Health-related quality of life of cancer patients with peripherally inserted central catheter: a pilot study

J Vasc Access. 2017 Sep 11;18(5):396-401. doi: 10.5301/jva.5000762. Epub 2017 Jul 26.

Abstract

Introduction: This pilot exploratory study aimed to compare the health-related quality of life (HRQOL) among patients diagnosed with different types of cancer receiving peripherally inserted central catheters (PICCs).

Methods: A multicenter cross-section study of cancer patients with PICCs was performed from February 1, 2013 to April 24, 2014. The primary objective of this study was to compare HRQOL in different cancer type patients with PICC. HRQOL was examined based on European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core 30 (EORTC QLQ-C30). Multiple linear regression models were conducted for coping with potential confounding variables. We also examined PICC-related quality of daily life with a self-made questionnaire.

Results: Three hundred and fifty-seven cancer patients with PICC completed the survey in nine teaching hospitals. Lung cancer patients with PICC reported the worst dyspnea. Digestive tract cancer patients reported the worst appetite loss. Patients with hematologic malignancy reported the worst emotional, social function, fatigue and financial impact. Breast cancer patients reported better HRQOL. Baseline variables were proven not significant predictors of EORTC QLQ-C30 global health status. In self-made survey, pain after PICC insertion was null or a little in 98.6% of cancer patients. Limitation of upper extremity activity was null or a little in 94.1% of patients.

Conclusions: HRQOL varies in different types of cancer patients with PICC. PICC may have a low impact on cancer patients' HRQOL. Further large sample studies are needed.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Administration, Intravenous
  • Adult
  • Aged
  • Antineoplastic Agents / administration & dosage*
  • Catheterization, Central Venous / instrumentation*
  • Catheterization, Peripheral / instrumentation*
  • Catheters, Indwelling*
  • Central Venous Catheters*
  • China
  • Cross-Sectional Studies
  • Female
  • Hospitals, Teaching
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Neoplasms / diagnosis
  • Neoplasms / drug therapy*
  • Neoplasms / psychology
  • Pilot Projects
  • Quality of Life*
  • Surveys and Questionnaires

Substances

  • Antineoplastic Agents