Evidence map›Paper›PMID 37237419›Full record

ReviewWorld journal of surgical oncology2023

A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer.

Xue Song, Shengying Chen, Yan Dai, Yang Sun, Xiaojie Lin, Jiafa He, Rui Xu

Open access · goldAbstract readReview
In one paragraph

Review in World journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
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

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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  4. 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

7 authors at 2 institutions in 1 country.

Xue Song *Breast department, Guangdong Provincial Hospital Of Chinese Medicine, No.111 Dade Rd, Yuexiu District, Guangzhou, Guangdong Province, 510120, China.
Shengying Chen *Breast department, Guangdong Provincial Hospital Of Chinese Medicine, No.111 Dade Rd, Yuexiu District, Guangzhou, Guangdong Province, 510120, China.
Yan DaiBreast department, Guangdong Provincial Hospital Of Chinese Medicine, No.111 Dade Rd, Yuexiu District, Guangzhou, Guangdong Province, 510120, China.
Yang SunBreast department, Guangdong Provincial Hospital Of Chinese Medicine, No.111 Dade Rd, Yuexiu District, Guangzhou, Guangdong Province, 510120, China.
Xiaojie LinBreast department, Guangdong Provincial Hospital Of Chinese Medicine, No.111 Dade Rd, Yuexiu District, Guangzhou, Guangdong Province, 510120, China.
Jiafa HeBreast department, Guangdong Provincial Hospital Of Chinese Medicine, No.111 Dade Rd, Yuexiu District, Guangzhou, Guangdong Province, 510120, China.
Rui XuBreast department, Guangdong Provincial Hospital Of Chinese Medicine, No.111 Dade Rd, Yuexiu District, Guangzhou, Guangdong Province, 510120, China. catdoctor007@163.com.
Guangzhou University of Chinese Medicine · CNGuangdong Provincial Hospital of Traditional Chinese Medicine · CN

Funding

Guangdong Provincial Hospital of Traditional Chinese Medicine Zhaoyang projectTraditional Chinese Medicine Bureau of Guangdong Province 20211198
6 · The paper itself

Abstract

backgroundA totally implanted venous access port (TIVAP) in the upper arm is a safe and cost-effective vascular access device and is widely used in breast cancer patients. Traditional tunnelling technique increases the operation time and has an unsatisfied cosmetic effect, so we explored the feasibility, cosmetic effect and complications of an upper arm port with a novel incision in this retrospective study.

methodsWe reviewed 489 cases of totally implantable venous access port implantation in the upper arm with two types of incisions in our centre from 1 January 2018 to 30 January 2022. The patients were divided into two different incision groups including the puncture site incision group (n = 282) and the conventional tunnelling group (n = 207). The comparison of the results was collected between the two groups, and contributing factors were analyzed for major complications.

resultsA total of 489 patients were successfully implanted with arm ports using the puncture site incision technique (n = 282, 57.7%) and conventional tunnelling technique (n = 207, 42.3%). The average operation time of the two types of incisions was 36.5 ± 15 min in the puncture site incision group and 55 ± 18.1 min in the tunnel needle group (P < 0.05). In terms of complications, 33 catheter-related complications occurred (6.4%), including 9 cases of infection, 15 cases of catheter-related thrombosis and 7 cases of skin exposure. Fourteen patients in the puncture site incision group developed complications compared with 17 in the traditional incision group. There were no significant differences between the two groups in terms of overall complication events (5.0% and 8.2%, P = 0.145) while the same result was found in each complication event. Weight, total cholesterol and diabetes were found to be associated with device-related infections in the univariate Cox proportional hazard regression models. Diabetes was found to be associated with device-related infections in multivariate analysis while hypertension was associated with thrombosis.

conclusionsThe puncture site incision method is a novel technique with a better cosmetic appearance and less operation time than the traditional tunnelling technique, providing a comparable overall rate of complications. It offers a preferable choice for clinicians when dealing with different situations of patients. It is worthy of being used and promoted for patients requiring the totally implanted venous access port in the upper arm.

Indexed as

Breast NeoplasmsCatheterization, Central VenousCentral Venous CathetersThrombosisArmCatheters, IndwellingFemaleHumansRetrospective StudiesBreast cancerIncisionTotally implantable venous access ports

Identifiers

PMID37237419
PMCPMC10223836
OpenAlexW4378515061

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.