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- W4312977203 abstract "During the COVID pandemic, the British Thoracic Society recommended first-line indwelling pleural catheter (IPC) insertion or therapeutic aspiration for malignant pleural effusion (MPE) instead of admission for chest drain and talc pleurodesis to minimise hospital visits. This study aimed to review the uptake and usage of IPCs during and following the pandemic and its potential cost-effectiveness. Retrospective data analysis of IPCs between 2020-2021 was performed. Data collection included patient sex, age, WHO performance status (PS), indication and duration of IPC. 187 IPCs were inserted; 91% for MPE. 75% elected for IPC as first-line. 57% patients were PS 0-1 and 77% were PS 0-2. In 2020, 30% patients were self-draining compared to 12% in 2021. Mean duration IPC in-situ was 87 days (median 68 days). The pandemic saw increased use of first-line IPCs (75% 2020 vs 52% 2019) particularly in patients with good PS. This reduced initial hospitalisation (4.08 bed days) with an estimated cost saving of £1200 (£300/day) per patient. Self-drainage rates also increased from 13% (2019) to 30% (2020) but have returned to pre-pandemic levels of self-drainage at 12% in 2021 with need for district nurse visits for up to 3 months. Current practice of widespread first-line IPC use in the COVID endemic era may not be cost-effective and needs to be reviewed alongside the pre-existing evidence base." @default.
- W4312977203 created "2023-01-05" @default.
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- W4312977203 date "2022-09-04" @default.
- W4312977203 modified "2023-09-28" @default.
- W4312977203 title "Has the impact of the COVID-19 pandemic on uptake and usage of indwelling pleural catheters reduced its cost-effectiveness?" @default.
- W4312977203 doi "https://doi.org/10.1183/13993003.congress-2022.1946" @default.
- W4312977203 hasPublicationYear "2022" @default.
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