{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T22:29:49Z","timestamp":1773181789356,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,9,20]],"date-time":"2012-09-20T00:00:00Z","timestamp":1348099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,9,20]],"date-time":"2012-09-20T00:00:00Z","timestamp":1348099200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>: Although home parenteral nutrition (HPN) is often indicated in cancer patients, many physicians are concerned about the risks potentially associated with the use of central venous access devices (VADs) in these patients. The aim of this prospective study was to investigate the actual incidence of VAD\u2010related complications in cancer patients on HPN. <jats:italic>Methods<\/jats:italic>: All adult cancer patient candidates for VAD insertion and HPN were enrolled. The incidence of complications associated with 4 types of VADs (peripherally inserted central catheter [PICC], Hohn catheter, tunneled Groshong catheter, and port) was investigated, as well as the most significant risk factors. <jats:italic>Results<\/jats:italic>: Two hundred eighty\u2010nine VADs in 254 patients were studied, for a total of 51,308 catheter\u2010days. The incidence of catheter\u2010related bloodstream infections (CRBSIs) was low (0.35\/1000 catheter\u2010days), particularly for PICCs (0\/1000; <jats:italic>P<\/jats:italic> &lt; .01 vs Hohn and tunneled catheters) and for ports (0.19\/1000; <jats:italic>P<\/jats:italic> &lt; .01 vs Hohn and <jats:italic>P<\/jats:italic> &lt; .05 vs tunneled catheters). Mechanical complications were uncommon (0.8\/1000), as was VAD\u2010related venous thrombosis (0.06\/1000). Ultrasound\u2010guided venipuncture was associated with a decreased risk of CRBSI (<jats:italic>P<\/jats:italic> &lt; .04) and thrombosis (<jats:italic>P<\/jats:italic> &lt; .001). VAD securement using sutureless devices reduced the risk of CRBSI and dislocation (<jats:italic>P<\/jats:italic> &lt; .001). Hohn catheters had no advantage over PICCs (higher complication rate and shorter dwell time; <jats:italic>P<\/jats:italic> &lt; .001). <jats:italic>Conclusions<\/jats:italic>: In cancer patients, HPN can be safely carried out with a low incidence of complications. Also, VADs are not equal in terms of complication rates, and strict adherence to meticulous insertion policies may effectively reduce catheter\u2010related complications.<\/jats:p>","DOI":"10.1177\/0148607112460552","type":"journal-article","created":{"date-parts":[[2012,9,21]],"date-time":"2012-09-21T00:56:08Z","timestamp":1348188968000},"page":"375-383","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":91,"title":["Catheter\u2010Related Complications in Cancer Patients on Home Parenteral Nutrition"],"prefix":"10.1002","volume":"37","author":[{"given":"Paolo","family":"Cotogni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Pittiruti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Barbero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taira","family":"Monge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augusta","family":"Palmo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Boggio Bertinet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,9,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2354.1999.00156.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.1332"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/83.6.1345"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-003-0568-z"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601781"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/011542650602100168"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-5379(87)90005-8"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607187011005475"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2002.0560"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601962"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-004-0746-7"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20221"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2005.06.008"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607106030003222"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.02111.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607109341804"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2009.04.001"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2710.1987.tb00544.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.4065\/81.9.1159"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000162286"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/01486071060300S1S57"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2002.0578"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607105029005367"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.3322\/CA.2008.0015"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2009.03.015"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.2309\/java.12-1-10"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdp052"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(07)60002-4"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1086\/591059"},{"issue":"1","key":"e_1_2_9_31_1","first-page":"S1","article-title":"Infusion nursing standards of practice","volume":"29","author":"Infusion Nurses Society","year":"2006","journal-title":"J Infus Nurs"},{"key":"e_1_2_9_32_1","unstructured":"2010 RCN London Royal College of Nursing (RCN) I.V. 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