{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:51:31Z","timestamp":1777384291696,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Indwelling pleural catheters (IPC) are effective at palliating benign and malignant pleural effusions (MPE). They have also been found to be cost effective from a third-party payor perspective. Little is known of the impact IPCs have on patient-centered quality of life outcomes such as financial burden and patient and caregiver burden. We performed a cross-sectional survey study evaluating the impact of IPCs on multiple patient and caregiver quality of life metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients \u2265 18 years old with an IPC in place for 2 months were eligible. Twenty patients were recruited over a 10-month period. Patients completed the CDC-Health Related Quality of Life (HRQOL)-4 and a HRQOL-financial questionnaire. The primary objective was to describe the socio-economic impact of IPCs. Demographic and IPC specific data were collected. Descriptive statistics were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean (SD) age was 64.3 (0.70). The indication was MPE in 19\/20. All patients had medical insurance. Medicare or Medicaid (CMS) comprised 10\/20 of payors. The median (IQR) copay for private insurers was $238.45 (72-875); 11\/20 had additional costs related to the IPC; 4\/20 had significant life changes after the IPC; 17\/20 received assistance from a non-paid caregiver; 6\/20 patients could not do activities because of the IPC and this negatively impacted QOL in 3\/6 of those patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with IPCs may experience negative life consequences, incur additional medical expenses, and require assistance from a non-paid caregiver. Activities may be negatively impacted by IPC. Discussion of alternative means of symptom palliation and pleurodesis would be beneficial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1049909120954810","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T05:51:56Z","timestamp":1598939516000},"page":"361-365","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["A Survey-Based Study of Patient-Centered Costs Associated With Indwelling Pleural Catheters"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8540-487X","authenticated-orcid":false,"given":"Matthew","family":"Aboudara","sequence":"first","affiliation":[{"name":"St. Luke\u2019s Health System, Division of Pulmonary and Critical Care, University of Missouri at Kansas City School of Medicine, Kansas City, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lance","family":"Roller","sequence":"additional","affiliation":[{"name":"Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob","family":"Lentz","sequence":"additional","affiliation":[{"name":"Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Otis B.","family":"Rickman","sequence":"additional","affiliation":[{"name":"Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin A.","family":"Gillaspie","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabien","family":"Maldonado","sequence":"additional","affiliation":[{"name":"Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,1]]},"reference":[{"key":"bibr1-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.11.010"},{"key":"bibr2-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-2366"},{"key":"bibr3-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201807-1415ST"},{"key":"bibr4-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2657"},{"key":"bibr5-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000192"},{"key":"bibr6-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.12.014"},{"key":"bibr7-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0000000000000574"},{"key":"bibr8-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12962"},{"key":"bibr9-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.02.100"},{"key":"bibr10-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-2481"},{"key":"bibr11-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2009.0220"},{"key":"bibr12-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61069-2"},{"key":"bibr13-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201607-1404OC"},{"key":"bibr14-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.5535"},{"key":"bibr15-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-1908"},{"key":"bibr16-1049909120954810","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.17426"}],"container-title":["American 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