Evidence map›Paper›PMID 26743773›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2017

Catheter-Related Complications in Children With Cancer Receiving Parenteral Nutrition: Change in Risk Is Moderated by Catheter Type.

Melissa A Shenep, Mary R Tanner, Yilun Sun, Tina Culley, Randall T Hayden, Patricia M Flynn, Li Tang, Joshua Wolf

Open access · greenAbstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Central venous access device management for children undergoing treatment for blood disorders and cancer: a descriptive international cross-sectional survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Melissa A Shenep1 Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
Mary R Tanner1 Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
Yilun Sun2 Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Tina Culley1 Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
Randall T Hayden3 Department of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Patricia M Flynn1 Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
Li Tang2 Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Joshua Wolf1 Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
St. Jude Children's Research Hospital · US

Funding

PROFESSIONAL ONCOLOGY EDUCATION PROGRAMR25CA023944 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE A. GRONEMEYER · 1986 to 2026
$8.3M
NCI NIH HHS R25 CA023944
6 · The paper itself

Abstract

backgroundAlthough central venous catheters (CVCs) are essential to pediatric cancer care, complications are common (eg, occlusion, central line-associated bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are associated with an increased complication risk, but their interaction is unknown.

methodsA retrospective matched cohort study of pediatric oncology patients who received PN through subcutaneous ports or external CVCs. Complication rates were compared between CVC types during PN and non-PN periods (log-negative binomial model).

resultsRisk of CLABSI was higher during PN for children with ports (relative risk [RR] = 39.6; 95% confidence interval, 5.0-309) or external CVCs (RR = 2.9; 95% confidence interval, 1.1-7.4). This increased risk during PN was greater for ports than for external CVCs (ratio of relative risks = 13.6). Occlusion risk was higher during PN in both groups (RR = 10.0 for ports; RR = 2.0 for external CVCs), and the increase was significantly greater in ports (ratio of relative risks, 4.9). Overall, complication rates for ports were much lower than for external CVCs during the non-PN period but similar during the PN period.

conclusionChildren with cancer who receive PN have increased risk of CLABSI and occlusion. The risk increase is greatest in children with ports: a 40- and 10-fold increase in infection risk and occlusion, respectively, resulting in similar complication rates during PN regardless of CVC type and negating the usual benefits of ports. Children with cancer who will require PN should have primary insertion of external CVCs where possible.

Indexed as

Parenteral NutritionAdolescentCatheter-Related InfectionsCentral Venous CathetersChildChild, PreschoolFemaleFollow-Up StudiesHumansLost to Follow-UpMaleNeoplasmsPostoperative ComplicationsRetrospective StudiesRisk FactorsYoung Adultcatheter-related infectioncentral venous catheterchildparenteral nutritionvenous thrombosis

Identifiers

PMID26743773
PMCPMC5374032
OpenAlexW2345660965

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.