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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Symptomatic malignant ascites drainage with a patient-controlled vascular catheter: interim analysis of safety and patient-reported outcomes.

Maciej Stukan, Marcin Jędryka, Andrej Cokan, Jaroslav Klát, Munachiso Iheme Ndukwe, Marcin Kryszpin, Renata Poblocka, Eva Timošek, Martina Romanová, Klára Balcarová and 2 more

Abstract readMulticenter Study
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Maciej StukanDepartment of Gynecological Oncology, Gdynia Oncology Center, Pomeranian Hospitals, Gdynia, Poland. maciej.stukan@gmail.com.
Marcin JędrykaWroclaw Medical University, Wroclaw, Poland.
Andrej CokanDepartment for Gynecological and Breast Oncology, UMC Maribor, Maribor, Slovenia.
Jaroslav KlátDepartment of Obstetrics and Gynecology, University Hospital Ostrava, Ostrava, Czech Republic.
Munachiso Iheme NdukweDepartment of Obstetrics and Gynecology, Faculty of Medicine, Hradec Kralove University Hospital, Charles University, Hradec Kralove, Czech Republic.
Marcin KryszpinLower Silesian Oncology, Pulmonology and Hematology Center, Wroclaw, Poland.
Renata PoblockaRenata Poblocka, Gdynia, Poland.
Eva TimošekDepartment for Gynecological and Breast Oncology, UMC Maribor, Maribor, Slovenia.
Martina RomanováDepartment of Obstetrics and Gynecology, University Hospital Ostrava, Ostrava, Czech Republic.
Klára BalcarováDepartment of Obstetrics and Gynecology, Faculty of Medicine, Hradec Kralove University Hospital, Charles University, Hradec Kralove, Czech Republic.
Radoslaw MadryOncology Clinic, H. Swiecicki'S Hospital, Medical University of Poznan, Poznan, Poland.
David CibulaFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malignant ascites (MA) and repeated paracentesis can impair a patient's quality of life (QOL). The aim was to perform an interim analysis of safety and changes in patients' QOL in an ongoing prospective, multicentre (conducted within the Central and Eastern European Gynaecologic Oncology Group (CEEGOG)) trial on symptomatic MA drainage with a patient-controlled central vascular catheter (CVC) inserted into the abdominal cavity. CVC (14-Ga) was inserted into the abdominal cavity of patients with symptomatic MA, and drainage was controlled by patients at home. The rate and quality of complications were classified according to Common Terminology Criteria for Adverse Events Version 5.0. QOL was evaluated before and 10-14 days after/during drainage with standardized QLQ-C15-PAL, SGA, and FACIT-TS-G questionnaires. Wilcoxon and Chi-squared tests were used. Among 113 recruited patients (2015-2022), seven patients experienced complications (6.2%), and there was one patient with a serious adverse event (death on the 9th day after catheter insertion, classified as not related to the intervention). Adverse events included local infection (n = 2) (resolved after oral antibiotics), catheter obstruction (n = 2), catheter self-removal (n = 2) (re-insertion performed), and nausea (n = 1). When comparing the assessment before and after/during drainage, we found the significantly better global QOL (mean 31.8 vs. 47.8, p < 0.001), improvement in physical (52.6 vs. 64.4, p < 0.001) and emotional functioning (50.7 vs. 65.4, p < 0.001); symptoms were significantly less intense: fatigue (66.7 vs. 50.9, p < 0.001), nausea and vomiting (37.8 vs. 21.4, p < 0.001), pain (53.9 vs. 34.1, p < 0.001), dyspnoea (48.5 vs. 22.3, p < 0.001), insomnia (49.1 vs. 34.3, p < 0.001), appetite loss (56.3 vs. 40.3, p < 0.001), and constipation (31.0 vs. 25.2, p = 0.007), and more patients had no pain on eating (71.3% vs. 82.9%, p = 0.04). Most patients (78%) were satisfied, 83% would recommend the procedure to others, and 90% would choose intervention again. The interim analysis provided data on the safety and improvement of patients' QOL after MA drainage via patient-controlled CVC inserted into the abdominal cavity, thus justifying the continuation of recruitment for the main trial without changes in the protocol.

Indexed as

AscitesCentral Venous CathetersDrainageNeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesQuality of LifeCatheterPatient-reported outcomesSymptomatic malignant ascites

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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.