Evidence map›Paper›PMID 30755503›Full record

ArticleThe oncologist2019

Can Peripherally Inserted Central Catheters Be Safely Placed in Patients with Cancer Receiving Chemotherapy? A Retrospective Study of Almost 400,000 Catheter-Days.

Sara Campagna, Silvia Gonella, Paola Berchialla, Giacomo Morano, Carla Rigo, Pietro Antonio Zerla, Raffaella Fuzzi, Gianvito Corona, Silvana Storto, Valerio Dimonte and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Symptomatic Deep Vein Thrombosis Associated With Peripherally Inserted Central Catheters of Different Diameters: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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  8. Trends in the prevalence and risk factors for peripherally inserted central catheter-related complications in cancer patients from 2016 to 2022: a multicenter study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  11. Use and safety of peripherally inserted central catheters and midline catheters in palliative care cancer patients: a retrospective review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

11 authors at 6 institutions in 1 country.

Sara CampagnaDepartment of Public Health and Pediatrics, University of Torino, Torino, Italy.
Silvia GonellaAzienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Torino, Italy silvia.gonella@unito.it.
Paola BerchiallaDepartment of Clinical and Biological Sciences, University of Torino, Torino, Italy.
Giacomo MoranoAzienda Policlinico Umberto I, Rome, Italy.
Carla RigoAzienda Ospedaliero Universitaria Maggiore della Carità, Novara, Italy.
Pietro Antonio ZerlaAzienda Socio Sanitaria Territoriale Melegnano e della Martesana, Vizzolo Predabissi, Italy.
Raffaella FuzziAzienda Unità Sanitaria Locale Romagna sede di Forlì, Forlì, Italy.
Gianvito CoronaAzienda Sanitaria Provinciale Potenza, Potenza, Italy.
Silvana StortoAzienda Policlinico Umberto I, Rome, Italy.
Valerio DimonteDepartment of Public Health and Pediatrics, University of Torino, Torino, Italy.
Baudolino MussaAzienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITPoliclinico Umberto I · ITASST Melegnano e della Martesana · ITAzienda Ospedaliero Universitaria Maggiore della Carita · ITAzienda Unità Sanitaria Locale Della Romagna · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeripherally inserted central catheters (PICCs) are central venous catheters (CVCs) that are commonly used in onco-hematologic settings for chemotherapy administration. As there is insufficient evidence to recommend a specific CVC for chemotherapy administration, we aimed to ascertain PICC-related adverse events (AEs) and identify independent predictors of PICC removal in patients with cancer receiving chemotherapy. MATERIALS AND

methodsInformation on adult patients with cancer with a PICC inserted for chemotherapy administration between September 2007 and December 2014 was extracted from six hospital databases. The primary outcome was PICC removal due to PICC-related AEs (occlusion, infection, or symptomatic thrombosis). Independent predictors of PICC removal were identified using a multivariate Cox regression model.

resultsAmong the 2,477 included patients, 419 PICC-related AEs (16.9%; 1.09 AEs per 1,000 PICC-days) were reported. AEs increased when PICC was inserted at the brachial site (hazard ratio [HR], 1.37; 95% confidence interval [CI], 1.02-1.84) and with open systems (HR, 1.89; 95% CI, 1.24-2.88) and decreased in older men (HR, 0.63; 95% CI, 0.49-0.81).

conclusionUse of PICC for chemotherapy administration was associated with a low all-AEs rate. The basilic vein was the safer site, and valved systems had fewer AEs than open systems. More research is needed to explore the interaction between AEs, sex, and age. IMPLICATIONS FOR PRACTICE: These findings provide clinicians with evidence that peripherally inserted central catheters

Indexed as

AgedCatheterization, PeripheralCentral Venous CathetersDrug-Related Side Effects and Adverse ReactionsDrug TherapyFemaleHematologic NeoplasmsHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsThrombosisComplicationsHematologic neoplasmsMedical oncologyPatient safetyPeripheral catheterizationVascular access devices

Identifiers

PMID30755503
PMCPMC6738314
OpenAlexW2911739049

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.