{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T05:49:02Z","timestamp":1774936142141,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:00:00Z","timestamp":1660089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pac J Clncl Oncology"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Cancer and the associated treatments are important causes of pericardial effusion. However, the natural history of malignant pericardial effusion is largely unknown, especially in the context of newer cancer treatments. We investigated the causes of pericardial effusions in a tertiary oncology center, with particular focus on the prognosis of malignant effusions in the era of contemporary oncological therapies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We obtained data from electronic medical records. Survival analyses were performed utilizing the Kaplan\u2013Meier method. We performed Cox regression to explore the potential clinical factors associated with survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010four patients had pericardial effusion treated with pericardiocentesis during the study period. The mean age was 62\u2010years, and 55% were female. Sixty\u2010eight percent of these patients also had cancer, with approximately half (47%) receiving prior chemotherapy, and a quarter (27%) having had chest radiotherapy. Seventy percent of the patients with active cancer had malignant cells on cytology of pericardial fluid. The median survival of the cohort was 227 days, with malignant effusions having a median survival of 62\u2010days compared to nonmalignant effusions with 1408 days (Logrank statistic 7.4, <jats:italic>p<\/jats:italic>\u2010value .007). Malignant cytology was significantly associated with mortality on univariable analysis (HR 2.5, 95% CI 1.2\u20135.3). Complication rates were low, with no deaths as a direct complication of pericardiocentesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Malignancy is the most common cause of pericardial effusion in this tertiary medical and oncological center. Abnormal cytology with malignant cells has a poor median survival, despite advances in oncological treatment over the last decade. Pericardiocentesis is a safe procedure for these patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajco.13838","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T06:58:20Z","timestamp":1660201100000},"page":"468-472","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Malignant pericardial effusions: A retrospective look at etiology and prognosis in a tertiary oncological center"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2852-0791","authenticated-orcid":false,"given":"Thomas","family":"Quirk","sequence":"first","affiliation":[{"name":"Department of Cardiology Calvary Mater Hospital  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yao","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Cardiology Calvary Mater Hospital  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Sverdlov","sequence":"additional","affiliation":[{"name":"Department of Cardiology Calvary Mater Hospital  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Murch","sequence":"additional","affiliation":[{"name":"Department of Cardiology Calvary Mater Hospital  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.561514"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0046"},{"key":"e_1_2_9_4_1","first-page":"H1725","article-title":"Restraining effect of intact pericardium during acute volume leading","volume":"262","author":"Applegate RJ","year":"1992","journal-title":"Am J Physiol"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.22543\/7674.72.P148155"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4070\/kcj.2012.42.11.725"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2796.2003.01103.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1994.03520010071035"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960110606"},{"issue":"1","key":"e_1_2_9_10_1","article-title":"Etiology of pericardial effusion and outcomes post pericardiocentesis in the Western Region of Saudi Arabia","volume":"12","author":"Albugami S","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2020.12.092"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.00.745"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)32531\u20109"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.03136"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325\u2010020\u201001386\u2010y"},{"key":"e_1_2_9_16_1","unstructured":"R Core Team.R: A Language and Environment for Statistical Computing. 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