The Portsmouth thoracoscopy experience, an evaluation of service by retrospective case note analysis
Summary Occupational asbestos exposure has been endemic in Portsmouth. A retrospective case note analysis of 50 patients who underwent thoracoscopy over a 2-year period from January 2003 was undertaken. Biopsies were taken in 47 cases, 31 of which showed malignant mesothelioma. Thirty seven percent...
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| Veröffentlicht in: | Respiratory medicine 2007-05, Vol.101 (5), p.1021-1025 |
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| creator | Fletcher, Sophie V Clark, Robin J |
| description | Summary Occupational asbestos exposure has been endemic in Portsmouth. A retrospective case note analysis of 50 patients who underwent thoracoscopy over a 2-year period from January 2003 was undertaken. Biopsies were taken in 47 cases, 31 of which showed malignant mesothelioma. Thirty seven percent of those without a history of direct exposure to asbestos had mesothelioma, implying that even in the absence of an exposure history a low threshold for investigation should be adopted for the local population. There was no mortality or significant morbidity associated with the procedure. Medical thoracoscopy is safe and effective in the diagnosis of benign and malignant pleural disease particularly in this high risk population. |
| doi_str_mv | 10.1016/j.rmed.2006.08.026 |
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A retrospective case note analysis of 50 patients who underwent thoracoscopy over a 2-year period from January 2003 was undertaken. Biopsies were taken in 47 cases, 31 of which showed malignant mesothelioma. Thirty seven percent of those without a history of direct exposure to asbestos had mesothelioma, implying that even in the absence of an exposure history a low threshold for investigation should be adopted for the local population. There was no mortality or significant morbidity associated with the procedure. Medical thoracoscopy is safe and effective in the diagnosis of benign and malignant pleural disease particularly in this high risk population.</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/j.rmed.2006.08.026</identifier><identifier>PMID: 17088053</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Aged ; Aged, 80 and over ; Asbestos ; Asbestos - adverse effects ; Biological and medical sciences ; Diagnosis, Differential ; Female ; Humans ; Male ; Malignant mesothelioma ; Medical sciences ; Mesothelioma - diagnosis ; Mesothelioma - etiology ; Middle Aged ; Occupational Diseases - diagnosis ; Occupational Diseases - etiology ; Pleural disease ; Pleural Diseases - diagnosis ; Pleural effusion ; Pleural Effusion - etiology ; Pleural Effusion, Malignant - diagnosis ; Pleural Effusion, Malignant - etiology ; Pleural Neoplasms - diagnosis ; Pleural Neoplasms - etiology ; Pneumology ; Pulmonary/Respiratory ; Respiratory system : syndromes and miscellaneous diseases ; Retrospective Studies ; Thoracoscopy ; Thoracoscopy - adverse effects ; Thoracoscopy - methods</subject><ispartof>Respiratory medicine, 2007-05, Vol.101 (5), p.1021-1025</ispartof><rights>Elsevier Ltd</rights><rights>2006 Elsevier Ltd</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-b28b55e5c5dde26799b3c8f71f60d487101e6e7c1f17222cbdc308bd1e3781f3</citedby><cites>FETCH-LOGICAL-c511t-b28b55e5c5dde26799b3c8f71f60d487101e6e7c1f17222cbdc308bd1e3781f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0954611106004392$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18702337$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17088053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fletcher, Sophie V</creatorcontrib><creatorcontrib>Clark, Robin J</creatorcontrib><title>The Portsmouth thoracoscopy experience, an evaluation of service by retrospective case note analysis</title><title>Respiratory medicine</title><addtitle>Respir Med</addtitle><description>Summary Occupational asbestos exposure has been endemic in Portsmouth. A retrospective case note analysis of 50 patients who underwent thoracoscopy over a 2-year period from January 2003 was undertaken. Biopsies were taken in 47 cases, 31 of which showed malignant mesothelioma. Thirty seven percent of those without a history of direct exposure to asbestos had mesothelioma, implying that even in the absence of an exposure history a low threshold for investigation should be adopted for the local population. There was no mortality or significant morbidity associated with the procedure. Medical thoracoscopy is safe and effective in the diagnosis of benign and malignant pleural disease particularly in this high risk population.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Asbestos</subject><subject>Asbestos - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Malignant mesothelioma</subject><subject>Medical sciences</subject><subject>Mesothelioma - diagnosis</subject><subject>Mesothelioma - etiology</subject><subject>Middle Aged</subject><subject>Occupational Diseases - diagnosis</subject><subject>Occupational Diseases - etiology</subject><subject>Pleural disease</subject><subject>Pleural Diseases - diagnosis</subject><subject>Pleural effusion</subject><subject>Pleural Effusion - etiology</subject><subject>Pleural Effusion, Malignant - diagnosis</subject><subject>Pleural Effusion, Malignant - etiology</subject><subject>Pleural Neoplasms - diagnosis</subject><subject>Pleural Neoplasms - etiology</subject><subject>Pneumology</subject><subject>Pulmonary/Respiratory</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Retrospective Studies</subject><subject>Thoracoscopy</subject><subject>Thoracoscopy - adverse effects</subject><subject>Thoracoscopy - methods</subject><issn>0954-6111</issn><issn>1532-3064</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9klGL1DAQx4N4eHunX8AHCci92TpJ2jQFEeTwVDg4wX0PaTpls3abmrSL_faXuosHPviUh_n9JzM_hpDXDHIGTL7f5-GAbc4BZA4qBy6fkQ0rBc8EyOI52UBdFplkjF2Sqxj3AFAXBbwgl6wCpaAUG9Jud0i_-zDFg5-nHZ12Phjro_XjQvH3iMHhYPEdNQPFo-lnMzk_UN_RiOHoLNJmoQGn4OOIdnJHpNZEpIOfMGVMv0QXX5KLzvQRX53fa7K9-7y9_ZrdP3z5dvvpPrMlY1PWcNWUJZa2bFvksqrrRljVVayT0BaqSkujxMqyjlWcc9u0VoBqWoaiUqwT1-Ttqe0Y_K8Z46T3fg5phqgZiBIKWSueKH6ibJo5Buz0GNzBhCVBevWq93r1qlevGpROXlPozbn13Ky1v5GzyATcnAETrem7YAbr4hOnKuBCVIn7cOIweTg6DDraP4ZbF5I_3Xr3_zk-_hO3vRtc-vEnLhif9tWRa9A_1gtYDwAkQCFqLh4Bht6sGg</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Fletcher, Sophie V</creator><creator>Clark, Robin J</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>ASE</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope></search><sort><creationdate>20070501</creationdate><title>The Portsmouth thoracoscopy experience, an evaluation of service by retrospective case note analysis</title><author>Fletcher, Sophie V ; Clark, Robin J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c511t-b28b55e5c5dde26799b3c8f71f60d487101e6e7c1f17222cbdc308bd1e3781f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Asbestos</topic><topic>Asbestos - adverse effects</topic><topic>Biological and medical sciences</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Malignant mesothelioma</topic><topic>Medical sciences</topic><topic>Mesothelioma - diagnosis</topic><topic>Mesothelioma - etiology</topic><topic>Middle Aged</topic><topic>Occupational Diseases - diagnosis</topic><topic>Occupational Diseases - etiology</topic><topic>Pleural disease</topic><topic>Pleural Diseases - diagnosis</topic><topic>Pleural effusion</topic><topic>Pleural Effusion - etiology</topic><topic>Pleural Effusion, Malignant - diagnosis</topic><topic>Pleural Effusion, Malignant - etiology</topic><topic>Pleural Neoplasms - diagnosis</topic><topic>Pleural Neoplasms - etiology</topic><topic>Pneumology</topic><topic>Pulmonary/Respiratory</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Retrospective Studies</topic><topic>Thoracoscopy</topic><topic>Thoracoscopy - adverse effects</topic><topic>Thoracoscopy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fletcher, Sophie V</creatorcontrib><creatorcontrib>Clark, Robin J</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fletcher, Sophie V</au><au>Clark, Robin J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Portsmouth thoracoscopy experience, an evaluation of service by retrospective case note analysis</atitle><jtitle>Respiratory medicine</jtitle><addtitle>Respir Med</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>101</volume><issue>5</issue><spage>1021</spage><epage>1025</epage><pages>1021-1025</pages><issn>0954-6111</issn><eissn>1532-3064</eissn><abstract>Summary Occupational asbestos exposure has been endemic in Portsmouth. A retrospective case note analysis of 50 patients who underwent thoracoscopy over a 2-year period from January 2003 was undertaken. Biopsies were taken in 47 cases, 31 of which showed malignant mesothelioma. Thirty seven percent of those without a history of direct exposure to asbestos had mesothelioma, implying that even in the absence of an exposure history a low threshold for investigation should be adopted for the local population. There was no mortality or significant morbidity associated with the procedure. Medical thoracoscopy is safe and effective in the diagnosis of benign and malignant pleural disease particularly in this high risk population.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>17088053</pmid><doi>10.1016/j.rmed.2006.08.026</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Asbestos Asbestos - adverse effects Biological and medical sciences Diagnosis, Differential Female Humans Male Malignant mesothelioma Medical sciences Mesothelioma - diagnosis Mesothelioma - etiology Middle Aged Occupational Diseases - diagnosis Occupational Diseases - etiology Pleural disease Pleural Diseases - diagnosis Pleural effusion Pleural Effusion - etiology Pleural Effusion, Malignant - diagnosis Pleural Effusion, Malignant - etiology Pleural Neoplasms - diagnosis Pleural Neoplasms - etiology Pneumology Pulmonary/Respiratory Respiratory system : syndromes and miscellaneous diseases Retrospective Studies Thoracoscopy Thoracoscopy - adverse effects Thoracoscopy - methods |
| title | The Portsmouth thoracoscopy experience, an evaluation of service by retrospective case note analysis |
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