Closed cannulation of subclavian vein vs open cut-down of cephalic vein for totally implantable venous access port TIVAP implantation: protocol for a systematic review and proportional meta-analysis of perioperative and postoperatReport as inadecuate




Closed cannulation of subclavian vein vs open cut-down of cephalic vein for totally implantable venous access port TIVAP implantation: protocol for a systematic review and proportional meta-analysis of perioperative and postoperat - Download this document for free, or read online. Document in PDF available to download.

Systematic Reviews

, 4:53

First Online: 22 April 2015Received: 16 February 2015Accepted: 08 April 2015DOI: 10.1186-s13643-015-0043-1

Cite this article as: Klaiber, U., Grummich, K., Jensen, K. et al. Syst Rev 2015 4: 53. doi:10.1186-s13643-015-0043-1

Abstract

BackgroundTotally implantable venous access port TIVAP implantation is one of the most often performed operations in general surgery over 100,000-year in Germany. The two main approaches for TIVAP placement are insertion into the cephalic vein through an open cut-down technique OCD or closed cannulation technique of the subclavian vein CC with Seldinger technique. Both procedures are performed with high success rates and very low complication frequencies. Because of the low incidence of complications, no single interventional trial is able to report a valid comparison of peri- and postoperative complication frequencies between both techniques. Therefore, the aim of this systematic review is to summarize evidence for peri- and postoperative complication rates in patients undergoing OCD or CC.

Methods-DesignA systematic literature search will be conducted in The Cochrane Library, MEDLINE, and Embase to identify randomized controlled trials RCTs, observational clinical studies OCS, or case series CS reporting peri- and-or postoperative complications of at least one implantation technique. A priori defined data will be extracted from included studies, and methodological quality will be assessed. Event rates with their 95% confidence intervals will be derived taking into account the follow-up time per study by patient-months where appropriate. Pooled estimates of event rates with corresponding 95% confidence intervals will be calculated on the base of the Freeman-Tukey double arcsine transformation within a random effect model framework.

DiscussionThe findings of this systematic review with proportional meta-analysis will help to identify the procedure with the best benefit-risk ratio for TIVAP implantation. This may have influence on daily practice, and data may be implemented in treatment guidelines. Considering the impact of TIVAP implantation on patients’ well being together with its socioeconomic relevance, patients will benefit from evidence-based treatment and health-care costs may also be reduced.

Systematic review registrationPROSPERO CRD42013005180.

KeywordsTotally implantable access ports TIAP Totally implantable venous access ports TIVAP Indwelling catheters Port catheters Seldinger technique Venae sectio Open cut-down AbbreviationsCCclosed cannulation technique of the subclavian vein

CScase series

MeSHmedical subject headings

OCDopen cut-down technique

OCSobservational clinical study

PRISMA-PPreferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2015

RCTrandomized controlled trial

TIAPtotally implantable access port

TIVAPtotally implantable venous access port

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Author: Ulla Klaiber - Kathrin Grummich - Katrin Jensen - Daniel Saure - Pietro Contin - Felix J Hüttner - Markus K Diener - Phi

Source: https://link.springer.com/







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