Evidence map›Paper›PMID 35671437›Full record

ArticleJCO oncology practice2022

Is There a Relationship Between Frequency of Port-Care Maintenance and Related Complications in Patients With Cancer?

Tali Lang, Sarah Jaboury, Alexander West, Jo O'Sullivan, Kirsten Seletto, Lucy Wilson, Elizabeth Gleisner, Gary Richardson

Abstract read
In one paragraph

Article in JCO oncology practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
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.

Tali LangDepartment of Medical Oncology, Cabrini Research, Malvern, Victoria, Australia.ORCID 0000-0003-4206-8743
Sarah JabouryDepartment of Medical Oncology, Cabrini Research, Malvern, Victoria, Australia.ORCID 0000-0003-1794-3948
Alexander WestDepartment of Medical Oncology, Cabrini Research, Malvern, Victoria, Australia.
Jo O'SullivanDay Oncology and Infusion Services, Cabrini Health, Brighton, Victoria, Australia.
Kirsten SelettoDay Oncology and Infusion Services, Cabrini Health, Malvern, Victoria, Australia.
Lucy WilsonBusiness Technology Services, Cabrini Health, Malvern, Victoria, Australia.
Elizabeth GleisnerDepartment of Medical Imaging, Cabrini Health, Malvern, Victoria, Australia.
Gary RichardsonDepartment of Medical Oncology, Cabrini Research, Malvern, Victoria, Australia.ORCID 0000-0003-2122-8285

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTotally implantable ports require regular maintenance to prevent port-related complications. Manufacturers recommend monthly maintenance port flushes for patients for the life of the port. Previous studies show that extending intervals between maintenance port flushes up to 16 weeks does not increase incidence of port-related complications. To date, no prospective study has been conducted to evaluate the medical safety of extending flush intervals from monthly to every 12 weeks within a heterogeneous disease cohort. Research Question: Is it feasible and medically safe to extend intervals between maintenance port flushes to every 12 weeks in patients with cancer not on active treatment? PATIENTS AND

methodsThis study enrolled oncology and hematology patients who had retained their port following completion of anticancer treatment. Clinical data were extracted for 1,059 participants. The primary end points of this study were the overall number of ports removed and incidence of port-related complications reported between cohorts 1 and 2 (flushes every 4-8 weeks), and cohort 3 (flushes every 12 weeks).

resultsData were allocated into three study cohorts on the basis of year and duration between port flushes. No difference was observed in the overall percentage of ports removed because of physician-reported complications across all cohorts (25%-30%). No change in the incidence of port-related complications including suspected infection and malfunction was observed between cohorts 1 and 2 (8%), or cohort 3 (5%).

conclusionOur findings show that extending maintenance port flush intervals to 12 weeks does not increase the incidence of port-related adverse events and is medically safe.

Indexed as

Catheters, IndwellingNeoplasmsCohort StudiesHumansIncidenceProspective Studies

Identifiers

PMID35671437
PMCPMC9509187

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.