Cancer
Conditions
Interventions
None listed
Sponsors
Osaka Rosai Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Cancer patients aged 18 years or older receiving palliative care. Patients judged clinically to have difficulty in securing peripheral venous access, or expected to have such difficulty in the near future, and requiring continuation of injectable treatment. Patients for whom either PICC or the subcutaneous route (SC) is considered a clinically appropriate option, and whose attending physician selected one of these routes (initiation of SC or PICC order/insertion). The presence or absence of an implanted port is not restricted; however, only patients in whom the attending physician judged that the port alone was insufficient to continue the main injectable treatment of interest, or that an additional route was clinically necessary, and who were newly selected for PICC or SC, are eligible.
Exclusion criteria
Exclusion criteria: Patients in whom stable injectable treatment can be continued via peripheral venous access and for whom PICC or SC is not clinically considered. Patients with a PICC already inserted by another department or service and already being continuously used as the main route for injectable treatment at the time of study allocation. Patients with an absolute contraindication to PICC insertion, such as obvious infection at the planned insertion site, known deep vein thrombosis of the intended upper extremity or severe venous obstruction, uncontrolled major bleeding risk, or explicit patient refusal. Patients who expressed refusal to participate in the study through the opt-out process.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment continuity over 14 days. This is defined as maintenance of the selected main route from Day 0 (the day SC or PICC started as the main route) through Day 14 without access-related failure. | — |
Countries
Japan
Contacts
Public ContactNoriyuki Kawabata
Osaka Rosai Hospital Department of Palliative Care
Outcome results
None listed