European Journal of Cancer Supplements vol:1 issue:5 pages:S365-S365
ECCO edition:12 location:Copenhagen, Denmark date:21-25 September 2003
Background: Totally implantable central venous access port systems are widely recognised as a main supportive factor in cancer treatment. Despite the many advantages of these devices, patients as well as carergivers can experience complications (thrombosis, occlusion, infection, extravasation,…). Acurately developed procedures and guidelines can help nurses reduce these complications. In Belgium there is a whole range of different procedures regarding maintenance of ports. The lack of uniformity led to the start of a multicentric study. A study design was developed to get an idea of the incidence of different problems (such as blood withdrawal occlusion) and complications (such as infection) in the different hospitals. The registration started at the insertion procedure (e.g. insertion technique, which vein was accessed…). The patient was asked to fill out a diary to keep track on the functioning of the catheter per needle insertion. If problems occurred the nurse was asked to specify the problem and the measures taken. The ultimate goal is to support evidence based nursing. Materials en Methods: A prospective desciptive study is carried out in 14 different hospitals in Flanders (Belgium). First patients were included in December 2001, registration is ongoing. The results of a convenience sample of more than 900 patients were analysed. Correlations between e.g. underlying disease, frequency of needle insertion and complications (malfunctioning, infection, thrombosis and extravasation) were studied. Results: Preliminary results will be presented. Conclusions: Conclusions based on the preliminary results will be presented.