Chemical pleurodesis: From the point of view of pulmonary physicians and thoracic surgeons Kimyasal plörodez: Göǧüs hastaliklari ve göǧüs cerrahisi uzmani bakişi ile
Turkish Journal of Thoracic and Cardiovascular Surgery, cilt.21, sa.2, ss.408-415, 2013 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 2
- Basım Tarihi: 2013
- Doi Numarası: 10.5606/tgkdc.dergisi.2013.6777
- Dergi Adı: Turkish Journal of Thoracic and Cardiovascular Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.408-415
- Anahtar Kelimeler: Pleural effusion, pleurodesis, pneumothorax, questionnaire
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: This study aims to determine clinical approaches of chest physicians' (CP) and thoracic surgeons' (TS) in various divisions in Turkey on chemical pleurodesis. Methods: An invitation letter for a web-based questionnaire including 18 questions on chemical pleurodesis was delivered to CPs and TSs via electronic mail groups of Turkish Respiratory Society, Turkish Thoracic Society and Thoracic surgeons. A total of 126 physicians including 69 CPs and 56 TSs answered the questionnaire. One physician did not report his/her speciality. Results: Total number of pleurodesis in respondents in a year was 3441 (mean: 30.5±44.4), and most commonly used agents were talc in powder form, bleomycin, tetracycline and talc solution (78.5%, 30%, 24.8%, 24%, respectively). The mean number of pleurodesis in TSs and CPs in a year were 45.9±51.8 and 13.1±23.1 (p<0.001). Forty percent of TSs and 12.7% of CPs reported that they performed pleurodesis at first attack (p<0.001). Nine point two percent of CPs and 60.7% of TSs marked thoracoscopic pleurodesis as a method (p<0.001). In case of failed pleurodesis, there was a significant difference in favor of TSs for the repetition of the process with same agent (p<0.001). The question of "Who should perform pleurodesis?" was answered by 93.5% of respondents as TSs, and by 63.4% of respondents as CPs. When the same question was evaluated according to the speciality, answers of TSs and CPs were 100%, 29.1% and 87.7%, 92.3%, respectively. Conclusion: Our study results showed that there were different trends of TSs and CPs on pleurodesis in Turkey and these results were consistent with the literature in general.