Evidence map›Paper›PMID 42433422›Full record

Observational studyFrontiers in public health2026

Barriers to continuity of outpatient infusion-port maintenance among patients with cancer: a single-center cross-sectional study in China.

Yongchao Zhou, Yuxiu Xi, Xiao Zhu, Weijing Ni

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yongchao ZhouIntravenous Therapy and Nursing Clinic, Affiliated Hospital of Jiangnan University, Wuxi, China.
Yuxiu XiIntravenous Therapy and Nursing Clinic, Affiliated Hospital of Jiangnan University, Wuxi, China.
Xiao ZhuIntravenous Therapy and Nursing Clinic, Affiliated Hospital of Jiangnan University, Wuxi, China.
Weijing NiIntravenous Therapy and Nursing Clinic, Affiliated Hospital of Jiangnan University, Wuxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Totally implantable venous access ports require timely outpatient maintenance to preserve long-term device safety; however, missed or delayed visits may reflect financial, health system, behavioral, psychosocial, and knowledge-related barriers. This study assessed the prevalence, determinants, and patient-reported consequences of discontinuous outpatient infusion-port maintenance among cancer patients in China. Methods: This hospital-based observational analytical questionnaire study included adult patients with cancer who had an indwelling infusion port or comparable long-term venous access device. Discontinuous maintenance was defined as at least one missed or delayed scheduled maintenance visit during the preceding 6 months. Five prespecified barrier domain scores were evaluated: knowledge deficit, health system barriers, financial barriers, behavioral barriers, and psychosocial barriers. Modified Poisson regression with robust standard errors was used to estimate the prevalence ratios for discontinuous maintenance, and ordinal logistic regression was used to assess the severity of missed visits, satisfaction, and future maintenance intention. Results: A total of 2,710 patients were included, of whom 1,076 (39.7%) reported discontinuous maintenance. Financial burden was the most common reason for the most recent missed or delayed visit (32.9%), followed by transportation difficulties (20.1%), fear or anxiety (18.9%), and lack of knowledge about maintenance timing (12.1%). In fully adjusted models, discontinuity was independently associated with financial barriers (adjusted prevalence ratio [aPR], 1.59; 95% CI, 1.47-1.72), knowledge deficit (aPR, 1.57; 95% CI, 1.44-1.72), health-system barriers (aPR, 1.40; 95% CI, 1.28-1.53), psychosocial barriers (aPR, 1.33; 95% CI, 1.22-1.44), and behavioral barriers (aPR, 1.30; 95% CI, 1.20-1.41). Discontinuity increased across the total barrier score quartiles from 13.0 to 68.9% ( Conclusion: Discontinuous infusion-port maintenance was common and independently associated with multiple modifiable barriers, supporting integrated interventions that combine patient education, appointment coordination, financial navigation, transport support, and reminder systems.

Indexed as

Ambulatory CareCatheters, IndwellingNeoplasmsOutpatientsVascular Access DevicesAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairescancer supportive carefinancial toxicityinfusion portmaintenance continuityoutpatient oncologytotally implantable venous access port

Identifiers

PMID42433422
PMCPMC13350442

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.