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Safety and Cost Evaluation of Modified Medium-Length Catheters in Patients With Advanced Cancer: A Randomized
Yanfen Yu1, Qin Zhou1, Guanjun Ye1
1Intravenous Therapy Nursing Department, Ningbo No. 2 Hospital, Ningbo, Zhejiang Province, China (Ms Yu, Ms Zhou, Ms Ye).
Background:
Deep vein catheterization is common in patients with advanced cancer, but safety and cost comparisons between catheter types are limited.
Purpose:
To evaluate the safety and economic impact of a modified medium-length catheter versus a standard peripherally inserted central catheter (PICC) line in patients with advanced cancer.
Methods:
A prospective cohort study was conducted involving 160 patients with advanced cancer receiving palliative care between January 2022 and April 2024. Patients were randomized to a study group (modified medium-length catheter) or control group (PICC line). Venous complications, satisfaction, and costs were compared.
Results:
The study group had lower rates of venous thrombosis, bleeding, and catheter infection. Patient satisfaction and costs were also significantly better in the study group.
Conclusions:
The modified medium-length catheter provides better safety, higher satisfaction, and reduced costs, making it a preferred option for patients with advanced cancer.
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