ECO-SEOM-SEEO safety recommendations guideline for cancer patients receiving intravenous therapy

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RESEARCH ARTICLE

ECO‑SEOM‑SEEO safety recommendations guideline for cancer patients receiving intravenous therapy I. Magallón‑Pedrera1 · J. Pérez‑Altozano2 · J. A. Virizuela Echaburu3 · C. Beato‑Zambrano4 · P. Borrega‑García5 · J. C. de la Torre‑Montero6  Received: 18 March 2020 / Accepted: 21 March 2020 © The Author(s) 2020

Abstract Purpose  Cancer patients require implantation of venous access devices to meet their personalized therapeutic needs, which are often complex due to the nature of the medication and the disease status. Therefore, it is essential to have standardized protocols that guarantee the best results in health and patient safety. Methods  To learn about the availability of protocols and aspects related to safety in clinical practice and to detect possible opportunities for improvement, a survey has been conducted in various Spanish hospitals, in addition to a review of the evidence regarding the various devices available and complications associated with the administration of chemotherapy. Results  As a result of both analyses, the Foundation for Excellence and Quality in Oncology (ECO), the Spanish Society of Medical Oncology (SEOM), and the Spanish Society of Oncology Nursing (SEEO) have developed a catheter selection algorithm based on patient characteristics and treatment to facilitate the clinical decision-making process, as well as some recommendations aimed at ensuring patient safety and rational use of available resources. Conclusions  In conclusion, both the venous access catheter selection algorithm and the proposed recommendations aim to respond to the needs revealed in clinical practice and to become an integrable tool in electronic prescription systems to offer homogeneous criteria for action in cancer patients that require venous access, optimizing the use of available health resources with the highest safety and quality of life for the patient. Keywords  Cancer therapy · Safety · Venous access · Decision algorithm · Evidence-based recommendations · Clinical practice survey

Introduction Owing to its chronic nature and significant impact on health, cancer generates certain complex needs in patients that require multidisciplinary and personalized care through strategies that integrate the patient’s perspective, under * J. C. de la Torre‑Montero [email protected] 1



Oncology Nursing Service, Vall d’Hebron University Hospital, Spanish Society of Oncology Nursing (SEEO), Barcelona, Spain

2



Medical Oncology Service, Virgen de los Lirios de Alcoy Hospital, Spanish Society of Medical Oncology (SEOM), Alicante, Spain

3

Medical Oncology Service, Virgen Macarena University Hospital, Foundation for Excellence and Quality in Oncology (ECO), Seville, Spain



the coordination of the Medical Oncology Department and in collaboration with the other healthcare professionals involved in its care circuit [1]. One of the most disturbing aspects for these patients is the need to perform multiple painful venous punctures for analytical extractions and administration of cytotoxic ag