{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:02:47Z","timestamp":1790863367602,"version":"4.1.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association between puncture arm and initial peripherally inserted central catheter tip positioning accuracy in female breast cancer patients and to explore related factors associated with malposition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 402 female breast cancer patients undergoing chemotherapy requiring peripherally inserted central catheter placement. Patients were categorized into left-arm and right-arm groups. Demographic, clinical, and operator variables were analyzed. Pre-procedural anxiety status was evaluated using the Perioperative Anxiety Scale-7. Placement accuracy was assessed radiographically. Multivariate logistic regression identified independent predictors, and model performance was evaluated using receiver operating characteristic curve analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the matched cohort, initial tip accuracy was higher in the right-arm group (90.4%) than in the left-arm group (80.8%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.013). Left-arm selection, advanced age, compromised vascular condition, high pre-procedural anxiety, and limited operator experience were identified as independent factors associated with initial tip accuracy (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05). The multivariable descriptive model showed an apparent area under the curve of 0.825.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this single-center retrospective cohort, right-arm puncture was associated with higher initial peripherally inserted central catheter tip positioning accuracy than left-arm puncture in female breast cancer patients. However, because breast cancer-specific factors influencing arm selection, including surgery laterality and axillary lymph node management, radiotherapy, and lymphedema-related factors, were not systematically collected, this association should not be interpreted as a causal effect of puncture side alone. These findings are hypothesis-generating and underscore the need for individualized peripherally inserted central catheter planning that considers clinical feasibility, venous condition, patient anxiety, treatment-related arm-selection factors, and operator experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261490822","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T03:00:41Z","timestamp":1790564441000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Initial peripherally inserted central catheter tip position accuracy by puncture arm and associated factors in female patients with breast cancer: A retrospective cohort study"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0161-5629","authenticated-orcid":false,"given":"Min","family":"Zhang","sequence":"first","affiliation":[{"name":"Anhui Medical University"},{"name":"The First Affiliated Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9622-0332","authenticated-orcid":false,"given":"Xue","family":"Liu","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2935-7830","authenticated-orcid":false,"given":"Lu","family":"Ruan","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6721-0819","authenticated-orcid":false,"given":"Xiaohong","family":"Pei","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6669-8907","authenticated-orcid":false,"given":"Qingquan","family":"Bi","sequence":"additional","affiliation":[{"name":"Anhui Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01438-6"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21754"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819888120"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/07370016.2023.2205405"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.01.001"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/jmrs.98"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/9082924"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.26355"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2015150056"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12154"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820950996"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.71172"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/02841851231168981"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1188\/15.CJON.E70-E73"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003428"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.5847\/wjem.j.1920-8642.2022.104"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03365-1"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-041101"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.932"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729821999484"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2018.12.007"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020352"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-023-11413-0"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000506"},{"key":"e_1_3_2_27_2","volume-title":"StatPearls","author":"Montanarella MJ","year":"2025","unstructured":"Montanarella MJ, Agarwal A, Moon B. 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