RT Journal Article
SR Electronic
T1 Contribution of PIPE Score on prognostic evaluation of idiopathic pleural effusions (IPE)
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA5042
DO 10.1183/13993003.congress-2016.PA5042
VO 48
IS suppl 60
A1 Galarza Jimenez, Maria Alejandra
A1 Pérez-Rodríguez, Esteban
A1 Arrieta-Narváez, Paola Lucía
A1 Mirambeaux-Villalona, Rosa Mariela
A1 Castro-Acosta, Patricia
A1 Martín-García, Beatriz
A1 Jaureguizar-Oriol, Ana Soledad
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA5042.abstract
AB IPEs are difficult to interpret and often need not always diagnostic but difficult indication thoracoscopyAssess the contribution of PIPE (prognostic in idiopathic pleural effusions) Score to predict malignancyQuantify window period of dx of malignancy and histological filliation1994-2015 6894 PE has been analyzed 3361 in our databaseIPE in 76 patients(3,79%) dx was revalued after 3 years of pursuitRetrospective analysis, meaning and predictive values of benign(Bx)/malignant(Mx) course49 males(64.5%)/27 women(35.5%)Age 68.5+/-4.7After 3 years 12 Mx and 60 BxEosinophilia<10% 19.14% ended being Mx and >=10% 10.02%(p=0.30)Age>=70 ended being Mx 20% and <70 9.67%(p=0.22)Ended up Mx 21.05% with dx pretest Mx and 10.52% with dx pretest Bx(p=0.20)Window period between dx and identification of malignancy was 7,72+/-7monthsHistological filliation mostly lungAnalyzed variables were not significant but showed tendencyThe impact of these according to degree of weighting allowed to develop a predictive score: PIPE Score IPEs are mostly Bx courseParameters most frequently associated with Mx course were ADEPeriod window between IPE dx and occurrence of malignancy was 7months the pulmonary origin were in half casesPIPE Score could help us decide more individualized dx progression in some patientsWe require multicenter studies and validation of protocol of monitoring for IPE with low score.