胸膜疾病的最佳诊断策略及高危患者的识别。

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM Expert Review of Respiratory Medicine Pub Date : 2023-01-01 DOI:10.1080/17476348.2023.2174527
D N Addala, P Denniston, A Sundaralingam, N M Rahman
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引用次数: 0

摘要

简介:胸膜疾病包括广泛的条件与多样和异质的病因。因此,胸膜疾病的诊断是一个具有挑战性的领域,有广泛的可用测试来区分胸膜疾病的众多原因。尽管如此,在这一领域部署最佳实践诊断对于缩短调查途径的持续时间和减轻症状负担至关重要。涵盖领域:本文批判性地评价胸膜疾病患者的最佳诊断策略和途径,回顾最新的证据和关键实践要点,以实现胸膜疾病患者可治疗的诊断。我们还涵盖了在不久的将来可能影响胸膜诊断的未来和新方向。在PubMed中搜索与胸膜诊断相关的文章(搜索词如下),日期范围包括2012年6月至2022年6月。专家意见:对于胸膜疾病,没有任何单一的检查能够提供足够的诊断。减少手术负担和缩短诊断时间的关键在于对患者进行个性化的检查途径,并在早期部署诊断率最高的检查(如感染和恶性肿瘤的胸膜活检)。在不久的将来,新的生物标记物也可能使早期诊断更加精确。
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Optimal diagnostic strategies for pleural diseases and identifying high-risk patients.

Introduction: Pleural diseases encompass a broad range of conditions with diverse and heterogenous etiologies. Diagnostics in pleural diseases thus represents a challenging field with a wide array of available testing to distinguish between the numerous causes of pleural disease. Nonetheless, deploying best practice diagnostics in this area is essential in reducing both duration o the investigation pathway and symptom burden.

Areas covered: This article critically appraises the optimal diagnostic strategies and pathway in patients with pleural disease, reviewing the latest evidence and key practice points in achieving a treatable diagnosis in patients with pleural disease. We also cover future and novel directions that are likely to influence pleural diagnostics in the near future. PubMed was searched for articles related to pleural diagnostics (search terms below), with the date ranges including June 2012 to June 2022.

Expert opinion: No single test will ever be sufficient to provide a diagnosis in pleural conditions. The key to reducing procedure burden and duration to diagnosis lies in personalizing the investigation pathway to patients and deploying tests with the highest diagnostic yield early (such as pleural biopsy in infection and malignancy). Novel biomarkers may also allow earlier diagnostic precision in the near future.

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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
期刊最新文献
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