Quality of life in women with breast cancer undergoing neoadjuvant chemotherapy: comparison between PICC and PICC-port

被引:5
作者
Pinelli, Fulvio [1 ]
Barbani, Francesco [1 ]
Defilippo, Barbara [2 ]
Fundaro, Angela [3 ]
Nella, Alessandra [1 ]
Selmi, Valentina [1 ]
Romagnoli, Stefano [1 ,3 ]
Villa, Gianluca [4 ]
机构
[1] Careggi Univ Hosp, Vasc Access Ctr, Dept Anesthesia & Intens Care, Largo Brambilla 3, I-50134 Florence, Italy
[2] Careggi Univ Hosp, Dept Nursing, Florence, Italy
[3] Univ Florence, Dept Hlth Sci DSS, Sect Anesthesiol Intens Care & Pain Med, Viale Pieraccini 6, I-50139 Florence, Italy
[4] Univ Florence, Dept Hlth Sci DSS, Viale Pieraccini 6, I-50139 Florence, Italy
关键词
Quality of life; Venous access; Peripherally inserted central venous catheter (PICC); PICC-ports; Complications; CENTRAL VENOUS CATHETER; VASCULAR ACCESS; COMPLICATIONS; CARE;
D O I
10.1007/s12282-024-01608-z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundPeripherally inserted central catheters (PICCs) and new type of arm-port, the PICC-port, are currently used for neoadjuvant chemotherapy treatment in patients with breast cancer. We aimed to compare Quality of Life (QoL) of patients receiving one of these two devices investigating overall satisfaction, psychological impact, as well as the impact on professional, social and sport activities, and local discomfort.MethodsWe did a prospective observational before-after study of PICCs versus PICC-ports. Adult (aged >= 18 years) females with breast cancer candidate to neoadjuvant chemotherapy were included. The primary outcome was QoL according to the Quality-of-Life Assessment Venous Device Catheters (QLAVD) questionnaire assessed 12 months after device implantation.ResultsBetween May 2019 and November 2020, of 278 individuals screened for eligibility, 210 were enrolled. PICC-ports were preferred over PICCs with a QLAVD score of 29 [25; 32] vs 31 [26; 36.5] (p = 0.014). Specifically, most QLAVD constructs related to psychological impact, social aspects, and discomfort were in favor of PICC-ports vs PICC, especially in women under the age of 60. Overall, pain scores at insertion and during therapy administration were not significantly different between the two groups, as well as infection, secondary malpositioning, thrombosis, or obstruction of the device.ConclusionsIn women with breast cancer undergoing neoadjuvant chemotherapy, PICC-ports were overall better accepted than PICCs in terms of QoL, especially in those who were younger. Device-related complications were similar.
引用
收藏
页码:945 / 954
页数:10
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