Chinese expert consensus and practice guideline of totally implantable access port for digestive tract carcinomas

Zhang, Kecheng; Chen, Lin

doi:10.3748/wjg.v26.i25.3517

Cited by 14 publications

(4 citation statements)

References 44 publications

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“…A new gastric cancer screening scoring system has been proposed in the expert consensus opinion of the early gastric cancer screening process in China. [10][11][12] It included 5 variables with a total score of 23: (1) Age: 0 for 40-49, 5 for 50-59, 6 for 60-69, and 10 for >69; (2) Sex: 4 for male and 0 for female; (3) Helicobacter pylori infection (Hp antibody test): positive 1, negative 0; (4) PGR: ≥3.89 is 0, <3.89 is 3; (5) G-17: less than 1.50 is 0, 1.50-5.70 is 3, greater than 5.70 is 5. The screening population was divided into 3 grades according to the score, 0-11 into low-risk group, 12-16 into medium risk group and 17-23 into high-risk group (Table 2).…”

Section: New Gastric Cancer Screening Scoring Systemmentioning

confidence: 99%

Gastric Cancer Screening Methods: A Comparative Study of Two Scoring Methods

Zhang

Akram

et al. 2021

CMAR

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Objective: To evaluate the Li's and Japanese scoring methods scoring for screening early gastric cancer in a healthy population. Methods: During January 2016-December 2018, profiles of the healthy people participated in a physical examination in the first people's Hospital of Shanghai were collected. A total of 342 volunteers, including 137 males and 205 females ageing 40-74, were enrolled. After recording the basic information, all volunteers were scored using the Japan scoring method and the new gastric cancer screening score (ie, Li's score). The subjects' work characteristics (ROC curve) were drawn according to the patient's endoscopic pathological examination to indicate early gastric cancer, to determine the best cut-off point for the diagnosis of early gastric cancer by Japanese scoring and Li's scoring, respectively. The sensitivity and specificity of both scoring methods were calculated as well.Results: The area under the ROC curve of Japanese and Li's score, in the diagnosis of early gastric cancer, was 0.763 and 0.837, respectively. Japanese and Li's score ≥14 were considered as the best cut-off point. The sensitivity and specificity of Li's scoring were 63.60% and 91.10%, respectively. The sensitivity and specificity of the Japanese score were 54.50% and 87.50%, respectively. The area under the ROC curve in Li's scoring is more significant than that in Japanese scoring, and there was a substantial difference in the two methods (P<0.05). Conclusion: Both Li's scoring and Japanese scoring have shown good screening value for early gastric cancer in a healthy population, but Li's scoring is more sensitive/specific than Japanese scoring.

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Section: New Gastric Cancer Screening Scoring Systemmentioning

confidence: 99%

Gastric Cancer Screening Methods: A Comparative Study of Two Scoring Methods

Zhang

Akram

et al. 2021

CMAR

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“…A Port-A-Cath is a type of central venous catheter [CVC] which is used for intravenous access in patients who need frequent intravascular provision of uids, blood products, drugs, parenteral nutrition, and hemodialysis [1,2,3]. Previous studies have found that use of a Port-A-Cath was associated with a signi cantly lower complication rate compared with Hickman lines among patients undergoing chemotherapy [4].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have found that use of a Port-A-Cath was associated with a signi cantly lower complication rate compared with Hickman lines among patients undergoing chemotherapy [4]. Currently, a Port-A-Cath is often placed in cancer patients for chemotherapy because the chemotherapy drugs are strongly irritating to blood vessels and may cause skin necrosis [3,5].…”

Section: Introductionmentioning

confidence: 99%

The Port-A-Cath Application and Care Knowledge Scale (PACKS) for nurses: Development and initial validation with Rasch analysis

Li,

Hu,

Hsieh

et al. 2024

Preprint

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Purpose: This study aimed to develop a Port-A-Cath Application and Care Knowledge Scale (PACKS) for nurses and examine its initial psychometric properties. Method: This was a methodological study. The initial 30 items of the PACKS included two subscales with items generated from a literature review, expert validity, and face validation. A questionnaire survey was then completed by clinical nurses (n =377) from three hospitals in Taiwan. Rasch analysis was used to test whether each PACKS subscale was unidimensional and whether all items in the same subscale fit with their constructs. Results: The application knowledge PACKS subscale demonstrated evidence of unidimensionality with acceptable item fit according to the Rasch model (infit mean square [MnSq] = 0.91-1.08; outfit MnSq = 0.66-1.15). Similarly, the care knowledge PACKS subscale demonstrated evidence of unidimensionality with acceptable item fit except (infit MnSq = 0.87-1.16; outfit MnSq = 0.77-1.28) for the fifth item (outfit MnSq = 1.77). After removing the fifth item, all the remaining items had acceptable infit and outfit MnSq. However, several items displayed differential item functioning (DIF) across gender, which could have been caused by the imbalanced gender distribution in this study. Conclusions: The PACKS is a reliable and valid instrument which clinical staff and researchers can use to evaluate nurses’ knowledge on Port-A-Cath application and care.

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“…[6][7][8][9] Once infection occurs, patients would be forced to remove the infusion port, due to the risk of systemic, and even life-threatening, infections. 10 Therefore, it is necessary to analyze the risk factors leading to postoperative infection in connection with the use of infusion port to further minimize the infection and to develop the corresponding measures for the prevention and treatment of infection.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of infection of totally implantable venous access port: A retrospective study

et al. 2022

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Background: Infection is the most frequent complication associated with the use of totally implantable venous access port (TIVAP). This retrospective study was conducted to determine the risk factors affecting TIVAP-related infection. Methods: A total of 1406 patients implanted with TIVAP at our center were included in this retrospective study. Incidence of perioperative infection, patient characteristics and bacteriologic data were retrieved and analyzed. Univariable analyses and multiple logistic regression analyses were used to determine the risk factors. Results: Overall, 72 (5.1%) patients had perioperative infection, and TIVAP was finally removed from 12 (0.85%) patients. There was significantly more hematologic malignancy in the infection group, compared to the non-infection group. Patients with chemotherapy and infection within 30 days before operation also had more infections. There were more inpatients in the infection group than in the non-infection group. The rate of hematoma was higher in the infected patients. Multivariate logistic analysis revealed that hematoma (OR 5.695, p < 0.001), preoperative hospital stay (⩾14d) (OR 2.945, p < 0.001), history of chemotherapy (OR 2.628, p = 0.002), history of infection (within 30 days) (OR 4.325, p < 0.001) were independent risk factor for infection. Conclusions: This study demonstrated that hematoma, preoperative hospital stay (⩾14d), history of chemotherapy and history of infection (within 30 days) are independent risk factor for all patients.

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Chinese expert consensus and practice guideline of totally implantable access port for digestive tract carcinomas

Cited by 14 publications

References 44 publications

Gastric Cancer Screening Methods: A Comparative Study of Two Scoring Methods

Gastric Cancer Screening Methods: A Comparative Study of Two Scoring Methods

The Port-A-Cath Application and Care Knowledge Scale (PACKS) for nurses: Development and initial validation with Rasch analysis

Risk factors of infection of totally implantable venous access port: A retrospective study

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