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Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC)

1
Department of Medical Imaging, College of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada
2
Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada
3
Saskatchewan Cancer Agency, Division of Oncology, College of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada
4
Clinical Research Support Unit, College of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada
5
BC Cancer Agency, Abbotsford, BC V3V 1Z2, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(2), 1495-1506; https://doi.org/10.3390/curroncol28020141
Received: 11 January 2021 / Revised: 9 March 2021 / Accepted: 5 April 2021 / Published: 9 April 2021
Introduction: Venous access is a crucial element in chemotherapy delivery. It remains unclear whether cancer patients prefer a port to a peripherally inserted central catheter (PICC). Our study aimed to assess cancer patients’ satisfaction with their venous access device and to compare the quality of life (QoL) of subjects with a PICC to those with a port. Methods: In this prospective cohort study, EORTC QLQ-C30, and a locally developed quality of life survey (QLAVD), designed to assess satisfaction with venous access devices, were administered to breast or colorectal cancer patients over a one-year period following the device insertion. Mixed effects models were used to assess changes on mean scores at different time points. Results: A total of 101 patients were recruited over a three-year period, (PICC group, n = 50; port group, n = 51). Survey response rates for months one and three were 72% and 48%, respectively. Overall, no significant differences were noted between the two groups in relation to EORTC QOL. At three months, the mean pain scores were 3.5 ± 2.3 for the port and 1.3 ± 0.75 for PICC (<0.001). The mean score for a negative effect of the venous access device on psychosocial well-being was 6.0 ± 4.1 for PICC and 3.0 ± 2.7 for the port (p = 0.005). Complications related to PICCs occurred in 38% patients versus 41% with a port (p > 0.24). Conclusions: Although subjects with a port experienced more pain during the device insertion or access for chemotherapy, it had a smaller negative impact on psychosocial scores than the PICC. No significant differences in complications rates were observed between the two devices. View Full-Text
Keywords: quality of life; venous access; peripherally inserted central venous catheter (PICC); peripherally implanted venous access port (TIVAD); complications quality of life; venous access; peripherally inserted central venous catheter (PICC); peripherally implanted venous access port (TIVAD); complications
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MDPI and ACS Style

Burbridge, B.; Lim, H.; Dwernychuk, L.; Le, H.; Asif, T.; Sami, A.; Ahmed, S. Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC). Curr. Oncol. 2021, 28, 1495-1506. https://doi.org/10.3390/curroncol28020141

AMA Style

Burbridge B, Lim H, Dwernychuk L, Le H, Asif T, Sami A, Ahmed S. Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC). Current Oncology. 2021; 28(2):1495-1506. https://doi.org/10.3390/curroncol28020141

Chicago/Turabian Style

Burbridge, Brent; Lim, Hyun; Dwernychuk, Lynn; Le, Ha; Asif, Tehmina; Sami, Amer; Ahmed, Shahid. 2021. "Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC)" Curr. Oncol. 28, no. 2: 1495-1506. https://doi.org/10.3390/curroncol28020141

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