Etiology, pathological characteristics, and clinical management of black pleural effusion
<h3>Background</h3><p dir="ltr">Pleural effusion is characterized by excessive fluid collection in the pleural cavity. Black pleural effusion (BPE) is a rare entity with only limited scientific data. We aimed to review the current literature on black pleural effusion to c...
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2021
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| _version_ | 1864513549153337344 |
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| author | Zohaib Yousaf (9617058) |
| author2 | Fateen Ata (12217764) Haseeb Chaudhary (14778496) Florian Krause (9120176) Ben Min-Woo Illigens (21322826) Timo Siepmann (4349554) |
| author2_role | author author author author author |
| author_facet | Zohaib Yousaf (9617058) Fateen Ata (12217764) Haseeb Chaudhary (14778496) Florian Krause (9120176) Ben Min-Woo Illigens (21322826) Timo Siepmann (4349554) |
| author_role | author |
| dc.creator.none.fl_str_mv | Zohaib Yousaf (9617058) Fateen Ata (12217764) Haseeb Chaudhary (14778496) Florian Krause (9120176) Ben Min-Woo Illigens (21322826) Timo Siepmann (4349554) |
| dc.date.none.fl_str_mv | 2021-11-12T18:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1097/md.0000000000028130 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Etiology_pathological_characteristics_and_clinical_management_of_black_pleural_effusion/29020835 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Oncology and carcinogenesis Health sciences Epidemiology black pleural effusion pancreaticopleural fistula pleural effusion pleural fluid |
| dc.title.none.fl_str_mv | Etiology, pathological characteristics, and clinical management of black pleural effusion |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Pleural effusion is characterized by excessive fluid collection in the pleural cavity. Black pleural effusion (BPE) is a rare entity with only limited scientific data. We aimed to review the current literature on black pleural effusion to characterize demographics, etiology, clinical presentation, pathological findings, available treatment strategies, and prognosis of this rare condition.</p><h3>Methods</h3><p dir="ltr">We performed a systematic review of case reports and series and synthesized data on demographics, manifestations, management, and outcomes of patients with BPE. We searched Cochrane Library, PubMed, SCOPUS, and Google Scholar for any date until January 10, 2021. All studies (n = 31) that reported black pleural effusion in patients were added to the review. Prospective Register of Systematic Reviews registration number: CRD42020213839. Summary and descriptive analysis was performed on Jamovi version 1.2.</p><h3>Results</h3><p dir="ltr">The mean age of 32 patients with BPE was 53 years, with male predominance (69%). The commonest risk factor was smoking (n = 9) followed by alcohol intake (n = 8). Dyspnea was the commonest symptom (n = 24, 75%). Pleural fluid was mostly exudative (n = 21). The commonest associated diagnosis was malignancy (n = 14), with 50% secondary to metastatic melanoma. The commonest intervention was therapeutic thoracocentesis (n = 25, 78%), and the effusion recurred in half of the cases where recurrence was reported (n = 13). In our review, we found the mortality rate to be at 20.8% (n = 20.8%). 58.3% of the patients were successfully treated and discharged home (n = 14).</p><h3>Conclusion</h3><p dir="ltr">Although rare, BPE appears to be a relevant symptom as it seems to be frequently associated with modifiable risk factors and underlying malignancy. Our systematic review substantiates a vital research gap as observational research is imperative to characterize BPE further and form a basis for designing tailored diagnostic, preventive, and therapeutic strategies for BPE.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000028130" target="_blank">https://dx.doi.org/10.1097/md.0000000000028130</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_9a8373889b9f1b598fc84cd106feacec |
| identifier_str_mv | 10.1097/md.0000000000028130 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29020835 |
| publishDate | 2021 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Etiology, pathological characteristics, and clinical management of black pleural effusionZohaib Yousaf (9617058)Fateen Ata (12217764)Haseeb Chaudhary (14778496)Florian Krause (9120176)Ben Min-Woo Illigens (21322826)Timo Siepmann (4349554)Biomedical and clinical sciencesClinical sciencesOncology and carcinogenesisHealth sciencesEpidemiologyblack pleural effusionpancreaticopleural fistulapleural effusionpleural fluid<h3>Background</h3><p dir="ltr">Pleural effusion is characterized by excessive fluid collection in the pleural cavity. Black pleural effusion (BPE) is a rare entity with only limited scientific data. We aimed to review the current literature on black pleural effusion to characterize demographics, etiology, clinical presentation, pathological findings, available treatment strategies, and prognosis of this rare condition.</p><h3>Methods</h3><p dir="ltr">We performed a systematic review of case reports and series and synthesized data on demographics, manifestations, management, and outcomes of patients with BPE. We searched Cochrane Library, PubMed, SCOPUS, and Google Scholar for any date until January 10, 2021. All studies (n = 31) that reported black pleural effusion in patients were added to the review. Prospective Register of Systematic Reviews registration number: CRD42020213839. Summary and descriptive analysis was performed on Jamovi version 1.2.</p><h3>Results</h3><p dir="ltr">The mean age of 32 patients with BPE was 53 years, with male predominance (69%). The commonest risk factor was smoking (n = 9) followed by alcohol intake (n = 8). Dyspnea was the commonest symptom (n = 24, 75%). Pleural fluid was mostly exudative (n = 21). The commonest associated diagnosis was malignancy (n = 14), with 50% secondary to metastatic melanoma. The commonest intervention was therapeutic thoracocentesis (n = 25, 78%), and the effusion recurred in half of the cases where recurrence was reported (n = 13). In our review, we found the mortality rate to be at 20.8% (n = 20.8%). 58.3% of the patients were successfully treated and discharged home (n = 14).</p><h3>Conclusion</h3><p dir="ltr">Although rare, BPE appears to be a relevant symptom as it seems to be frequently associated with modifiable risk factors and underlying malignancy. Our systematic review substantiates a vital research gap as observational research is imperative to characterize BPE further and form a basis for designing tailored diagnostic, preventive, and therapeutic strategies for BPE.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000028130" target="_blank">https://dx.doi.org/10.1097/md.0000000000028130</a></p>2021-11-12T18:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md.0000000000028130https://figshare.com/articles/journal_contribution/Etiology_pathological_characteristics_and_clinical_management_of_black_pleural_effusion/29020835CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290208352021-11-12T18:00:00Z |
| spellingShingle | Etiology, pathological characteristics, and clinical management of black pleural effusion Zohaib Yousaf (9617058) Biomedical and clinical sciences Clinical sciences Oncology and carcinogenesis Health sciences Epidemiology black pleural effusion pancreaticopleural fistula pleural effusion pleural fluid |
| status_str | publishedVersion |
| title | Etiology, pathological characteristics, and clinical management of black pleural effusion |
| title_full | Etiology, pathological characteristics, and clinical management of black pleural effusion |
| title_fullStr | Etiology, pathological characteristics, and clinical management of black pleural effusion |
| title_full_unstemmed | Etiology, pathological characteristics, and clinical management of black pleural effusion |
| title_short | Etiology, pathological characteristics, and clinical management of black pleural effusion |
| title_sort | Etiology, pathological characteristics, and clinical management of black pleural effusion |
| topic | Biomedical and clinical sciences Clinical sciences Oncology and carcinogenesis Health sciences Epidemiology black pleural effusion pancreaticopleural fistula pleural effusion pleural fluid |