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Venous Access Devices and Emotional Response in Oncologic Patients: Diagnostic and Management Aspects

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Peripherally Inserted Central Venous Catheters

Abstract

The use of totally implantable venous access devices (VADs) has favorably changed the clinical management and, consequently, the quality of life (QoL) of patients requiring long-term intravenous therapy, including cancer patients. Despite their many advantages, venous access devices sometimes present functional and emotional problems. So advantages and disadvantages of the VAD from the patient’s perspective should also be an important part in the selection of the type of device. The more frequent complications that arise with the use of port and tunneled catheters are physical, such as infections, thrombosis, obstructions, sleeve formation, and extravasation. But, in addition to medical issues, patients also experience psychosocial problems that can interfere with their QoL. So the patient’s subjective experience of living with an implanted VAD has to be carefully considered, even if few publications discuss the psychological experience of the patient and the impact of the VADs on his or her QoL. Sometimes also excellent papers, updating the use of totally implantable venous access devices, do not discuss patient’s emotional problems [30].

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References

  1. Aronson NK, Ahmedzai S, Bergman B et al (1993) The European organization for research and treatment of cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85:365–376

    Article  Google Scholar 

  2. Barsevick A, Frost M, Zwinderman A et al (2010) On behalf of the geneqol Consortium. I’m so tired: biological and genetic mechanisms of cancer-related fatigue. Qual Life Res 19:1419–1427

    Article  PubMed Central  PubMed  Google Scholar 

  3. Biffi R, Orsi F, Pozzi S et al (2011) No impact of central venous insertion site on oncology patients’ quality of life and psychological distress. A randomized three-arm trial. Support Care Cancer 19:1573–1580

    Article  PubMed  Google Scholar 

  4. Bow EJ, Kilpatrick MG, Clinch JJ (1999) Totally implantable venous access ports systems for patients receiving chemotherapy for solid tissue malignancies: a randomized controlled clinical trial examining the safety, efficacy, costs, and impact on quality of life. J Clin Oncol 17:1267–1273

    CAS  PubMed  Google Scholar 

  5. Bruera E, Kuehn N, Miller MJ, Selmser P, Macmillan K (1991) The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients. J Palliat Care 7(2):6–9

    CAS  PubMed  Google Scholar 

  6. Carver CS (1997) You want to measure coping but your protocol’s too long: consider the brief COPE. Int J Behav Med 4(1):92–100

    Article  CAS  PubMed  Google Scholar 

  7. Chaturvedi S, Ieraci V, Torta R (2014) Treatment of somatoform disorders and other somatic symptom condition (pain, fatigue, hot flashes, pruritus). In: Grassi L, Riba M (eds) Psychopharmacology in oncology and palliative care – a practical manual. Springer, Germany

    Google Scholar 

  8. Chernecky C (2002) Satisfaction versus dissatisfaction with venous access devices in outpatient oncology: a pilot study. Oncol Nurs Forum 29(7):1029–1030

    Article  Google Scholar 

  9. Cloninger CR, Przybeck TR, Svrakic DM (1991) The Tridimensional Personality Questionnaire: U.S. normative data. Psychol Rep 69:1047–1057

    Article  CAS  PubMed  Google Scholar 

  10. Dearborn P, De Muth JS, Requarth AB et al (1997) Nurse and patient satisfaction with three types of venous access devices. Oncol Nurs Forum 24(1 Suppl):34–40

    CAS  PubMed  Google Scholar 

  11. Goossens GA, Vrebos M, Stas M et al (2005) Central vascular access devices in oncology and hematology considered from a different point of view. J Infus Nurs 28:61–67

    Article  PubMed  Google Scholar 

  12. Grassi L, Johansen C, Torta R et al, on behalf of the Italian Society of Psycho-Oncology Distress Thermometer Study Group (2013) Screening for distress in cancer patients. A multicenter, nationwide study in Italy. Cancer 119 (9):1714–1721

    Google Scholar 

  13. Grassi L, Torta R, Varetto A et al (2005) Styles of coping with cancer: the Italian version of the Mini-Mental Adjustment to Cancer (Mini-MAC) scale. Psychooncology 14(2):115–124

    Article  PubMed  Google Scholar 

  14. Howell D, Keller-Olaman S, Oliver TK et al (2013) A pan-Canadian practice guideline and algorithm: screening, assessment, and supportive care of adults with cancer-related fatigue. Curr Oncol 20(3):e233–e246

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Huisman-de Waal G, Schoonhoven L, Jansen J et al (2007) The impact of home parenteral nutrition on daily life-a review. Clin Nutr 26:275–288

    Article  PubMed  Google Scholar 

  16. Huisman-de Waal G, Versleijen M, van Achterberg T et al (2011) Psychosocial complaints are associated with venous access-device related complications in patients on home parenteral nutrition. JPEN J Parenter Enteral Nutr 35(5):588–595

    Article  PubMed  Google Scholar 

  17. Johansson E, Engervall P, Björvell H et al (2009) Patients’ perceptions of having a central venous catheter or a totally implantable subcutaneous port system – results from a randomised study in acute leukaemia. Support Care Cancer 17:137–143

    Article  PubMed  Google Scholar 

  18. Kearns NP, Cruickshank CA, McGuigan KJ et al (1982) A comparison of depression rating scales. Br J Psychiatry 141:45–49

    Article  CAS  PubMed  Google Scholar 

  19. Lilienberg A, Bengtsson M, Starkhammar H (1994) Implantable devices for venous access: nurses’ and patients’ evaluation of three different port systems. J Adv Nurs 19(1):21–28

    Article  CAS  PubMed  Google Scholar 

  20. Mitchell SA, Beck SL, Hood LE et al (2007) Putting evidence into practice: evidence-based interventions for fatigue during and following cancer and its treatment. Clin J Oncol Nurs 11:99–113

    Article  PubMed  Google Scholar 

  21. National Cancer Institute (NCI) (2013) United States, National Institutes of Health, Fatigue (PDQ). Health Professional Information [Web page]. NCI, Bethesda

    Google Scholar 

  22. National Comprehensive Cancer Network (2009) NCCN clinical practice guidelines in oncology: cancer-related fatigue. Ver. 2.2009. NCCN, Fort Washington

    Google Scholar 

  23. Rodgers HC, Liddle K, Nixon SJ et al (1998) Totally implantable venous access devices in cystic fibrosis: complications and patients’ opinions. Eur Respir J 12(1):217–220

    Article  CAS  PubMed  Google Scholar 

  24. Torta RG, Ieraci V (2013) Depressive disorders and pain: a joint model of diagnosis and treatment. J Pain Relief S2. http://dx.doi.org/10.4172/2167-0846.S2-003

  25. Torta R, Varetto A, Binaschi L (2006) Emotional problems in patients with totally implantable venous access system (PORT). Psychooncology 15(S2):445

    Google Scholar 

  26. Torta R, Varetto A, Sandrucci S et al (2000) Totally implantable venous systems (port) and quality of life. Ann Oncol 11(2):29

    Google Scholar 

  27. Ware JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483

    Article  PubMed  Google Scholar 

  28. World Health Organization (2008) Millennium Development Goal 5 – improving maternal health. WHO

    Google Scholar 

  29. Xiao C (2010) The state of science in the study of cancer symptom clusters. Eur J Oncol Nurs 14:417–434

    Article  PubMed  Google Scholar 

  30. Zaghal A, Khalife M, Mukherji D et al (2012) Update on totally implantable venous access devices. Surg Oncol 21:207–215

    Article  PubMed  Google Scholar 

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Correspondence to Riccardo Torta .

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Torta, R., Ieraci, V. (2014). Venous Access Devices and Emotional Response in Oncologic Patients: Diagnostic and Management Aspects. In: Sandrucci, S., Mussa, B. (eds) Peripherally Inserted Central Venous Catheters. Springer, Milano. https://doi.org/10.1007/978-88-470-5665-7_13

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  • DOI: https://doi.org/10.1007/978-88-470-5665-7_13

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  • Publisher Name: Springer, Milano

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