Complications and Costs of Peripherally Inserted Central Venous Catheters Compared With Implantable Port Catheters for Cancer Patients: A Meta-analysis.

BACKGROUND: Peripherally inserted central catheters (PICCs) and implantable port catheters (IPCs) are 2 most common central venous access for cancer patients receiving chemotherapy. However, no specific evidence exists to guide practitioners on safety and less cost. OBJECTIVE: To compare the differences of complications and costs of PICC and IPC in the treatment of cancer patients with chemotherapy and to provide a basis for better clinical decision making. METHODS: All the cohort studies were searched in the Cochrane Library, JBI, PubMed, Elsevier, Web of Science, CINAHL, CBM, and CNKI from inception to July 2018. Two reviewers screened and selected trials, evaluated quality, and extracted data. Meta-analysis and description of the outcomes were performed by using the RevMan 5.3 software. RESULTS: A total of 761 articles were retrieved, with 15 articles meeting eligibility criteria. Outcome analysis showed no difference in 1-puncture success rate. Peripherally inserted central catheter use was associated with higher complication rates than IPC, including occlusion, infection, malposition, catheter-related thrombosis, extravasation, phlebitis, and accidental removal rate. The life span of IPC was longer than that of PICC, and the costs of IPC were lower. CONCLUSIONS: Implantable port catheter has advantages over PICC in reducing cancer patients' complications and less cost in terms of long-term cancer chemotherapy. IMPLICATIONS FOR PRACTICE: In terms of safety, the results provide evidence for practitioners to choose which type of central venous catheters is better for cancer chemotherapy patients. In terms of costs, practitioners need to make decisions about which type of central venous catheters has less cost.

Microwave-assisted headspace controlled temperature liquid-phase microextraction of chlorophenols from aqueous samples for gas chromatography-electron capture detection.

A modified headspace liquid-phase microextraction (HS-LPME) method was studied for the extraction of chlorophenols (CPs) from aqueous samples with complicated matrices, before gas chromatographic (GC) analysis with electron capture detection (ECD). Microwave heating was applied to accelerate the evaporation of CPs into the headspace, and an external-cooling system was used to control the sampling temperature. Conditions influencing extraction efficiency, such as the LPME-solvent, the sampling position of LPME, the sampling temperature, microwave power, and irradiation time (the same as sampling time), sample pH, and salt addition were thoroughly optimized. Experimental results indicated that the extraction of CPs from a 10mL aquatic sample (pH 1.0) was achieved with the best efficiency through the use of 1-octanol as solvent, microwave irradiation of 167W, and sampling at 45 degrees C for 10min. The detections were linear in the concentration of 5.0-100microg/L for 2,4-dichlorophenol (2,4-DCP), and 0.5-10microg/L for 2,4,6-trichlorophenol (2,4,6-TCP), 2,3,4,6-tetrachlorophenol (2,3,4,6-TeCP) and pentachlorophenol (PCP). Detection limits were found to be 0.7, 0.04, 0.07, and 0.08microg/L for 2,4-DCP, 2,4,6-TCP, 2,3,4,6-TeCP, and PCP, respectively. A landfill leachate sample was analyzed with recovery between 83 and 102%. The present method was proven to serve as a simple, sensitive, and rapid procedure for CP analysis in an aqueous sample.