Priority 25 from the Mesothelioma PSP
| UNCERTAINTY: What, if any, are the benefits of palliative surgery (partial pleurectomy / surgical debulking) for mesothelioma patients? (JLA PSP Priority 25) | |
|---|---|
| Overall ranking | 25 |
| JLA question ID | 0025/25 |
| Explanatory note | Not available for this PSP |
| Evidence | Systematic review - Cao C, Tian DH, Pataky KA, Yan TD. Systematic review of pleurectomy in the treatment of malignant pleural mesothelioma. Lung Cancer. 2013 Sep;81(3):319-27. doi: 10.1016/j.lungcan.2013.04.024. Epub 2013 Jun 13 |
| Health Research Classification System category | Cancer |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | So after six months we were told that the only way to get one was to have the operation called 'decortication of the pleura'. He was still relatively fit at this time with no weight loss. After diagnosis he was offered chemo. I feel that this operation if anything gave him no quality of life because it took him a long time to recover. i feel that this op shortened hi life ~ The benefits of surgery in mesothelioma such as pleurectomy ~ Surgical debulking has not really shown any improvement in outcomes. |
| Comparison | None identified |
| Submitted by | Bereaved ~ Health Professional x 2 |
| Outcomes to be measured | Palliation of symptoms |
| PSP information | |
|---|---|
| PSP unique ID | 0025 |
| PSP name | Mesothelioma |
| Total number of uncertainties identified by this PSP. | 53 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 16 December 2014 |