Evidence map›Paper›PMID 40537596›Full record

SynthesisPediatric surgery international2025

Internal vs. external jugular vein access for pediatric totally implantable venous ports: a systematic review and meta-analysis.

Khadeeja Ali Hamzah, Yousif Hameed Kurmasha, Mohammedsadeq A Shweliya, Mohamed Ramadan, Mohammed Hamed Ibrahium Badi, Abdulhadi M A Mahgoub, Mohamed Ellebedy

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Pooling one study is not a meta-analysis.Pediatric surgery international · 2025
    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

7 authors.

Khadeeja Ali HamzahBaghdad University AIkindy College of Medicine, Baghdad, Iraq.
Yousif Hameed KurmashaCollege of Medicine, University of Kufa, Najaf, Iraq.
Mohammedsadeq A ShweliyaUniversity of Baghdad College of Medicine, Baghdad, Iraq.
Mohamed RamadanFaculty of Medicine, Suez University, Suez, Egypt.
Mohammed Hamed Ibrahium BadiUniversity of Khartoum faculty of Medicine-EDC, Khartoum, Sudan.
Abdulhadi M A MahgoubFaculty of Medicine, University of Gezira, Madani, Gezira, Sudan.
Mohamed EllebedyFaculty of Medicine, Sohag University, Sohag, Egypt. Mohamed.Hassan2019@med.sohag.edu.eg.ORCID http://orcid.org/0000-0002-3949-8067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotally implantable venous access ports (TIVAPs) are vital for long-term intravenous therapy in children, especially in oncology. Internal jugular vein (IJV) access is commonly used but may require general anesthesia and poses anatomical challenges. External jugular vein (EJV) access is more superficial and may offer procedural advantages. This study hypothesizes that the EJV is the most appropriate venous access site for TIVAP placement in pediatric oncology patients due to its anatomical advantages and potential for fewer complications compared to the IJV.

methodsA systematic review was conducted across PubMed, Scopus, Web of Science, Embase, and EBSCO through January 2025, following PRISMA guidelines. Studies comparing TIVAP insertion via IJV and EJV in patients under 18 years were included. Quality was assessed using the Cochrane risk of bias tool and Newcastle-Ottawa scale. Meta-analysis was performed with RevMan 5.4.

resultsThree studies with three hundred fifteen pediatric patients (160 EJV, 155 IJV) were included. EJV access was associated with significantly shorter operative time (MD: - 24.80 min, 95% CI - 36 to - 13.16; p < 0.0001). Complication rates, including hematoma, pneumothorax, thrombosis, and catheter issues, showed no significant differences between groups.

conclusionEJV access offers reduced operative time without increasing complication risk compared to IJV access for TIVAP placement in children. It may be preferred when minimizing anesthesia exposure is important.

Indexed as

Catheterization, Central VenousCatheters, IndwellingJugular VeinsChildHumansCentral venous accessExternal jugular veinInternal jugular veinTotally implantable venous access ports

Identifiers

PMID40537596

What OpenQuestion holds

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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.