Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review
Abstract Background Lack of agreed terminology and definitions in healthcare compromises communication, patient safety, optimal management of adverse events, and research progress. The purpose of this scoping review was to understand the terminologies used to describe central venous access devices (...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Cancer |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12885-024-12099-8 |
| _version_ | 1797199338905010176 |
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| author | Kerrie Curtis Karla Gough Meinir Krishnasamy Elena Tarasenko Geoff Hill Samantha Keogh |
| author_facet | Kerrie Curtis Karla Gough Meinir Krishnasamy Elena Tarasenko Geoff Hill Samantha Keogh |
| author_sort | Kerrie Curtis |
| collection | DOAJ |
| description | Abstract Background Lack of agreed terminology and definitions in healthcare compromises communication, patient safety, optimal management of adverse events, and research progress. The purpose of this scoping review was to understand the terminologies used to describe central venous access devices (CVADs), associated complications and reasons for premature removal in people undergoing cancer treatment. It also sought to identify the definitional sources for complications and premature removal reasons. The objective was to map language and descriptions used and to explore opportunities for standardisation. Methods A systematic search of MedLine, PubMed, Cochrane, CINAHL Complete and Embase databases was performed. Eligibility criteria included, but were not limited to, adult patients with cancer, and studies published between 2017 and 2022. Articles were screened and data extracted in Covidence. Data charting included study characteristics and detailed information on CVADs including terminologies and definitional sources for complications and premature removal reasons. Descriptive statistics, tables and bar graphs were used to summarise charted data. Results From a total of 2363 potentially eligible studies, 292 were included in the review. Most were observational studies (n = 174/60%). A total of 213 unique descriptors were used to refer to CVADs, with all reasons for premature CVAD removal defined in 84 (44%) of the 193 studies only, and complications defined in 56 (57%) of the 292 studies. Where available, definitions were author-derived and/or from national resources and/or other published studies. Conclusion Substantial variation in CVAD terminology and a lack of standard definitions for associated complications and premature removal reasons was identified. This scoping review demonstrates the need to standardise CVAD nomenclature to enhance communication between healthcare professionals as patients undergoing cancer treatment transition between acute and long-term care, to enhance patient safety and rigor of research protocols, and improve the capacity for data sharing. |
| first_indexed | 2024-04-24T07:14:10Z |
| format | Article |
| id | doaj.art-796ee4f9ef29433fa7c4c44679e35fb0 |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-04-24T07:14:10Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-796ee4f9ef29433fa7c4c44679e35fb02024-04-21T11:21:54ZengBMCBMC Cancer1471-24072024-04-0124111710.1186/s12885-024-12099-8Central venous access device terminologies, complications, and reason for removal in oncology: a scoping reviewKerrie Curtis0Karla Gough1Meinir Krishnasamy2Elena Tarasenko3Geoff Hill4Samantha Keogh5Department of Nursing, University of MelbourneDepartment of Nursing, University of MelbourneDepartment of Nursing, University of MelbourneAustin HealthRoyal Melbourne HospitalCentre for Healthcare Transformation, Queensland University of TechnologyAbstract Background Lack of agreed terminology and definitions in healthcare compromises communication, patient safety, optimal management of adverse events, and research progress. The purpose of this scoping review was to understand the terminologies used to describe central venous access devices (CVADs), associated complications and reasons for premature removal in people undergoing cancer treatment. It also sought to identify the definitional sources for complications and premature removal reasons. The objective was to map language and descriptions used and to explore opportunities for standardisation. Methods A systematic search of MedLine, PubMed, Cochrane, CINAHL Complete and Embase databases was performed. Eligibility criteria included, but were not limited to, adult patients with cancer, and studies published between 2017 and 2022. Articles were screened and data extracted in Covidence. Data charting included study characteristics and detailed information on CVADs including terminologies and definitional sources for complications and premature removal reasons. Descriptive statistics, tables and bar graphs were used to summarise charted data. Results From a total of 2363 potentially eligible studies, 292 were included in the review. Most were observational studies (n = 174/60%). A total of 213 unique descriptors were used to refer to CVADs, with all reasons for premature CVAD removal defined in 84 (44%) of the 193 studies only, and complications defined in 56 (57%) of the 292 studies. Where available, definitions were author-derived and/or from national resources and/or other published studies. Conclusion Substantial variation in CVAD terminology and a lack of standard definitions for associated complications and premature removal reasons was identified. This scoping review demonstrates the need to standardise CVAD nomenclature to enhance communication between healthcare professionals as patients undergoing cancer treatment transition between acute and long-term care, to enhance patient safety and rigor of research protocols, and improve the capacity for data sharing.https://doi.org/10.1186/s12885-024-12099-8Central venous cathetersCatheters indwellingCentral venous access deviceDevice removalComplicationPremature removal |
| spellingShingle | Kerrie Curtis Karla Gough Meinir Krishnasamy Elena Tarasenko Geoff Hill Samantha Keogh Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review BMC Cancer Central venous catheters Catheters indwelling Central venous access device Device removal Complication Premature removal |
| title | Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review |
| title_full | Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review |
| title_fullStr | Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review |
| title_full_unstemmed | Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review |
| title_short | Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review |
| title_sort | central venous access device terminologies complications and reason for removal in oncology a scoping review |
| topic | Central venous catheters Catheters indwelling Central venous access device Device removal Complication Premature removal |
| url | https://doi.org/10.1186/s12885-024-12099-8 |
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