Skip to main content
Top
Published in: Supportive Care in Cancer 2/2018

Open Access 01-02-2018 | Original Article

Living with a peripherally inserted central catheter: the perspective of cancer outpatients—a qualitative study

Authors: Paula Parás-Bravo, María Paz-Zulueta, Miguel Santibañez, Cesar Fernández-de-las-Peñas, Manuel Herrero-Montes, Vanesa Caso-Álvarez, Domingo Palacios-Ceña

Published in: Supportive Care in Cancer | Issue 2/2018

Login to get access

Abstract

Purpose

The aim of this study was to describe the experience of using a peripherally inserted central catheter (PICC) in cancer sufferers receiving outpatient treatment.

Methods

A qualitative, phenomenological study was performed. Purposeful sampling methods were used. Data collection methods included semi-structured interviews and researcher field notes. Thematic analysis was used to analyze data. The study was conducted following the Consolidated Criteria for Reporting Qualitative Research guidelines.

Results

Eighteen patients (61% women, mean age 58 years) participated. They spent a mean duration of 155 days with the line in place. Two themes were identified with different subgroups. The theme “Living with a PICC line,” including the subthemes “Benefits” and “Disadvantages,” displays how the implantation is experienced by patients in a dichotomous manner. This highlighted both the beneficial and negative aspects of the implantation. The second theme was “Adapting to life with the catheter” and comprised three subthemes: “Advantages,” “Lifestyle modifications,” and “Overall assessment of the peripherally inserted central catheter,” which shows how patients gradually accept the catheter by adapting their lifestyle.

Conclusions

Over time, most patients considered having a PICC line to be a positive experience that they would recommend to other patients, as they found that it did not alter their quality of life. These results can be applied in Oncology Units for developing specific protocols for patients.
Literature
2.
go back to reference Stewart B, Wild C (2014) World cancer report. International Agency for Research on Cancer, Lyon Stewart B, Wild C (2014) World cancer report. International Agency for Research on Cancer, Lyon
3.
go back to reference Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136(5):359–386CrossRef Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136(5):359–386CrossRef
5.
go back to reference Raphael MJ, Biagi JJ, Kong W, Mates M, Booth CM, Mackillop WJ (2016) The relationship between time to initiation of adjuvant chemotherapy and survival in breast cancer: a systematic review and meta-analysis. Breast Cancer Res Treat 160(1):17–28CrossRefPubMed Raphael MJ, Biagi JJ, Kong W, Mates M, Booth CM, Mackillop WJ (2016) The relationship between time to initiation of adjuvant chemotherapy and survival in breast cancer: a systematic review and meta-analysis. Breast Cancer Res Treat 160(1):17–28CrossRefPubMed
6.
go back to reference Noonan KL, Ho C, Laskin J, Murray N (2015) The influence of the evolution of first-line chemotherapy on steadily improving survival in advanced non-small-cell lung cancer clinical trials. J Thorac Oncol 10(11):1523–1531CrossRefPubMed Noonan KL, Ho C, Laskin J, Murray N (2015) The influence of the evolution of first-line chemotherapy on steadily improving survival in advanced non-small-cell lung cancer clinical trials. J Thorac Oncol 10(11):1523–1531CrossRefPubMed
7.
go back to reference Schiffer CA, Mangu PB, Wade JC, Camp-Sorrell D, Cope DG, El-Rayes BF, Gorman M, Ligibel J, Mansfield P, Levine M (2013) Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol 31(10):1357–1370CrossRefPubMed Schiffer CA, Mangu PB, Wade JC, Camp-Sorrell D, Cope DG, El-Rayes BF, Gorman M, Ligibel J, Mansfield P, Levine M (2013) Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol 31(10):1357–1370CrossRefPubMed
8.
go back to reference Pérez Fidalgo JA, García Fabregat L, Cervantes A, Margulies A, Vidall C, Roila F; ESMO Guidelines Working Group (2012) Management of chemotherapy extravasation: ESMO-EONS clinical practice guidelines. Eur J Oncol Nurs 16(5):528–534CrossRef Pérez Fidalgo JA, García Fabregat L, Cervantes A, Margulies A, Vidall C, Roila F; ESMO Guidelines Working Group (2012) Management of chemotherapy extravasation: ESMO-EONS clinical practice guidelines. Eur J Oncol Nurs 16(5):528–534CrossRef
9.
go back to reference Kreidieh FY, Moukadem HA, El Saghir NS (2016) Overview, prevention and management of chemotherapy extravasation. World J Clin Oncol 10(7(1)):87–97CrossRef Kreidieh FY, Moukadem HA, El Saghir NS (2016) Overview, prevention and management of chemotherapy extravasation. World J Clin Oncol 10(7(1)):87–97CrossRef
11.
go back to reference American Society of Anesthesiologists Task Force on Central Venous Access, Rupp SM, Apfelbaum JL, Blitt C, Caplan RA, Connis RT, Domino KB, Fleisher LA, Grant S, Mark JB, Morray JP, Nickinovich DG, Tung A (2012) Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on central venous access. Anesthesiology 116(3):539–573CrossRef American Society of Anesthesiologists Task Force on Central Venous Access, Rupp SM, Apfelbaum JL, Blitt C, Caplan RA, Connis RT, Domino KB, Fleisher LA, Grant S, Mark JB, Morray JP, Nickinovich DG, Tung A (2012) Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on central venous access. Anesthesiology 116(3):539–573CrossRef
12.
go back to reference Parás-Bravo P, Paz-Zulueta M, Sarabia-Lavin R, Jose Amo-Setién F, Herrero-Montes M, Olavarría-Beivíde E, Rodríguez-Rodríguez M, Torres-Manrique B, Rodríguez-de la Vega C, Caso-Álvarez V, González-Parralo L, Antolín-Juárez FM (2016) Complications of peripherally inserted central venous catheters: a retrospective cohort study. PLoS One 11(9):e0162479CrossRefPubMedPubMedCentral Parás-Bravo P, Paz-Zulueta M, Sarabia-Lavin R, Jose Amo-Setién F, Herrero-Montes M, Olavarría-Beivíde E, Rodríguez-Rodríguez M, Torres-Manrique B, Rodríguez-de la Vega C, Caso-Álvarez V, González-Parralo L, Antolín-Juárez FM (2016) Complications of peripherally inserted central venous catheters: a retrospective cohort study. PLoS One 11(9):e0162479CrossRefPubMedPubMedCentral
13.
go back to reference Morales Pancorbo D, Fuentes Pradera J, Jimenez Vilches P, Escasi C, Macía Guerrero D, Fernandez Parra E, Bernabe Caro R et al (2015) Risk factors for complications of peripherally catheters central insertion (PICC) of prolonged use in patients with solid tumors treated with chemotherapy. 2015 ASCO annual meeting. J Clin Oncol 33 Morales Pancorbo D, Fuentes Pradera J, Jimenez Vilches P, Escasi C, Macía Guerrero D, Fernandez Parra E, Bernabe Caro R et al (2015) Risk factors for complications of peripherally catheters central insertion (PICC) of prolonged use in patients with solid tumors treated with chemotherapy. 2015 ASCO annual meeting. J Clin Oncol 33
14.
go back to reference Johansson E, Hammarskjold F, Lundberg D, Arnlind MH (2013) Advantages and disadvantages of peripherally inserted central venous catheters (PICC) compared to other central venous lines: a systematic review of the literature. Acta Oncol 52(5):886–892CrossRefPubMed Johansson E, Hammarskjold F, Lundberg D, Arnlind MH (2013) Advantages and disadvantages of peripherally inserted central venous catheters (PICC) compared to other central venous lines: a systematic review of the literature. Acta Oncol 52(5):886–892CrossRefPubMed
16.
go back to reference Schiffer CA, Mangu PB, Wade JC, Camp-Sorrell D, Cope DG, El-Rayes BF, Gorman M, Ligibel J, Mansfield P, Levine M (2013) Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol 31(10):1357–1370. doi:10.1200/JCO.2012.45.5733 CrossRefPubMed Schiffer CA, Mangu PB, Wade JC, Camp-Sorrell D, Cope DG, El-Rayes BF, Gorman M, Ligibel J, Mansfield P, Levine M (2013) Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol 31(10):1357–1370. doi:10.​1200/​JCO.​2012.​45.​5733 CrossRefPubMed
17.
go back to reference Nicholson J, Davies L (2013) Patients’ experiences of the PICC insertion procedure. Br J Nurs 22(14):3CrossRef Nicholson J, Davies L (2013) Patients’ experiences of the PICC insertion procedure. Br J Nurs 22(14):3CrossRef
18.
go back to reference Song C, Oh H (2016) Burn patients’ experience of peripherally inserted central catheter insertion: analysis of focus group interviews from a South Korean burn center. Burns 42(7):1439–1444CrossRefPubMed Song C, Oh H (2016) Burn patients’ experience of peripherally inserted central catheter insertion: analysis of focus group interviews from a South Korean burn center. Burns 42(7):1439–1444CrossRefPubMed
19.
go back to reference Oakley C, Wright E, Ream E (2000) The experiences of patients and nurses with a nurse-led peripherally inserted central venous catheter line service. Eur J Oncol Nurs 4(4):207–218CrossRefPubMed Oakley C, Wright E, Ream E (2000) The experiences of patients and nurses with a nurse-led peripherally inserted central venous catheter line service. Eur J Oncol Nurs 4(4):207–218CrossRefPubMed
20.
go back to reference Sharp R, Grech C, Fielder A, Mikocka-Walus A, Cummings M, Esterman A (2014) The patient experience of a peripherally inserted central catheter (PICC): a qualitative descriptive study. Contemp Nurse 48(1):26–35CrossRefPubMed Sharp R, Grech C, Fielder A, Mikocka-Walus A, Cummings M, Esterman A (2014) The patient experience of a peripherally inserted central catheter (PICC): a qualitative descriptive study. Contemp Nurse 48(1):26–35CrossRefPubMed
21.
go back to reference Johansson E, Engervall P, Björvell H, Hast R, Björkholm M (2009) Patients’ perceptions of having a central venous catheter or a totally implantable subcutaneous port system—results from a randomised study in acute leukaemia. Support Care Cancer 17(2):137–143CrossRefPubMed Johansson E, Engervall P, Björvell H, Hast R, Björkholm M (2009) Patients’ perceptions of having a central venous catheter or a totally implantable subcutaneous port system—results from a randomised study in acute leukaemia. Support Care Cancer 17(2):137–143CrossRefPubMed
22.
go back to reference Gao W, Luan XR, Sun YY, Zhang M, Li K, Li QH, Zhang H, Liu DS (2015) Experiences of patients with abnormal extubation of PICC tubes: a qualitative study. Int J Clin Exp Med 8(10):19297–19303PubMedPubMedCentral Gao W, Luan XR, Sun YY, Zhang M, Li K, Li QH, Zhang H, Liu DS (2015) Experiences of patients with abnormal extubation of PICC tubes: a qualitative study. Int J Clin Exp Med 8(10):19297–19303PubMedPubMedCentral
23.
go back to reference Tong A, Sainsbury P, Craig J (2007) Consolidated Criteria For Reporting Qualitative Research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19(6):349–357CrossRefPubMed Tong A, Sainsbury P, Craig J (2007) Consolidated Criteria For Reporting Qualitative Research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19(6):349–357CrossRefPubMed
24.
go back to reference Carpenter C, Suto M (2008) Qualitative research for occupational and physical therapists: a practical guide. Black-Well Publishing, Oxford Carpenter C, Suto M (2008) Qualitative research for occupational and physical therapists: a practical guide. Black-Well Publishing, Oxford
25.
go back to reference Pope C, Mays N (2006) Qualitative research in health care. Blackwell Publishing, OxfordCrossRef Pope C, Mays N (2006) Qualitative research in health care. Blackwell Publishing, OxfordCrossRef
26.
go back to reference Curry LA, Nembhard IM, Bradley EH (2009) Qualitative and mixed methods provide unique contributions to outcomes research. Circulation 119:1442–1452CrossRefPubMed Curry LA, Nembhard IM, Bradley EH (2009) Qualitative and mixed methods provide unique contributions to outcomes research. Circulation 119:1442–1452CrossRefPubMed
27.
go back to reference Norlyk A, Harder I (2010) What makes a phenomenological study phenomenological? An analysis of peer-reviewed empirical nursing studies. Qual Health Res 20(3):420–431CrossRefPubMed Norlyk A, Harder I (2010) What makes a phenomenological study phenomenological? An analysis of peer-reviewed empirical nursing studies. Qual Health Res 20(3):420–431CrossRefPubMed
28.
go back to reference Shenton AK (2004) Strategies for ensuring trustworthiness in qualitative research projects. Educ Inform 22:63–75CrossRef Shenton AK (2004) Strategies for ensuring trustworthiness in qualitative research projects. Educ Inform 22:63–75CrossRef
29.
go back to reference Teddlie C, Yu F (2007) Mixed method sampling: a typology with examples. J Mix Method Res 1(1):77–100 Teddlie C, Yu F (2007) Mixed method sampling: a typology with examples. J Mix Method Res 1(1):77–100
30.
go back to reference Murray SA, Kendall M, Carduff E, Worth A, Harris FM, Lloyd A, Cavers D, Grant L, Sheikh A (2009) Use of serial qualitative interviews to understand patients’ evolving experiences and needs. BMJ 339:b3702CrossRefPubMed Murray SA, Kendall M, Carduff E, Worth A, Harris FM, Lloyd A, Cavers D, Grant L, Sheikh A (2009) Use of serial qualitative interviews to understand patients’ evolving experiences and needs. BMJ 339:b3702CrossRefPubMed
31.
go back to reference Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psicol 3:77–101CrossRef Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psicol 3:77–101CrossRef
32.
go back to reference Saldaña J (2012) The coding manual for qualitative researchers. Sage Publications, Thousand Oaks Saldaña J (2012) The coding manual for qualitative researchers. Sage Publications, Thousand Oaks
33.
34.
go back to reference Chen HY, Boore JR (2010) Translation and back-translation in qualitative nursing research: methodological review. J Clin Nurs 19(1–2):234–239CrossRefPubMed Chen HY, Boore JR (2010) Translation and back-translation in qualitative nursing research: methodological review. J Clin Nurs 19(1–2):234–239CrossRefPubMed
35.
go back to reference Lincoln YS, Guba EG (1985) Naturalistic inquiry. Sage Publications, Newbury Park, CA Lincoln YS, Guba EG (1985) Naturalistic inquiry. Sage Publications, Newbury Park, CA
36.
go back to reference Cohen DJ, Crabtree BF (2008) Evaluative criteria for qualitative research in health care: controversies and recommendations. Ann Fam Med 6(4):331e339CrossRef Cohen DJ, Crabtree BF (2008) Evaluative criteria for qualitative research in health care: controversies and recommendations. Ann Fam Med 6(4):331e339CrossRef
37.
go back to reference World Medical Association (2001) World medical association declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull World Health Organ 79(4):373–374PubMedCentral World Medical Association (2001) World medical association declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull World Health Organ 79(4):373–374PubMedCentral
40.
go back to reference Stanton AL, Luecken LJ, MacKinnon DP, Thompson EH (2013) Mechanisms in psychosocial interventions for adults living with cancer: opportunity for integration of theory, research, and practice. J Consult Clin Psychol 81(2):318–335CrossRefPubMed Stanton AL, Luecken LJ, MacKinnon DP, Thompson EH (2013) Mechanisms in psychosocial interventions for adults living with cancer: opportunity for integration of theory, research, and practice. J Consult Clin Psychol 81(2):318–335CrossRefPubMed
41.
go back to reference Cancer Pain (PDQ®) (2016) PDQ supportive and palliative care editorial board. Supportive and Palliative Care Editorial Board, Bethesda Cancer Pain (PDQ®) (2016) PDQ supportive and palliative care editorial board. Supportive and Palliative Care Editorial Board, Bethesda
42.
go back to reference Mehnert A, Koch U, Schulz H, Wegscheider K, Weis J, Faller H, Keller M, Brähler E, Härter M (2012) Prevalence of mental disorders, psychosocial distress and need for psychosocial support in cancer patients—study protocol of an epidemiological multi-center study. BMC Psychiatry 2(12):70CrossRef Mehnert A, Koch U, Schulz H, Wegscheider K, Weis J, Faller H, Keller M, Brähler E, Härter M (2012) Prevalence of mental disorders, psychosocial distress and need for psychosocial support in cancer patients—study protocol of an epidemiological multi-center study. BMC Psychiatry 2(12):70CrossRef
43.
go back to reference O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO (2011) Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control 39(4, supplement):S34CrossRef O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO (2011) Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control 39(4, supplement):S34CrossRef
44.
go back to reference Harrod M, Montoya A, Mody L, McGuirk H, Winter S, Chopra V (2016) Challenges for nurses caring for individuals with peripherally inserted central catheters in skilled nursing facilities. J Am Geriatr Soc 64(10):2059–2064CrossRefPubMedPubMedCentral Harrod M, Montoya A, Mody L, McGuirk H, Winter S, Chopra V (2016) Challenges for nurses caring for individuals with peripherally inserted central catheters in skilled nursing facilities. J Am Geriatr Soc 64(10):2059–2064CrossRefPubMedPubMedCentral
45.
go back to reference Krein SL, Kuhn L, Ratz D, Winter S, Vaughn VM, Chopra V (2017) The relationship between perceived role and appropriate use of peripherally inserted central catheters: a survey of vascular access nurses in the United States. Int J Nurs Stud 71:28–33CrossRefPubMed Krein SL, Kuhn L, Ratz D, Winter S, Vaughn VM, Chopra V (2017) The relationship between perceived role and appropriate use of peripherally inserted central catheters: a survey of vascular access nurses in the United States. Int J Nurs Stud 71:28–33CrossRefPubMed
46.
go back to reference Møller T, Adamsen L (2010) Hematologic patients’ clinical and psychosocial experiences with implanted long-term central venous catheter: self-management versus professionally controlled care. Cancer Nurs 33(6):426–435CrossRefPubMed Møller T, Adamsen L (2010) Hematologic patients’ clinical and psychosocial experiences with implanted long-term central venous catheter: self-management versus professionally controlled care. Cancer Nurs 33(6):426–435CrossRefPubMed
47.
go back to reference Goltz JP, Petritsch B, Kirchner J, Hahn D, Kickuth R (2013) Percutaneous image-guided implantation of totally implantable venous access ports in the forearm or the chest? A patients’ point of view. Support Care Cancer 21(2):505–510CrossRefPubMed Goltz JP, Petritsch B, Kirchner J, Hahn D, Kickuth R (2013) Percutaneous image-guided implantation of totally implantable venous access ports in the forearm or the chest? A patients’ point of view. Support Care Cancer 21(2):505–510CrossRefPubMed
48.
go back to reference Klösges L, Meyer C, Boschewitz J, Andersson M, Rudlowski C, Schild HH, Wilhelm K (2015) Long-term outcome of peripherally implanted venous access ports in the forearm in female cancer patients. Cardiovasc Intervent Radiol 38(3):657–664CrossRefPubMed Klösges L, Meyer C, Boschewitz J, Andersson M, Rudlowski C, Schild HH, Wilhelm K (2015) Long-term outcome of peripherally implanted venous access ports in the forearm in female cancer patients. Cardiovasc Intervent Radiol 38(3):657–664CrossRefPubMed
49.
go back to reference Dabadie A, Soussan J, Mancini J, Vidal V, Bartoli JM, Gorincour G, Petit P (2016) Development and initial evaluation of a training program for peripherally inserted central catheter (PICC) placement for radiology residents and technicians. Diagn Interv Imaging 97(9):877–882CrossRefPubMed Dabadie A, Soussan J, Mancini J, Vidal V, Bartoli JM, Gorincour G, Petit P (2016) Development and initial evaluation of a training program for peripherally inserted central catheter (PICC) placement for radiology residents and technicians. Diagn Interv Imaging 97(9):877–882CrossRefPubMed
Metadata
Title
Living with a peripherally inserted central catheter: the perspective of cancer outpatients—a qualitative study
Authors
Paula Parás-Bravo
María Paz-Zulueta
Miguel Santibañez
Cesar Fernández-de-las-Peñas
Manuel Herrero-Montes
Vanesa Caso-Álvarez
Domingo Palacios-Ceña
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 2/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-017-3815-4

Other articles of this Issue 2/2018

Supportive Care in Cancer 2/2018 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine