A Survey of Practice in Management of Malignant Ascites

The purpose of this study was to determine physicians’ attitudes toward and preferences for palliative management of malignant ascites. A random sample of eighty physicians practicing in Canada was selected from the memberships of the Canadian Association of Medical Oncologists, the Canadian Associa...

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Published in:Journal of pain and symptom management 1998-08, Vol.16 (2), p.96-101
Main Authors: Lee, Christopher W., Bociek, Greg, Faught, Wylam
Format: Article
Language:English
Subjects:
Abdomen
Adult
Ascites
Ascites - etiology
Ascites - therapy
Biological and medical sciences
Canada
diuretics
Female
Gastroenterology. Liver. Pancreas. Abdomen
Health Care Surveys
Humans
mail survey
Male
Medical sciences
Middle Aged
neoplasms
Neoplasms - complications
paracentesis
peritoneovenous shunt
Tumors
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cited_by cdi_FETCH-LOGICAL-c461t-53a4a96f042b8d83d67d1fa2820592e0969547fa4a2ccc571a8d7fe57aa734c93
cites cdi_FETCH-LOGICAL-c461t-53a4a96f042b8d83d67d1fa2820592e0969547fa4a2ccc571a8d7fe57aa734c93
container_end_page 101
container_issue 2
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container_title Journal of pain and symptom management
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creator Lee, Christopher W.
Bociek, Greg
Faught, Wylam
description The purpose of this study was to determine physicians’ attitudes toward and preferences for palliative management of malignant ascites. A random sample of eighty physicians practicing in Canada was selected from the memberships of the Canadian Association of Medical Oncologists, the Canadian Association of Gastroenterology, the Canadian Society of Palliative Care Physicians, and the Society of Gynecologic Oncologists of Canada. Physicians were questioned on their use of different modalities in management of malignant ascites, and preferences based on attitudes toward efficacy of various treatments. Eighty surveys were mailed, with a second mailing, followed by telephone contact. The response rate was 76% (59/78), with two potential respondents deemed ineligible. Among the 44 physicians who treat malignant ascites, paracentesis is employed by 43 (98%), and felt to be effective by 39 (89%). Diuretics are used by 61% (27/44), although fewer feel diuretics are effective management (20/44, 45%). Peritoneovenous shunts, dietary measures, and other modalities are used less frequently than either paracentesis or diuretics. The most commonly used means of managing malignant ascites is paracentesis, which is also felt to be the most effective by the group surveyed. After paracentesis, diuretics and peritoneovenous shunting are used most frequently, but there is no apparent consensus as to their effectiveness. Managing malignant ascites remains problematic, and we propose further study of management strategies to clarify the role of various treatments.
doi_str_mv 10.1016/S0885-3924(98)00037-2
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Abdomen</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>mail survey</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>neoplasms</subject><subject>Neoplasms - complications</subject><subject>paracentesis</subject><subject>peritoneovenous shunt</subject><subject>Tumors</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNqFkMlKA0EQhhtRNEYfQZiDiB5Ge5neThLEDSIK0XNT9tRIyyzaPRF8eyfJkKunovi_WvgIOWH0klGmrhbUGJkLy4tzay4opULnfIdMmNEiV5KJXTLZIgfkMKXPAZJCiX2yb7XQjNIJ0bNssYw_-Jt1VfYSwffBYxba7Ala-MAG236VPEEdPloYmlnyocd0RPYqqBMej3VK3u5uX28e8vnz_ePNbJ77QrE-lwIKsKqiBX83pRGl0iWrgBtOpeVIrbKy0NUAce-91AxMqSuUGkCLwlsxJWebvV-x-15i6l0Tkse6hha7ZXJaWGoLQwdQbkAfu5QiVu4rhgbir2PUrYS5tTC3suGscWthjg9zJ-OB5XuD5XZqNDTkp2MOyUNdRWh9SFuMF1Qpu8KuNxgOMn4CRjd4wtZjGSL63pVd-OeRP0QFhUU</recordid><startdate>19980801</startdate><enddate>19980801</enddate><creator>Lee, Christopher W.</creator><creator>Bociek, Greg</creator><creator>Faught, Wylam</creator><general>Elsevier Inc</general><general>Elsevier Science</general><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>7X8</scope></search><sort><creationdate>19980801</creationdate><title>A Survey of Practice in Management of Malignant Ascites</title><author>Lee, Christopher W. ; Bociek, Greg ; Faught, Wylam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-53a4a96f042b8d83d67d1fa2820592e0969547fa4a2ccc571a8d7fe57aa734c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Ascites</topic><topic>Ascites - etiology</topic><topic>Ascites - therapy</topic><topic>Biological and medical sciences</topic><topic>Canada</topic><topic>diuretics</topic><topic>Female</topic><topic>Gastroenterology. 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ispartof Journal of pain and symptom management, 1998-08, Vol.16 (2), p.96-101
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1873-6513
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source ScienceDirect Journals
subjects Abdomen
Adult
Ascites
Ascites - etiology
Ascites - therapy
Biological and medical sciences
Canada
diuretics
Female
Gastroenterology. Liver. Pancreas. Abdomen
Health Care Surveys
Humans
mail survey
Male
Medical sciences
Middle Aged
neoplasms
Neoplasms - complications
paracentesis
peritoneovenous shunt
Tumors
title A Survey of Practice in Management of Malignant Ascites
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