Sites of Implantation for Central Venous Access Devices (Ports): A Study of the Experiences and Preferences of Patients

Wb, Campbell; Elworthy, S.; Peerlinck, Inge; Vanslembroek, Katalijne; Bangur, R.; Stableforth, D E; Sheldon, Christopher

doi:10.1016/j.ejvs.2004.08.002

Cited by 8 publications

(22 citation statements)

References 5 publications

(5 reference statements)

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“…It provides freedom to choose activities and favors body image (5,13,14) . However, some studies also show limitations and opposite feelings concerning such considerations (4,15) . This contradiction has also been found in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…They had their physical appearance modified because of either the visible healing or the prominent catheter reservoir, consequently visible when wearing certain clothes. In another study, also carried out with this clientele, 44% of the patients showed alteration in their body image (15) . These aspects are present in the findings of this study: 50% of the critical incidents in this category.…”

Section: Discussionmentioning

confidence: 99%

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A percepção do paciente referente a ser portador de um cateter de longa permanência

Martins

Carvalho

2008

Rev. esc. enferm. USP

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RESUMENLa finalidad del trabajo fue evaluar la percepción del paciente portador de un Catéter Totalmente Implantado (CTI). Se trata de un estudio descriptivo, que utiliza para el aná-lisis de los datos la Técnica de los Incidentes Críticos (IC). Fue desarrollado en un Hospital Escuela del interior de Sao Paulo-Brasil, del cual participaron 15 porta-dores de CTI. Los datos fueron agrupados en 4 categorías: Desempeño de Actividades (el 40% de los IC demostraron mayor inde-pendencia del paciente, mientras que el 60% evidenció restricción de algún tipo de actividad debido al CTI); Alteración de la Imagen Corporal (el 57% evidenciaron insatisfacción post implante del CTI, el 14% mostró problemas pre-implante del CTI y el 28% de los IC mostró que el CTI favoreció la estética corporal); Implantación del Catéter (el 75% de los IC mostraron que la implanta-ción del catéter es un procedimiento trau-matizante, mientras que el 25% de los IC mostró que el paciente siguió tranquilo y seguro durante el procedimiento); Infusión de Quimioterapia (100% de los IC evidenció el catéter como un facilitador del tratamiento quimioterápico). DESCRIPTORES ABSTRACTThis study aimed to evaluate patients' perception regarding their use of a Totally Implanted Catheter (TIC). This descriptive study uses the Critical Incident Technique (CI) for data analysis. The study was performed at a Teaching Hospital in São Paulo State, Brazil. Study participants were 15 patients using TIC. Data were grouped into four categories: Activity Performance (40% of the CI showed that patients were more independent, while 60% revealed that some kind of activity was restricted due to the TIC); Altered Body Image (57% showed the patients' dissatisfaction after the TIC implant, 14% of the CI revealed pre-implant problems, 28% of the CI showed that the TIC favored body esthetics); Catheter Implantation (75% of the CI revealed catheter implantation as a traumatizing procedure, while 25% of the CI revealed patients remained calm and confident during the procedure); Chemotherapy Infusion (100% of the CI showed that the catheter made chemotherapy easier). KEY WORDS

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A percepção do paciente referente a ser portador de um cateter de longa permanência

Martins

Carvalho

2008

Rev. esc. enferm. USP

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“…From the literature search, a total of 25 publications were selected as appropriate for review (Table 2.2), including Oakley, Wright and Ream (2000); ; Chernecky (2001(;Campbell et al, (2004); Goossens et al, (2005); Kreis et al, (2007); Molloy, Smith and Aitchison, (2008); Nagel (2008); Martins et al, (2008); Johansson et al, (2009); ; Møller and Adamsen (2010); Yamada et al, (2010); Goltz et al, (2013); Sharp et al, (2014); Alpenberg, Joelsson and Rosengren, (2015); ; ; Burbridge and Goyal, (2016); Song and Oh, (2016); Yagi et al, (2016); Parás-Bravo et al, (2018); Ryan et al, (2019); Park and Lee, (2020).…”

Section: Literature Review Findingsmentioning

confidence: 99%

“…The quality appraisal of the studies resulted in a rating of strong for four studies (Ryan et al, 2019;Kreis et al, 2007;Møller and Adamsen, 2010;Nagel et al, 2012). Moderate for twenty studies (Oakley, Wright and Ream, 2000;Chernecky, 2001;Campbell et al, 2004;Goossens et al, 2005;Martins et al, 2008;Molloy, Smith and Aitchison 2008;Johansson et al, 2009;Yamada et al, 2010;Goltz et al, 2013;Sharp et al, 2014;Alpenberg, Joelsson and Rosengren, 2015;Song and Oh, 2016;Edström, Lindqvist and Rosengren, 2016;Burbridge and Goyal, 2016;Minichsdorfer, et al, 2016;Yagi et al, 2016;Park and Lee, 2020). One study was rated as weak .…”

Section: Literature Review Findingsmentioning

confidence: 99%

“…The results of the data extraction are presented in Table 2.6. (Molloy et al, 2008;Oakley, Wright and Ream, 2000;Campbell et al, 2004;Ryan et al, 2019) and four from Germany (Kreis et al, 2007;Nagel et al, 2012;Goltz et al, 2013). Other European contributions to the review include three from Sweden (Johansson et al, 2009;Alpenberg, Joelsson and Rosengren, 2015;Edström, Lindqvist and Rosengren, 2016), South Korea contributed two studies (Song and Oh, 2016;Park and Lee, 2020).…”

Section: Literature Review Findingsmentioning

confidence: 99%

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‘Pinholes in my arms’: the vicious cycle of vascular access

Kelly

Snowden

2021

Br J Nurs

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Background: Vascular access devices (VADs) are essential for delivery of intravenous therapies. There are notable gaps in the literature regarding a focus on patient experience and meaning-making related to living with a VAD, specifically a central venous access device (CVAD). Aims: To explore how patients make sense of living with a CVAD. Methods: This study followed an interpretive phenomenological analysis (IPA) approach. Purposive sampling was used to identify 11 cancer patients who had a CVAD in situ. One-to-one semi-structured interviews were performed. Interviews were digitally recorded, transcribed and analysed by the lead author. Findings: Four superordinate themes were identified: the self under attack; being rescued/being robbed; protection of others/protection of self; bewilderment and dismay at lack of staff competence. Conclusion: Having a CVAD affects the psychological, social, and personal self and impacts on self-esteem and self-image. Despite this, CVADs are accepted by patients and are eventually ‘embodied’ by them.

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Exploring the impact of anterior chest wall scars from implantable venous ports in adolescent survivors of cancer

Connolly

Amirabadi

Goman

et al. 2022

Pediatric Blood & Cancer

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Background: In children with cancer, port-a-caths (ports) are commonly placed in the right anterior chest wall, leaving a visible scar when removed. The psychological impact of port scars on survivors is unknown. It is unclear whether alternative sites should be considered. We assessed the impact of port scars on pediatric cancer survivors to determine whether a change in location is indicated. Methods:We performed a cross-sectional single-center study of pediatric cancer survivors aged 13-18 years. A questionnaire explored participants' perceptions of their port scars. Four additional validated tools were used: Fitzpatrick scale, Patient and Observer Scar Assessment Scale (POSAS), Children's Dermatology Life Quality Index, and a Distress Thermometer.Results: Among 100 participants (median age 15.8 years [13][14][15][16][17][18], median duration since treatment 8 years [1.5-14.8]), 75 'never/occasionally' thought about their port scars, 85 were not bothered by its location and 87 would not have preferred another site. Eleven participants were highly impacted by their scars: six thought about their scar 'everyday/all the time' , four were highly bothered by its location, and nine would have preferred a different location. There was an association between the desire for different scar location and how much the location bothered participants (p < 0.0001), female sex (p = 0.03) and Patient POSAS score (p = 0.04). Conclusion:A port scar on the anterior chest wall was not a major concern for the majority of this cohort. A minority of participants were highly impacted by the scar and its location. Advance identification of those likely to be impacted by their scars may not be possible.

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Sites of Implantation for Central Venous Access Devices (Ports): A Study of the Experiences and Preferences of Patients

Abstract: Many patients complain of few problems with their CVADs, regardless of site, but half have some persistent discomfort. Cosmetic considerations frequently cause concern and patients should be given choice in the site of their CVADs.

Cited by 8 publications

References 5 publications

A percepção do paciente referente a ser portador de um cateter de longa permanência

A percepção do paciente referente a ser portador de um cateter de longa permanência

‘Pinholes in my arms’: the vicious cycle of vascular access

Exploring the impact of anterior chest wall scars from implantable venous ports in adolescent survivors of cancer

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