality of life (QoL). Different treatment options are available, each with its own effect on QoL. To date, satisfaction with treatment options has not been evaluated. Purpose: To evaluate QoL and satisfaction with treatment using patient-reported outcomes for four different treatment strategies. Design: A prospective, cohort study that compared four treatment options: indwelling pleural catheter (IPC); video assisted thoracic surgery (VATS) and IPC; chest tube and talc slurry; and VATS talc poudrage. Setting: A total of 104 participants were treated across four acute care teaching hospitals in a large Canadian city. Measurements: Patient-reported outcomes were assessed using functional assessment of chronic illness therapy–palliative (FACIT–PAL), London Chest Activity of Daily Living scale and FACIT–treatment satisfaction questionnaires. Results: No significant difference was identified...