AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters

Russell J. Miller; Ara A. Chrissian; Y. C.Gary Lee; Najib M. Rahman; Momen M. Wahidi; Alain Tremblay; David W. Hsia; Francisco A. Almeida; Samira Shojaee; Lakshmi Mudambi; Adam R. Belanger; Harmeet Bedi; Yaron B. Gesthalter; Margaret Gaynor; Karen L. MacKenney; Sandra Z. Lewis; Roberto F. Casal

doi:10.1097/LBR.0000000000000707

AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters

Russell J. Miller^*, Ara A. Chrissian, Y. C.Gary Lee, Najib M. Rahman, Momen M. Wahidi, Alain Tremblay, David W. Hsia, Francisco A. Almeida, Samira Shojaee, Lakshmi Mudambi, Adam R. Belanger, Harmeet Bedi, Yaron B. Gesthalter, Margaret Gaynor, Karen L. MacKenney, Sandra Z. Lewis, Roberto F. Casal

^*Corresponding author for this work

Medicine, Pulmonary Division

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

Background:While the efficacy of Indwelling pleural catheters for palliation of malignant pleural effusions is supported by relatively robust evidence, there is less clarity surrounding the postinsertion management.Methods:The Trustworthy Consensus-Based Statement approach was utilized to develop unbiased, scientifically valid guidance for the management of patients with malignant effusions treated with indwelling pleural catheters. A comprehensive electronic database search of PubMed was performed based on a priori crafted PICO questions (Population/Intervention/Comparator/Outcomes paradigm). Manual searches of the literature were performed to identify additional relevant literature. Dual screenings at the title, abstract, and full-text levels were performed. Identified studies were then assessed for quality based on a combination of validated tools. Appropriateness for data pooling and formation of evidence-based recommendations was assessed using predetermined criteria. All panel members participated in development of the final recommendations utilizing the modified Delphi technique.Results:A total of 7 studies were identified for formal quality assessment, all of which were deemed to have a high risk of bias. There was insufficient evidence to allow for data pooling and formation of any evidence-based recommendations. Panel consensus resulted in 11 ungraded consensus-based recommendations.Conclusion:This manuscript was developed to provide clinicians with guidance on the management of patients with indwelling pleural catheters placed for palliation of malignant pleural effusions. Through a systematic and rigorous process, management suggestions were developed based on the best available evidence with augmentation by expert opinion when necessary. In addition, these guidelines highlight important gaps in knowledge which require further study.

Original language	English (US)
Pages (from-to)	229-245
Number of pages	17
Journal	Journal of Bronchology and Interventional Pulmonology
Volume	27
Issue number	4
DOIs	https://doi.org/10.1097/LBR.0000000000000707
State	Published - Oct 1 2020

Funding

These guidelines were Commissioned and funded by the American Association for Bronchology and Interventional Pulmonology. N.M.R. has received personal fees for consultancy work and an unrestricted educational grant from Rocket Medical and was the lead investigator of the MIST-2 trial, funded by unrestricted educational grant from Roche UK. Y.C.G.L. was the lead investigator of AMPLE-1, AMPLE-2 and currently AMPLE-3. Rocket Medical provided free drainage equipment for participants in these multicenter randomized trials. He also served on the advisory board of CareFusion/BD (manufacturer of Pleurx catheter) and has received an unrestricted educational grant from Rocket Medical UK for support of AMPLE-2. In addition, he was a coinvestigator of the MIST-2 trial, funded by an unrestricted educational grant from Roche UK. A.T. was a consultant for, and receipt of royalties for intellectual property from BD Inc. (manufacturer of PleurX catheter). For the remaining authors, there is no conflict of interest or other disclosures.

Keywords

guidelines
indwelling pleural catheter
malignant
palliation
pleural effusion

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine

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10.1097/LBR.0000000000000707

Cite this

Miller, R. J., Chrissian, A. A., Lee, Y. C. G., Rahman, N. M., Wahidi, M. M., Tremblay, A., Hsia, D. W., Almeida, F. A., Shojaee, S., Mudambi, L., Belanger, A. R., Bedi, H., Gesthalter, Y. B., Gaynor, M., MacKenney, K. L., Lewis, S. Z., & Casal, R. F. (2020). AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters. Journal of Bronchology and Interventional Pulmonology, 27(4), 229-245. https://doi.org/10.1097/LBR.0000000000000707

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title = "AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters",

abstract = "Background:While the efficacy of Indwelling pleural catheters for palliation of malignant pleural effusions is supported by relatively robust evidence, there is less clarity surrounding the postinsertion management.Methods:The Trustworthy Consensus-Based Statement approach was utilized to develop unbiased, scientifically valid guidance for the management of patients with malignant effusions treated with indwelling pleural catheters. A comprehensive electronic database search of PubMed was performed based on a priori crafted PICO questions (Population/Intervention/Comparator/Outcomes paradigm). Manual searches of the literature were performed to identify additional relevant literature. Dual screenings at the title, abstract, and full-text levels were performed. Identified studies were then assessed for quality based on a combination of validated tools. Appropriateness for data pooling and formation of evidence-based recommendations was assessed using predetermined criteria. All panel members participated in development of the final recommendations utilizing the modified Delphi technique.Results:A total of 7 studies were identified for formal quality assessment, all of which were deemed to have a high risk of bias. There was insufficient evidence to allow for data pooling and formation of any evidence-based recommendations. Panel consensus resulted in 11 ungraded consensus-based recommendations.Conclusion:This manuscript was developed to provide clinicians with guidance on the management of patients with indwelling pleural catheters placed for palliation of malignant pleural effusions. Through a systematic and rigorous process, management suggestions were developed based on the best available evidence with augmentation by expert opinion when necessary. In addition, these guidelines highlight important gaps in knowledge which require further study.",

keywords = "guidelines, indwelling pleural catheter, malignant, palliation, pleural effusion",

author = "Miller, {Russell J.} and Chrissian, {Ara A.} and Lee, {Y. C.Gary} and Rahman, {Najib M.} and Wahidi, {Momen M.} and Alain Tremblay and Hsia, {David W.} and Almeida, {Francisco A.} and Samira Shojaee and Lakshmi Mudambi and Belanger, {Adam R.} and Harmeet Bedi and Gesthalter, {Yaron B.} and Margaret Gaynor and MacKenney, {Karen L.} and Lewis, {Sandra Z.} and Casal, {Roberto F.}",

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Miller, RJ, Chrissian, AA, Lee, YCG, Rahman, NM, Wahidi, MM, Tremblay, A, Hsia, DW, Almeida, FA, Shojaee, S, Mudambi, L, Belanger, AR, Bedi, H, Gesthalter, YB, Gaynor, M, MacKenney, KL, Lewis, SZ & Casal, RF 2020, 'AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters', Journal of Bronchology and Interventional Pulmonology, vol. 27, no. 4, pp. 229-245. https://doi.org/10.1097/LBR.0000000000000707

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T1 - AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters

AU - Miller, Russell J.

AU - Chrissian, Ara A.

AU - Lee, Y. C.Gary

AU - Rahman, Najib M.

AU - Wahidi, Momen M.

AU - Tremblay, Alain

AU - Hsia, David W.

AU - Almeida, Francisco A.

AU - Shojaee, Samira

AU - Mudambi, Lakshmi

AU - Belanger, Adam R.

AU - Bedi, Harmeet

AU - Gesthalter, Yaron B.

AU - Gaynor, Margaret

AU - MacKenney, Karen L.

AU - Lewis, Sandra Z.

AU - Casal, Roberto F.

PY - 2020/10/1

Y1 - 2020/10/1

N2 - Background:While the efficacy of Indwelling pleural catheters for palliation of malignant pleural effusions is supported by relatively robust evidence, there is less clarity surrounding the postinsertion management.Methods:The Trustworthy Consensus-Based Statement approach was utilized to develop unbiased, scientifically valid guidance for the management of patients with malignant effusions treated with indwelling pleural catheters. A comprehensive electronic database search of PubMed was performed based on a priori crafted PICO questions (Population/Intervention/Comparator/Outcomes paradigm). Manual searches of the literature were performed to identify additional relevant literature. Dual screenings at the title, abstract, and full-text levels were performed. Identified studies were then assessed for quality based on a combination of validated tools. Appropriateness for data pooling and formation of evidence-based recommendations was assessed using predetermined criteria. All panel members participated in development of the final recommendations utilizing the modified Delphi technique.Results:A total of 7 studies were identified for formal quality assessment, all of which were deemed to have a high risk of bias. There was insufficient evidence to allow for data pooling and formation of any evidence-based recommendations. Panel consensus resulted in 11 ungraded consensus-based recommendations.Conclusion:This manuscript was developed to provide clinicians with guidance on the management of patients with indwelling pleural catheters placed for palliation of malignant pleural effusions. Through a systematic and rigorous process, management suggestions were developed based on the best available evidence with augmentation by expert opinion when necessary. In addition, these guidelines highlight important gaps in knowledge which require further study.

AB - Background:While the efficacy of Indwelling pleural catheters for palliation of malignant pleural effusions is supported by relatively robust evidence, there is less clarity surrounding the postinsertion management.Methods:The Trustworthy Consensus-Based Statement approach was utilized to develop unbiased, scientifically valid guidance for the management of patients with malignant effusions treated with indwelling pleural catheters. A comprehensive electronic database search of PubMed was performed based on a priori crafted PICO questions (Population/Intervention/Comparator/Outcomes paradigm). Manual searches of the literature were performed to identify additional relevant literature. Dual screenings at the title, abstract, and full-text levels were performed. Identified studies were then assessed for quality based on a combination of validated tools. Appropriateness for data pooling and formation of evidence-based recommendations was assessed using predetermined criteria. All panel members participated in development of the final recommendations utilizing the modified Delphi technique.Results:A total of 7 studies were identified for formal quality assessment, all of which were deemed to have a high risk of bias. There was insufficient evidence to allow for data pooling and formation of any evidence-based recommendations. Panel consensus resulted in 11 ungraded consensus-based recommendations.Conclusion:This manuscript was developed to provide clinicians with guidance on the management of patients with indwelling pleural catheters placed for palliation of malignant pleural effusions. Through a systematic and rigorous process, management suggestions were developed based on the best available evidence with augmentation by expert opinion when necessary. In addition, these guidelines highlight important gaps in knowledge which require further study.

KW - guidelines

KW - indwelling pleural catheter

KW - malignant

KW - palliation

KW - pleural effusion

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AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters

Abstract

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Keywords

ASJC Scopus subject areas

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