Improving cancer patients’ knowledge about totally implantable access port: a randomized controlled trial

Piredda, Michela; Biagioli, Valentina; Giannarelli, Diana; Incletoli, D.; Grieco, Francesca; Carassiti, Massimiliano; Marinis, Maria Grazia De

doi:10.1007/s00520-015-2851-1

Cited by 13 publications

(24 citation statements)

References 39 publications

(38 reference statements)

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“…Todos os estudos foram publicados em língua inglesa; 3 deles foram realizados no Canadá [17][18][19] ; e os demais foram desenvolvidos na China 20 , na Finlândia 21 , na Sérvia 22 , na Grécia 23 , na Itália 24 , na Alemanha 25 e nos Estados Unidos 26 .…”

Section: Resultsunclassified

“…GC: prática rotineira com folheto e vídeo GI1: folheto adicional "Alívio da dor após cirurgia" para leitura antes do procedimento cirúrgico GI2: folheto adicional "Alívio da dor após cirurgia" para leitura antes do procedimento cirúrgico + reforço das orientações e esclarecimento de dúvidas aos itens de avaliação da qualidade do ensaio clínico. Os processos utilizados foram: tabelas enumeradas [17][18] ; envelopes contendo as informações para cada grupo 19,21,26 ; blocos 20,25 ; e sequência binária criada em computador 23,24 . Um estudo não apresentou descrição da randomização 22 .…”

Section: Gi1=13 Gi2=16 Gc=16unclassified

“…Dos estudos avaliados pela escala Jadad, 70% demonstraram ter baixo índice de qualidade 17,18,20,[22][23][24][25] (escore de zero a dois pontos) e apenas três 19,21,26 obtiveram alto índice de qualidade (escore de quatro e cinco pontos).…”

Section: Avaliação Qualidade Metodológicaunclassified

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Avaliação da efetividade da intervenção com material educativo em pacientes cirúrgicos: revisão integrativa da literatura

Paiva¹,

Sousa

Poveda

et al. 2017

Rev SOBECC

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Objetivo: Analisar a literatura científica produzida sobre métodos utilizados na avaliação da efetividade de tecnologias educativas impressas parao paciente submetido a cirurgia. Método: Revisão integrativa da literatura, tendo como questão norteadora “quais os métodos utilizados para avaliara efetividade de tecnologias educativas impressas na educação do paciente cirúrgico?”. O período de publicação dos estudos foi de 2000 a 2017, nos dedados: ISI Web of Science, Biblioteca Virtual em Saúde (BVS), PubMed, SCOPUS portais e/ou bases e Cochrane. Resultados: Foram inseridos dez artigosde ensaios clínicos randomizados, todos com a tecnologia educativa impressa (folheto), e o uso dessa contribuiu para uma diminuição tanto da ansiedadee depressão quanto dos níveis da dor. Conclusão: Apesar de avaliações positivas em relação à intervenção, ainda há dificuldades em mensurar a suaefetividade, e não foi possível estabelecer o melhor instante para a aplicação dos instrumentos de medida.

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Section: Resultsunclassified

Section: Gi1=13 Gi2=16 Gc=16unclassified

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Avaliação da efetividade da intervenção com material educativo em pacientes cirúrgicos: revisão integrativa da literatura

Paiva¹,

Sousa

Poveda

et al. 2017

Rev SOBECC

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show abstract

“…With refinement of surgical techniques, the complication rate in our institution gradually decreased from 29.6/100 catheters to 15.6/100 catheters after the year 2017. 15 Our next aim to improve the effective use of TIVAD is to reduce infectious complications. Our data showed that half of the CRBSI occur during the chemotherapeutic session.…”

Section: Discussionmentioning

confidence: 99%

“…The catheters thereafter were taken care of by a multidisciplinary team. 14,15 The bundles of care process were divided into 3 steps: (1) needle insertion and chemotherapy administration, (2) monthly NSS flushing to prevent mechanical obstruction, and (3) needle removal and supervised home care for the patients and their parents. The care team provided a logbook and a pamphlet to each patient's caregivers, in which events and complications were recorded.…”

Section: Surgical Techniques and Care Processesmentioning

confidence: 99%

An Appraisal of Totally Implantable Venous Access Devices in Pediatric Cancers

Sangkhathat

2020

Smj

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Objective: To appraise the experience of a pediatric cancer center in Thailand regarding employment of totally implantable venous access devices (TIVAD). Methods: The records of consecutive patients aged less than 15 years diagnosed with malignancy and underwent an implantation from the years 2010 to 2018 were reviewed with the main focus on effective duration and complications of the device. Changes in our practice in perioperative care were also reviewed. Results: A total of 150 lines in 144 patients (103 hematologic malignancies and 41 solid tumors) were included with average age 6.4 years. Neck vein access was used in 62 lines, subclavian vein access in 88 lines. The median follow-up period was 973 days. Immediate complications occurred in 13 cases (9.4%). Excluding cases with death from unrelated causes, the overall TIVAD survival was 985.1 days while event-free device survival was 797.6 days. In cases of hematologic malignancies, which were the main users, 1000-day overall survival and event-free survival of TIVAD were 83.7% and 78.2%, respectively. Catheter-related infections and mechanical obstruction were the 2 most prevalent problems, occurring in 0.20 and 0.08 events/1,000 catheter days, respectively. Infection occurred in 23 patients and gram-negative bacilli were most common. Moreover, subclavian access was significantly related with infectious complications when compared to the neck vein approach. Conclusion: A TIVAD can be used for chemotherapy longer than 3 years without serious complications. Refinement of surgical techniques and improving care process may improve the longevity of the line.

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Catheter allotopia with totally implantable access port: A report of three cases and literature review

Wei

et al. 2020

Clinical Case Reports

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Catheter allotopia is a common complication associated with totally implantable access ports (TIAPs) that can lead to premature catheter removal or other secondary risks. Timely detection and treatment are critical to achieving a satisfactory outcome. Totally implantable access ports are safe, efficient, lowrisk, and easy-to-maintain medical devices that provide reliable venous access in patients receiving long-term intravenous infusion. They were first used in cancer therapy in 1982. 1 There are some not insignificant immediate and longterm complications associated with TIAPs including catheter allotopia, pneumothorax, arrhythmia, catheter embolism and infection, and pinch-off syndrome. Catheter allotopia is a common reason for premature catheter removal. Here, we report 3 clinical cases of catheter allotopia in which the TIAP catheter migrated to the azygos vein (AV, Case 1), internal thoracic vein (ITV, Case 2), and lower craniocerebral segment of the right internal jugular vein (IJV, Case 3). We also discuss this issue in the context of the literature. 2 | CASE REPORTS 2.1 | Case 1 A 58-year-old woman was diagnosed with ovarian cancer with peritoneal metastasis. We planned to use the docetaxel plus cisplatin regimen for chemotherapy after she underwent ovarian cancer reduction surgery. Since ultrasonic examination revealed that the patient's right IJV was too thin for catheter insertion, left vascular access was selected and the port was subcutaneously implanted in the left infraclavicular

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Improving cancer patients’ knowledge about totally implantable access port: a randomized controlled trial

Cited by 13 publications

References 39 publications

Avaliação da efetividade da intervenção com material educativo em pacientes cirúrgicos: revisão integrativa da literatura

Avaliação da efetividade da intervenção com material educativo em pacientes cirúrgicos: revisão integrativa da literatura

An Appraisal of Totally Implantable Venous Access Devices in Pediatric Cancers

Catheter allotopia with totally implantable access port: A report of three cases and literature review

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