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Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC)
- Source :
- Current Oncology, Vol 28, Iss 141, Pp 1495-1506 (2021), Current Oncology, Volume 28, Issue 2, Pages 141-1506
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Introduction: Venous access is a crucial element in chemotherapy delivery. It remains unclear whether cancer patients prefer a port to a peripherally inserted central catheter (PICC). Our study aimed to assess cancer patients’ satisfaction with their venous access device and to compare the quality of life (QoL) of subjects with a PICC to those with a port. Methods: In this prospective cohort study, EORTC QLQ-C30, and a locally developed quality of life survey (QLAVD), designed to assess satisfaction with venous access devices, were administered to breast or colorectal cancer patients over a one-year period following the device insertion. Mixed effects models were used to assess changes on mean scores at different time points. Results: A total of 101 patients were recruited over a three-year period, (PICC group, n = 50<br />port group, n = 51). Survey response rates for months one and three were 72% and 48%, respectively. Overall, no significant differences were noted between the two groups in relation to EORTC QOL. At three months, the mean pain scores were 3.5 ± 2.3 for the port and 1.3 ± 0.75 for PICC (&lt<br />0.001). The mean score for a negative effect of the venous access device on psychosocial well-being was 6.0 ± 4.1 for PICC and 3.0 ± 2.7 for the port (p = 0.005). Complications related to PICCs occurred in 38% patients versus 41% with a port (p &gt<br />0.24). Conclusions: Although subjects with a port experienced more pain during the device insertion or access for chemotherapy, it had a smaller negative impact on psychosocial scores than the PICC. No significant differences in complications rates were observed between the two devices.
- Subjects :
- Catheterization, Central Venous
medicine.medical_specialty
Catheters
complications
Colorectal cancer
medicine.medical_treatment
Peripherally inserted central catheter
Article
030218 nuclear medicine & medical imaging
03 medical and health sciences
peripherally implanted venous access port (TIVAD)
0302 clinical medicine
Port (medical)
Quality of life
peripherally inserted central venous catheter (PICC)
medicine
Humans
Prospective Studies
Vein
Prospective cohort study
RC254-282
Chemotherapy
business.industry
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Cancer
medicine.disease
Surgery
medicine.anatomical_structure
quality of life
030220 oncology & carcinogenesis
Colonic Neoplasms
Arm
business
venous access
Subjects
Details
- ISSN :
- 17187729
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Current Oncology
- Accession number :
- edsair.doi.dedup.....f83862164486463e34fe5284c2a79910