Survival and complications after placement of central venous access ports for palliative chemotherapy : a single-institution retrospective analysis

Article

SACKS, Olivia A. | CHUGH, Priyanka | HE, Katherine | MOSELEY, Jennifer M. | ONEAL, Patrick B. | WHANG, Edward | KRISTO, Gentian

BACKGROUND: Given the lack of empiric recommendations for vascular access for palliative chemotherapy, we aimed to analyze survival and complications after placement of central venous access ports for palliative chemotherapy. METHODS: We performed a retrospective chart review of 135 patients undergoing port placement for palliative chemotherapy at a single institution from January 2015 - July 2020. RESULTS: The median age was 68 (range 47-91). Median overall survival was 7.7 months (95% CI, 6.5-8.9 months). The rate of port-related complications was 11.1% (15 of 135). Patients who developed port-related complications required corrective surgery in 73.3% (11 of 15) of cases. Results were similar among all patients, regardless of their primary diagnoses or central venous access sites. CONCLUSIONS: Increased awareness about the limited survival of patients after port placement for palliative chemotherapy, and their significant complication risk could be used to help patients and their providers make value-aligned decisions about vascular access.

https://journals.sagepub.com/doi/10.1177/10499091211002127

Voir la revue «The American journal of hospice and palliative care, 39»

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