Pleural Disease

This Guideline provides advice on the investigation and management of:

a. Spontaneous pneumothorax
b. Undiagnosed unilateral pleural effusion
c. Pleural infection
d. Pleural malignancy

Please note that this has also been published in conjunction with the corresponding BTS Clinical Statement on Pleural Procedures. Both pieces of guidance are contained within the Full Supplement document found below.

The Guideline and Summary can also be accessed via the Thorax journal here: Full Guideline and Summary

Watch a BTS webinar introducing the new Pleural Guideline and Clinical Statement.

Current

USE THE ARROWS BELOW TO SORT BY COLUMN

Title	Publication Date	Description	Status
00 BTS Guideline for Pleural Disease	20230701July 2023	BTS Guideline for Pleural Disease	Valid
01 Pleural Disease (full supplement)	20230701July 2023	Supplement containing Pleural Disease Guideline and Pleural Procedures Statement	Valid
02 BTS Guideline for Pleural Disease: Summary of Guideline	20230701July 2023	Summary of Guideline	Valid
03 BTS Guideline for Pleural Disease Appendix 1: Clinical Pathways/decision trees	20230701July 2023		Valid
04 BTS Guideline for Pleural Disease Appendix 2: Guideline Development Group Members	20230701July 2023		Valid
05 BTS Guideline for Pleural Disease Appendix 3: Clinical Questions	20230701July 2023		Valid
06 BTS Guideline for Pleural Disease Appendix 4: Stakeholder Organisations	20230701July 2023		Valid
07 Online Appendix 1 (Pleural Disease): Literature search strategies	20230701July 2023		Valid
08 Online Appendix 2 (Pleural Disease): Research recommendations	20230701July 2023		Valid
09 Online Appendix A1 (Pleural Disease): Pneumothorax best acute management	20230701July 2023		Valid
10 Online Appendix A2 (Pleural Disease): Pneumothorax first episode resolution optimal management	20230701July 2023		Valid
11 Online Appendix A3 (Pleural Disease): Pneumothorax ongoing air leak optimal management	20230701July 2023		Valid
12 Online Appendix A4 (Pleural Disease): Pneumothorax optimal surgical approach	20230701July 2023		Valid
13 Online Appendix A5 (Pleural Disease): Pneumothorax optimal operation	20230701July 2023		Valid
14 Online Appendix B1 (Pleural Disease): Pleural effusion radiology diagnostic accuracy	20230701July 2023		Valid
15 Online Appendix B2 (Pleural Disease): Pleural effusion image guided or non image guided	20230701July 2023		Valid
16 Online Appendix B3 (Pleural Disease): Pleural effusion optimal volume and container	20230701July 2023		Valid
17 Online Appendix B4 (Pleural Disease): Pleural effusion pleural fluid test diagnostic accuracy	20230701July 2023		Valid
18 Online Appendix B5 (Pleural Disease): Pleural effusion serum biomarker diagnostic accuracy	20230701July 2023		Valid
19 Online Appendix B6 (Pleural Disease): Pleural effusion pleural biopsy diagnostic accuracy	20230701July 2023		Valid
20 Online Appendix C1 (Pleural Disease): Pleural infection best predictor of clinical outcomes	20230701July 2023		Valid
21 Online Appendix C2 (Pleural Disease): Pleural infection pleural fluid or radiology parameters	20230701July 2023		Valid
22 Online Appendix C3 (Pleural Disease): Pleural infection initial drainage strategy	20230701July 2023		Valid
23 Online Appendix C4 (Pleural Disease): Pleural infection intrapleural therapy	20230701July 2023		Valid
24 Online Appendix C5 (Pleural Disease): Pleural infection optimal surgical approach	20230701July 2023		Valid
25 Online Appendix C6 (Pleural Disease): Pleural infection optimal surgical method	20230701July 2023		Valid
26 Online Appendix D1 (Pleural Disease): Pleural malignancy best imaging modality	20230701July 2023		Valid
27 Online Appendix D2 (Pleural Disease): Pleural malignancy systemic therapy	20230701July 2023		Valid
28 Online Appendix D3 (Pleural Disease): Pleural malignancy pleural aspiration versus talc slurry	20230701July 2023		Valid
29 Online Appendix D4 (Pleural Disease): Pleural malignancy IPC versus talc slurry	20230701July 2023		Valid
30 Online Appendix D5 (Pleural Disease): Pleural malignancy talc poudrage versus talc slurry	20230701July 2023		Valid
31 Online Appendix D6 (Pleural Disease): Pleural malignancy surgery versus talc slurry	20230701July 2023		Valid
32 Online Appendix D7 (Pleural Disease): Pleural malignancy non-expandable lung	20230701July 2023		Valid
33 Online Appendix D8 (Pleural Disease): Pleural malignancy intrapleural enzymes	20230701July 2023		Valid
34 Online Appendix D9 (Pleural Disease): Pleural malignancy IPC drainage strategies	20230701July 2023		Valid
35 Online Appendix D10 (Pleural Disease): Pleural malignancy intrapleural agents	20230701July 2023		Valid
36 Online Appendix D11 (Pleural Disease): Pleural malignancy intrapleural chemotherapy	20230701July 2023		Valid
37 Online Appendix D12 (Pleural Disease): Pleural malignancy prognostic scores	20230701July 2023		Valid