Promoting a research agenda for cancer treatment for intravenous devices with clinicians in Europe; the PRACTICE survey

Abstract

La encuesta PRACTICE evaluó las prácticas clínicas relacionadas con dispositivos de acceso vascular (VAD) para terapias sistémicas contra el cáncer (SACT) en Europa. Participaron 403 profesionales sanitarios de 18 países, de los cuales 166 completaron el cuestionario completo. Los resultados revelan una gran variabilidad en la selección de VAD, influenciada por protocolos institucionales, ubicación geográfica y la existencia de equipos especializados. Aunque los oncólogos fueron los principales responsables de la elección del dispositivo, el personal de enfermería desempeñó un papel clave en la gestión diaria. Se identificaron barreras como la falta de formación (80 % desea capacitación adicional) y la adopción inconsistente de guías clínicas. El estudio destaca la necesidad de prácticas estandarizadas, colaboración interdisciplinaria y formación continua, proponiendo integrar la selección de VAD en métricas de certificación de atención oncológica.

The PRACTICE survey aimed to characterize vascular access device (VAD) practices for systemic anti-cancer therapy (SACT) across Europe, addressing gaps in clinician decision-making, training, and complication management. Conducted as a cross-sectional survey from May to October 2024, the study engaged healthcare professionals (HCPs) from 18 European countries, with 403 completing demographic questions and 166 responding to procedural and training-related queries. Results revealed significant variability in VAD selection, influenced by institutional protocols, geographic location, and the presence of vascular access teams (VATs). Oncologists were identified as primary decision-makers (36 %), though nursing staff played a pivotal role in daily management. Peripheral intravenous catheters (PIVCs) dominated in Ireland and Finland (43–49 %), while tunnelled implantable devices (TIVADs) were preferred in Belgium (65 %). Barriers to optimal VAD selection included insufficient training (80 % sought further education) and inconsistent guideline adoption (51 % reported institutional protocols). The study underscores the need for standardised practices, interdisciplinary collaboration, and enhanced training. Findings highlight opportunities for integrating VAD selection into cancer care certification metrics and fostering partnerships between oncology and vascular access societies. [2025926731...ICE Survey]