Bambara A T, Ouédraogo S M, Maïga S, Sondo K A, Boncoungou/Nikièma K, Ouédraogo G, Koumbem B, Ouédraogo A S, Djibril M, Badoum G, Ouédraogo A R, Ouédraogo M
Unité de formation et de recherche en sciences de la santé, BP 7021, Ouagadougou, Burkina Faso; Service de cancérologie, CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Service de médecine interne, CHU Souro Sanou, Bobo-Dioulasso, Burkina Faso; Institut supérieur des sciences de la santé, Bobo-Dioulasso, Burkina Faso.
Rev Pneumol Clin. 2016 Dec;72(6):346-352. doi: 10.1016/j.pneumo.2016.08.001. Epub 2016 Oct 21.
This study aimed to present the survival of patients with malignant and paramalignant pleural effusion (MPE) in a context of resource-limited countries. We retrospectively studied patients received for malignant and paramalignant pleural effusion in three health facilities in Ouagadougou from 1st August 2009 to 30 July 2015. Survival was analyzed according to various characteristics related to patients and disease. Eighty patients with a mean age of 54 years were selected. The sex-ratio was 0.9. Sixteen patients had comorbidities. Pleural effusion was revealing, synchronous and metachronous in respectively 55 %, 26.3 % and 17.5 % of cases. Lung cancer was the most common cause of MPE (27.5 %), followed by breast cancer (18.7 %). The median overall survival was 3 months; it varied between primary cancers: 5 months for primary cancer unknown, 4 months for lung cancers and 2 months for breast cancers. Sex and the presence of comorbidities were independent factors influencing survival of patients. In this study, patient survival length is strongly compromised by inadequacies of medical technical equipment.
本研究旨在介绍资源有限国家恶性及准恶性胸腔积液(MPE)患者的生存情况。我们回顾性研究了2009年8月1日至2015年7月30日期间在瓦加杜古的三个医疗机构收治的恶性及准恶性胸腔积液患者。根据与患者和疾病相关的各种特征分析生存情况。选取了80例平均年龄为54岁的患者。男女比例为0.9。16例患者有合并症。胸腔积液分别在55%、26.3%和17.5%的病例中为首发、同步和异时性。肺癌是MPE最常见的病因(27.5%),其次是乳腺癌(18.7%)。中位总生存期为3个月;在原发性癌症之间有所不同:原发性癌症不明者为5个月,肺癌为4个月,乳腺癌为2个月。性别和合并症的存在是影响患者生存的独立因素。在本研究中,医疗技术设备的不足严重影响了患者的生存时长。