Evidence map›Paper›PMID 34738565›Full record

SynthesisActa bio-medica : Atenei Parmensis2021

Peripherally Inserted Central Venous Catheters (PICC) versus totally implantable venous access device (PORT) for chemotherapy administration: a meta-analysis on gynecological cancer patients.

Vito Andrea Capozzi, Luciano Monfardini, Giulio Sozzi, Giulia Armano, Diana Butera, Elisa Scarpelli, Giuseppe Barresi, Alessandro Benegiamo, Roberto Berretta

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  9. Minimal invasive aortic arch repair with suture-mediated closure system.Journal of vascular surgery cases and innovative techniques · 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

9 authors at 1 institution in 1 country.

Vito Andrea CapozziDepartment of medicine and surgery, University of Parma.. vitoandrea.capozzi@studenti.unipr.it.
Luciano MonfardiniDepartment of medicine and surgery, University of Parma.. luciano.monfardini@gmail.com.
Giulio SozziDepartment of gynecologic oncology, University of Palermo.. giuliosozzi@hotmail.it.
Giulia ArmanoDepartment of medicine and surgery, University of Parma.. giulia.armano@gmail.com.
Diana ButeraDepartment of medicine and surgery, University of Parma.. diana.butera90@gmail.com.
Elisa ScarpelliDepartment of medicine and surgery, University of Parma.. elisascarpelli13@gmail.com.
Giuseppe BarresiDepartment of medicine and surgery, University of Parma.. barrepeppe@gmail.com.
Alessandro BenegiamoDepartment of medicine and surgery, University of Parma.. benegiamoal@ao.pr.it.
Roberto BerrettaDepartment of medicine and surgery, University of Parma.. roberto.berrettamd@gmail.com.
University of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimNinety-four thousand gynecological cancer diagnoses are performed each year in the United States. The majority of these tumors require systemic adjuvant therapy. Sustained venous access was overcome by indwelling long-term central venous catheter (CVC). The best choice of which CVC to use is often arbitrary or dependent on physician confidence. This meta-analysis aims to compare PORT and peripherally inserted central catheter (PICC) outcomes during adjuvant treatment for gynecological cancer.

methodsMeta-analysis Of Observational Studies in Epidemiology (MOOSE) and the preferred reporting items for systematic reviews and meta-analyses statement (PRISMA)were used to conduct the meta-analysis.

results1320 patients were included, 794 belonging to the PORT group and 526 to the PICC group. Total complication rates were fewer in the PORT group, p = 0.05. CVC malfunction was less frequent in the PORT group than in the PICC group, p <0.01. Finally, thrombotic events were less expressed in the PORT group than in the PICC group, p = 0.02. No difference was found in operative complication, migration, malposition, extravasation, infection, and complication requiring catheter removal.

conclusionsPORT had fewer thrombotic complications and fewer malfunction problems than PICC devices. Unless specific contraindications, PORTs can be preferred for systemic treatment in gynecological cancer patients.

Indexed as

Antineoplastic AgentsCatheterization, Central VenousCatheterization, PeripheralCentral Venous CathetersGenital Neoplasms, FemaleDevice RemovalFemaleHumansAntineoplastic Agents

Identifiers

PMID34738565
PMCPMC8689318
OpenAlexW3209780759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.