Resultados de una encuesta nacional sobre la situación actual del manejo del derrame pleural

Botana-Rial, Maribel; Núñez-Delgado, Manuel; Leiro-Fernández, Virginia; Fernández-Villar, Alberto

doi:10.1016/j.arbres.2018.07.023

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…However, in our opinion, the analysed sample was sufficient to reflect how LUS is currently used in Spain and allowed us to establish recommendations for the better management of these processes. At the national level, other research groups have developed surveys to investigate the use of LUS in other prevalent pathologies, such as COPD [ 18 ], for the management of pleural effusion [ 7 , 11 ] or in palliative care units [ 19 ]. We believe this type of analysis is required to develop new strategic lines of research through scientific societies, because ultrasound could be used to internally evaluate the quality of healthcare provision in different services, develop guidelines to improve the quality of care, promote the development of training, and to facilitate comparative studies between different hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…From October to December 2020, we carried out a cross-sectional, national level, multicentre study through a survey sent to every member of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) working in hospitals with different levels of complexity. The latter factor was evaluated considering the criteria used in other national studies [ 7 ]. High-complexity centres were considered as those with a large technological endowment, more than 500 beds, and 160–300 medical intern residents (MIRs); intermediate-complexity centres were those with 200–500 beds and more than 50 MIRs; and low-complexity centres had fewer than 200 hospital beds and/or fewer than 50 MIRs.…”

Section: Methodsmentioning

confidence: 99%

“…Using a methodology similar to one our group has previously employed in a similar study [ 7 ], SEPAR members were contacted with the questionnaire by email and asked to complete it using an online platform. The survey included a total of 21 items, four of them designed to assess technological resources and the organisation and infrastructure available for LUS (Table 1 ), 12 items aimed to assess the portfolio of services available using this technique (Table 2 ), and five items were used to understand the centre’s involvement in teaching, training, and research related to ultrasound (Table 3 ).…”

Section: Methodsmentioning

confidence: 99%

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Results from a Spanish national survey on the application of ultrasound in pulmonology services

et al. 2021

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Background This was an observational, cross-sectional, and multicentre study carried out from October to December 2020, through a survey sent to Spanish Society of Pulmonology and Thoracic Surgery members in public hospitals with different levels of complexity. Our objective was to complete a national analysis of clinical practice, organisation, infrastructure, the services portfolio, teaching, and research activity related to ultrasound. Results Data from 104 hospitals were analysed. Ultrasound was used in 56.7% of cases, both in the area of bronchopleural techniques and on conventional wards, with no differences between centres. Lung ultrasound (LUS) was performed more often in the procedures area in intermediate-complexity centres compared to high- and low-complexity centres (36% vs. 31% and 6.25%, respectively). More high-complexity centres had three or more ultrasound scanners than intermediate-complexity centres (38% vs. 16%); 43% of low-complexity centres shared their ultrasound equipment with other specialties. Fewer than 6% of centres did not have an ultrasound machine. LUS was most often used during the treatment of pleural effusion (91.3%), in the differential diagnosis of dyspnoea (51.9%), and to rule out iatrogenic pneumothorax (50.9%). Only 5.7% of the centres had a pulmonologist specialised in LUS. Finally, fewer than 35% of the hospitals were teaching centres and fewer than 18% participated in research projects. Conclusions The use and availability of LUS has grown in pulmonology services, however, still relatively few pulmonologists are specialised in its use. Moreover, teaching and research activity in this field is scarce. Strategies are necessary to improve physicians’ skill at using LUS and to promote its use, with the ultimate goal of improving healthcare activity.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Results from a Spanish national survey on the application of ultrasound in pulmonology services

et al. 2021

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Características de la rehabilitación respiratoria: resultados de una auditoría nacional

Diago

Merchán

Sayago

et al. 2023

Open Respiratory Archives

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Management of malignant pleural effusion in Italian clinical practice: a nationwide survey

et al. 2023

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Background Pleural disease (PD), particularly malignant pleural effusion (MPE), is a common cause of hospital admission and its prevalence is rising worldwide. Recent advances in diagnostic and therapeutic options, such as Indwelling Pleural Catheters (IPCs), have simplified PD treatment, allowing an effective outpatients management. Therefore, dedicated pleural services can improve PD care, guaranteeing specialized management and optimizing time and cost. We aimed to provide an overview on MPE management in Italy, mainly focused on distribution and characteristics of pleural services and IPCs use. Methods A nationwide survey, endorsed by the Italian Thoracic Society, was distributed by email to members of selected subgroups in 2021. Results Ninety (23%) members replied, most of whom being pulmonologists (91%). MPE resulted the most common cause of pleural effusion and was managed with heterogenous approaches, including talc pleurodesis via slurry (43%), talc poudrage (31%), repeated thoracentesis (22%) and IPCs insertion (2%). The setting of IPC insertion was inpatient care in 48% of cases, with a predominance of draining frequency every other day. IPC management mainly relied on caregivers (42%). The presence of a pleural service was reported by 37% of respondents. Conclusions The present study provides an extensive overview of MPE management in Italy, showing a highly heterogeneous approach, a scarce prevalence of out-patient pleural services, and a still limited adoption of IPCs, mainly due to lack of dedicated community care systems. This survey emphasizes the need of promoting a higher spreading of pleural services and an innovative healthcare delivery with more favourable cost-benefit ratio.

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Resultados de una encuesta nacional sobre la situación actual del manejo del derrame pleural

Cited by 3 publications

References 12 publications

Results from a Spanish national survey on the application of ultrasound in pulmonology services

Results from a Spanish national survey on the application of ultrasound in pulmonology services

Características de la rehabilitación respiratoria: resultados de una auditoría nacional

Management of malignant pleural effusion in Italian clinical practice: a nationwide survey

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