Evidence map›Paper›PMID 35776186›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Central venous catheter-associated complications in pediatric patients diagnosed with Hodgkin lymphoma: implications for catheter choice.

Ceder H van den Bosch, Judith Spijkerman, Marc H W A Wijnen, Idske C L Kremer Hovinga, Friederike A G Meyer-Wentrup, Alida F W van der Steeg, Marianne D van de Wetering, Marta Fiocco, Indra E Morsing, Auke Beishuizen

Open access · hybridAbstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
5.9field-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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Central venous access device adverse events in pediatric patients with cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Prevalence of PICC-related thrombosis in patients with hematological malignancies: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  3. Effect of lidocaine spray on reliving non-coring needle puncture-related pain in patients with totally implantable venous access port: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
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  5. Core Tenets of Central Venous Access in Children.Seminars in interventional radiology · 2025
    Review
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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

10 authors at 3 institutions in 1 country.

Ceder H van den BoschPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands. C.H.vandenBosch-4@prinsesmaximacentrum.nl.ORCID http://orcid.org/0000-0003-0612-578X
Judith SpijkermanPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Marc H W A WijnenPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Idske C L Kremer HovingaVan Creveldkliniek University Medical Centre Utrecht, Thrombosis and Hemostasis, Benign Hematology, Utrecht, The Netherlands.
Friederike A G Meyer-WentrupPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Alida F W van der SteegPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Marianne D van de WeteringPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Marta FioccoPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Indra E MorsingPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Auke BeishuizenPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Princess Máxima Center · NLLeiden University Medical Center · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to determine the most optimal central venous catheter (CVC) for pediatric patients with Hodgkin lymphoma (HL) in terms of complications.

methodsA retrospective study including patients diagnosed with HL from 2015 to 2021 at the Princess Máxima Center was performed. Patients were followed from CVC insertion until removal or 06-2021, whichever came first. The primary outcome was the CVC-related complication incidence rate (IR) per 1000 CVC-days. Furthermore, the incidence rate ratio (IRR) was calculated by comparing complication IRs between peripherally inserted central catheters (PICC) and totally implantable venous access ports (TIVAP). Additionally, risk factors for central venous thrombosis (CVT) were identified.

resultsA total of 98 patients were included. The most frequently observed complications were local irritation/infections (18%; IR 0.93), malfunctions (15%; IR 0.88), and CVC-related CVTs (10%; IR 0.52). Single lumen PICCs were associated with a higher risk of complications (49% vs. 26%; IRR 5.12, CI95% 2.76-9.50), severe complications (19% vs. 7%; IRR 11.96, CI95% 2.68-53.42), and early removal (18% vs. 7%; IRR 9.96, CI95% 2.18-45.47). A single lumen PICC was identified as a risk factor for CVC-related CVT when compared to TIVAPs (12% vs. 7%, IRR 6.98, CI95% 1.45-33.57).

conclusionThe insertion of a TIVAP rather than a PICC should be recommended for pediatric patients with HL, especially in the presence of CVT-related risk factors. Future trials should evaluate the efficacy and safety of direct oral anticoagulants for the primary prevention of CVT in pediatric patients with a PICC and other CVT-related risk factors.

Indexed as

Catheterization, Central VenousCatheterization, PeripheralCatheter-Related InfectionsCentral Venous CathetersHodgkin DiseaseThrombosisVenous ThrombosisAnticoagulantsChildHumansRetrospective StudiesRisk FactorsAnticoagulantsCentral venous catheterComplicationsHodgkin lymphomaPediatricThrombosis

Identifiers

PMID35776186
PMCPMC9512752
OpenAlexW4283754125

What OpenQuestion holds

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LicenceCC BY
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.