Malignant ascites drainage with indwelling abdominal catheters: can we predict and prevent infection complication?

Stukan, Maciej

doi:10.21037/apm.2019.11.29

Ann Palliat Med

2020

DOI: 10.21037/apm.2019.11.29

|View full text |Cite

Malignant ascites drainage with indwelling abdominal catheters: can we predict and prevent infection complication?

Maciej Stukan

Abstract: et al. Patterns and infection outcomes of bacterial colonization in patients with indwelling abdominal drains for malignant ascites. Ann Palliat Med 2019. [Epub ahead of print].

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Preprint1

Relationship

Self Cite1

Independent0

Authors

Journals

Cited by 1 publication

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Symptomatic Malignant Ascites Drainage with a Patient-controlled Vascular Catheter – interim analysis of safety and patients’ reported outcomes

Stukan,

Jedryka,

Cokan

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

Malignant ascites (MA) and repeated paracentesis can impair patient’s quality of life (QOL). The aim was to evaluate changes in patients’ QOL and the safety of MA drainage with a patient-controlled central vascular catheter (CVC) inserted into the abdominal cavity. This is an interim analysis of a prospective, multicentre trial ongoing within the Central and Eastern European Gynaecologic Oncology Group (CEEGOG). CVC (14-Ga) was inserted into the abdominal cavity of patients with symptomatic MA and drainage was controlled by patients at home. The rate and quality of complications were classified according to Common Terminology Criteria for Adverse Events Version 5.0. QOL was evaluated before and 10-14 days after/during drainage with standardized QLQ-C15-PAL, SGA, and FACIT-TS-G questionnaires. Wilcoxon and Chi-squared tests were used. Among 113 recruited patients (2015-2022) 8 adverse events were detected in 7 patients (6.2%), including one serious (death on the 9th day after catheter insertion, classified as not related to the intervention). Other complications were local infection (n=2) (resolved after oral antibiotics), catheter obstruction (n=2), catheter self-removal (n=2) (re-insertion performed), and nausea (n=1). When comparing the assessment before and after/during drainage, we found the significantly better global quality of life (mean 31.8 vs 47.8, p<0.001), improvement in physical (52.6 vs 64.4, p<0.001) and emotional functioning (50.7 vs 65.4, p<0.001); symptoms were significantly less intense: fatigue (66.7 vs 50.9, p<0.001), nausea and vomiting (37.8 vs 21.4, p<0.001), pain (53.9 vs 34.1, p<0.001), dyspnoea (48.5 vs 22.3, p<0.001), insomnia (49.1 vs 34.3, p<0.001), appetite loss (56.3 vs 40.3, p<0.001), constipation (31.0 vs 25.2, p=0.007), and more patients had no pain on eating (71.3% vs 82.9%, p=0.04). Most patients (78%) were satisfied, 83% would recommend the procedure to others, and 90% would choose intervention again. MA drainage via patient-controlled CVC inserted into the abdominal cavity is safe and improves patients’ QOL.

show abstract

Symptomatic Malignant Ascites Drainage with a Patient-controlled Vascular Catheter – interim analysis of safety and patients’ reported outcomes

Stukan,

Jedryka,

Cokan

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Malignant ascites drainage with indwelling abdominal catheters: can we predict and prevent infection complication?

Abstract: et al. Patterns and infection outcomes of bacterial colonization in patients with indwelling abdominal drains for malignant ascites. Ann Palliat Med 2019. [Epub ahead of print].

Cited by 1 publication

References 17 publications

Symptomatic Malignant Ascites Drainage with a Patient-controlled Vascular Catheter – interim analysis of safety and patients’ reported outcomes

Symptomatic Malignant Ascites Drainage with a Patient-controlled Vascular Catheter – interim analysis of safety and patients’ reported outcomes

Contact Info

Product

Resources

About