Patient-reported usefulness of peripherally inserted central venous catheters in terminally ill cancer patients

Journal of Pain and Symptom Management
Rie YamadaSatoshi Inoue

Abstract

Oral administration of medication is often difficult in terminally ill cancer patients, and a subcutaneous route is traditionally one of the most preferred parenteral routes. Recent studies suggest, however, that some patients and families prefer the intravenous route, and peripherally inserted central venous catheters (PICCs) are actively used in oncology settings. Nonetheless, in the palliative care setting, no empirical studies have investigated the patient-perceived usefulness of PICCs. The primary aim of this prospective observational study was to clarify the levels of patient-perceived comfort and convenience, in addition to procedure-related distress, resulting from the use of PICCs by terminally ill cancer patients. Among 219 patients admitted to a palliative care unit during the one-year study period, 39 (18%) patients underwent a PICC insertion trial (a total of 44 procedures were performed because five patients underwent PICC insertion twice). Of the 44 procedures, 38 (86%) were successful, requiring a mean of 23+/-7.9 minutes, without serious procedure-related complications. Patient-reported levels of procedure-related distress were not distressing (68%), slightly distressing (8%), and distressing (24%). Patient-rep...Continue Reading

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Citations

Aug 9, 2012·Journal of Palliative Medicine·Naoki MatsuoYuichi Fujii
Aug 11, 2012·Chest·R Scott EvansLindell K Weaver
Aug 15, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Paolo CotogniMauro Pittiruti
Oct 28, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Kwonoh ParkSo Yeon Oh
Aug 2, 2018·Expert Review of Medical Devices·Sammy RaadJoel Rosenblatt
Feb 28, 2020·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Jeong Yun Park, Da In Lee
Jul 28, 2019·British Journal of Nursing : BJN·Linda J KellyKaren Campbell
Nov 2, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Emma Bundgaard NielsenPeter Juhl-Olsen
Sep 16, 2015·Annals of Internal Medicine·Vineet ChopraUNKNOWN Michigan Appropriateness Guide for Intravenouse Catheters (MAGIC) Panel

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