drury2019.pdf - e18 Abstracts Gynecologic Oncology 153(2019 e1\u2013e21 chemotherapy and had catheter maintenance for N3 months were included for analysis

drury2019.pdf - e18 Abstracts Gynecologic Oncology 153(2019...

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chemotherapy and had catheter maintenance for N 3 months were included for analysis. Groups were divided based on their maintenance interval: short interval (SI) at 4-6 weeks which is according to manufacturer s speci fi cations, or long interval (LI) at 10-12 weeks which was historically performed with patient s 3-month surveillance visits. Complications were de fi ned as events during the ush mainte- nance period that required removal of the port. Patient demographics and risk factors for in ammation, clotting, and infection were also collected for analysis. As a secondary outcome cost analysis was performed. SPSS was used to analyze data via Fisher s exact test and Chi-Square analysis. Signi fi cance was de fi ned as p b 0.05. Results: Data was collected on 259 patient charts from 2010 to 2017 of which 185 met inclusion criteria. Three complications requiring removal were seen during the study period: infection (1) and port malfunction (2). Complication rates were not statistically different between the SI group (n=90) 1.11% and the LI group (n=95) 2.10%, p=0.525. The groups were also noted to be evenly matched with no signi fi cant patient characteristics or demographic differences. Currently, $168 is billed for each implanted catheter ush encounter at the study facility. Patients traveled an average of 78.64 miles round trip to reach the facility. Considering only travel costs (gas, vehicle wear and tear) and billing, the LI scheduling could reduce a patient s expense by 50 to 66% and save as much as $59 -$119 each month in addition to the individual s copay. Conclusions: Our fi ndings support the hypothesis that complication rates are not increased when using a long interval ush maintenance schedule. Additionally, the potential savings for the patient is not insigni fi
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