Browse Guides  internal medicine  pulmonology

Pleural effusion

Causes
Clinical features
Investigations
Therapy
Prognosis
Investigations

Followed by thoracoscopy c

Why?

  • 3% of diagnoses are finally made using these investigations c
  • 1.9% of patients suffered a serious complication of thoracoscopy c

Thoracoscopy can help diagnose and exclude malignancy

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability LR-
(95% CI)
Post-test Probability
pleural effusion c
(pre-test probability: 42%)
malignancy
(histology)
thoracoscopy 11
(4.5 to 24)
88% 0.10
(0.041 to 0.27)
7%

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   D   Geddes
CAT Writers   D   Stanley , CM   Ball