Application of Medical Consortium Service in Rural Areas for PICC Placement Among Oncology Patients: Evidence from a Cohort Study

Xiaomei Hu, Fengming Zou, Wendan Zheng, Kunyan Yue, Jing Zhou, Xiao Liu, Xiaokai Yan, Min Wu, Jiangqin Xiong, Anyan Zhang, Xi Chen, Wenbi Huang, Anxian Huang, Guoping He and Xiaojing Tian

Zunyi Medical University, China

^*Correspondance to: Jing Zhou 

 PDF  Full Text DOI: 10.25107/2474-1647.3678

Abstract

Aim: To compare the effectiveness, safety, and economic benefits of medical consortium service with traditional health service in rural areas for PICC placement among oncology patients. Design: Prospective cohort study. Methods: Patients who were diagnosed with cancer and with a PICC placed were recruited from Affiliated Cancer Hospital of Zunyi Medical University, China. Data were collected between March 2019 and August 2022, with long-term follow-up until removal. Multivariable cox regression models were performed for complications between two groups. Result: A total of 653 participants in the analysis. The exposure group (n=276) experienced fewer catheter-related complications and patient-related complications, such as catheter dislodgement, catheter obstruction, venous thrombosis, puncture site infection, allergic dermatitis, and tension blister, compared to the control group (n=377). The average cost and time used for PICC maintenance were much less in the exposure group compared to the control group. Conclusion: The application of a medical consortium service in rural areas for PICC placement among oncology patients demonstrated promising results in this prospective cohort study. The intervention was effective in reducing complications, enhancing patients’ health-related behaviors and attitudes, and improving patients’ quality of life. Further research is needed to explore the long-term benefits and cost-effectiveness of this approach, as well as its applicability in different healthcare settings.

Keywords

Medical consortium service; Rural areas; PICC placement; Cohort study

Cite the article

Hu X, Zou F, Zheng W, Yue K, Zhou J, Liu X, et al. Application of Medical Consortium Service in Rural Areas for PICC Placement Among Oncology Patients: Evidence from a Cohort Study. Clin Surg. 2023; 8: 3678..