Pleural Catheters Versus Thoracoscopic Pleurodesis

Study Overview
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Brief Summary
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The goal of this clinical research study is to compare 2 different methods for treating a pleural effusion. Researchers also want to learn how the treatment you receive effects your quality of life (your ability to do the things you like to do and how happy you feel.

Detailed Description
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If you agree to take part in this study, you may be asked to fill out a questionnaire called the MD Anderson Symptom Inventory (MDASI) before your scheduled pleural effusion treatment procedure, 24 hours after your procedure, and then weekly for the next 4 months. During this time, a member of the study staff or a computer system will call you at home on your desired day and time to complete the questionnaire. The MDASI for lung-related symptoms has 22 questions about the possible symptoms caused by the disease, and how the symptoms may affect the activities of your daily life, which you will rate on a scale of 0-10. The MDASI will take about 5 minutes to complete each time. You will also complete 2 questionnaires called the SF6D Patient Self Assessment and Borg Scale before your scheduled pleural effusion treatment procedure, 2 weeks later, and then 1 time a month for 1 year. These questionnaires are part of your standard of care. There are 7 questions total about how the symptoms may affect the activities of your daily life. If you are not in the clinic, a member of the study staff will call you at home on your desired day and time to complete the questionnaires. The questionnaires should take about 5 minutes total to complete each time. Your information will be stored in a password-protected database for use in future research related to cancer for up to 5 years after the study is completed. Before any of your information that is stored in the database can be used for research, the people doing the research must get specific approval from the Institutional Review Board (IRB) of MD Anderson. The IRB is a committee made up of doctors, researchers, and members of the community. The IRB is responsible for protecting the participants involved in research studies and making sure all research is done in a safe and ethical manner. All research done at MD Anderson, including research involving your data from this bank, must first be approved by the IRB. Your information will be given a code number so that none of your personal identifying information will be directly linked to your information. Only the researcher in charge of the database will have access to the code numbers and be able to link the information in the database back to you. Other researchers who use the database will not be able to link your information or file back to you. This is an investigational study. Up to 445 participants will be enrolled at MD Anderson.

Official Title
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Comparative Effectiveness of Indwelling Pleural Catheters Versus Thoracoscopic Pleurodesis for Treatment of Malignant Pleural Effusions

Conditions
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Lung Cancer

Intervention / Treatment
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* Behavioral: MDASI Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with MPE who are suitable for either pleural catheter placement or thoracoscopic pleurodesis who subsequently have either procedure performed Sufficient mental capacity to answer SF-6D and Borg score questions Age 18 or older Life expectancy > 2 months English or Spanish speaking Exclusion Criteria: Patients undergoing pleurodesis for benign disease (e.g., spontaneous pneumothorax) Inability or unwillingness to give informed consent Inability to perform phone call follow-up Pregnancy Previous intrapleural therapy for MPE Prior radiation therapy encompassing the entire hemithorax Chylous effusions associated with malignant disease Bilateral effusions requiring bilateral pleurodesis

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Thoracoscopy Group<br> | Behavioral: MDASI Questionnaire<br>* 19 question M. D. Anderson Symptom Inventory (MDASI) before pleural effusion treatment and at each follow-up visit, takes about 5 minutes to complete each time.<br>* Other names: Survey;|
| Indwelling Pleural Catheters<br> | Behavioral: MDASI Questionnaire<br>* 19 question M. D. Anderson Symptom Inventory (MDASI) before pleural effusion treatment and at each follow-up visit, takes about 5 minutes to complete each time.<br>* Other names: Survey;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality-Adjusted Survival Times | Quality-adjusted time to death (measured as QALYs) for two patient groups (indwelling pleural catheters and thoracoscopy), calculated using Brazier's SF-6D utility measure described to determine utilities, then integrating utilities over time to arrive at quality-adjusted survival for each patient. | 12 Months with follow up until death or recurrence | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Responses to MDASI | M. D. Anderson Symptom Inventory (MDASI) symptoms questionnaire: 19 questions about symptoms rated on a scale of 1-10. | Monthly beginning at pleural effusion treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Malignant Pleural Effusions, MPE, Lungs, Quality of Life, M. D. Anderson Symptom Inventory, MDASI, Indwelling Pleural Catheters, Thoracoscopic Pleurodesis, Symptom burden, Pleurodesis efficacy, Complications, Health care resource utilization