Publications by authors named "P Astoul"

Introduction Ultrasound-guided trans-thoracic needle biopsy (US-TTNB) is a method of choice for the diagnostic management of peripheral lung lesions and pleural masses for pulmonologists. If complication risk factors and diagnostic yield have been well reported for CT-guided biopsies, publications for US-TTNB in this field are very scarce. Methods The primary objective of this study was to describe the diagnostic yield of US-TTNB carried out by pulmonologists defined by a definitive histopathological diagnosis Secondary objectives were to identify factors that may influence diagnostic yield and to describe complications of this procedure.

View Article and Find Full Text PDF

Objective: The main objective of this study was to describe the translation, cultural adaptation, and content validation process of the French National Surveillance Programme for Pleural Mesothelioma (FNSPPM) questionnaire for the Portuguese context.

Methods: A search was conducted in the PubMed database and Web of Science, in the period from January 1, 1960, to December 31, 2022, to select the questionnaire. Forward and reverse translations, calculation of the content validity index (CVI) by a panel of experts ( = 9), and cognitive interviewing with individuals with at least one exposure to asbestos ( = 10) were performed.

View Article and Find Full Text PDF
Article Synopsis
  • - Pleural diseases, particularly malignant pleural mesothelioma (PM), pose significant global health challenges, affecting about one million people annually, primarily linked to asbestos exposure and often lead to poor patient outcomes.
  • - Timely and accurate diagnosis of PM is critical but complicated by the need for skilled operators and adequate facilities; traditional methods like cytology aren’t effective, making tissue biopsies essential for accurate diagnosis.
  • - Medical thoracoscopy (MT) and video-assisted thoracoscopy (VATS) are considered the gold standards for diagnosing malignant pleural conditions, enabling both diagnostic and therapeutic interventions, while emphasizing the importance of interdisciplinary collaboration for optimal patient care.
View Article and Find Full Text PDF

Background And Objectives: Malignant pleural effusions (MPE) are a frequent and major turning point in neoplastic disease usually leading to poor life expectancy. Improve quality of life and relieve the dyspnea are the main objectives in this palliative care setting. This can be achieved by the placement of an indwelling catheter (IPC) or talc pleurodesis ideally performed by thoracoscopy route (talc poudrage).

View Article and Find Full Text PDF

Background: Nowadays, there is a growing need for competence in bronchoscopy. However, traditional mentorship-based training presents limitations in learning consistency, subjective evaluation, and patient safety concerns. Simulation-based training has gained attention for its potential to enhance skill acquisition and objective assessment.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Warning

Message: fopen(/var/lib/php/sessions/ci_sessionm8n68gj35rf50neeuqd54atscji15rqo): Failed to open stream: No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 177

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_start(): Failed to read session data: user (path: /var/lib/php/sessions)

Filename: Session/Session.php

Line Number: 137

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once