title: Treatment time, ease of use and cost associated with use of Equashield™, PhaSeal®, or no closed system transfer device for administration of cancer chemotherapy to a dog model.
abstract: This prospective experimental simulation study evaluated the efficiency, ease of use (EOU) and cost of administering chemotherapy with two closed system transfer devices (CSTD, Equashield™ and PhaSeal®) and no CSTD. Forty-six veterinary technicians (VT) working in oncology specialty practices were timed during chemotherapy administration simulated with water and a model canine limb 10 times with each system and with no CSTD. EOU and likelihood of recommending each system were rated by VT using visual analog scales. Costs were obtained from veterinary distributors. Administration was fastest with Equashield™ (P = 0.0003), but the difference was not enough to affect case flow. Equashield™ was easier to use than PhaSeal®or no CSTD (P = 0.002), however VT recommended both CSTD more strongly than no CSTD (P < 0.0001). Equashield™ cost less than PhaSeal®but was sold only in bulk quantities. CSTD did not decrease efficiency in administering chemotherapy and were readily accepted by VT.
authors: Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
authors: K
authors: K
authors: Kicenuik
authors: Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
authors: N
authors: N
authors: Northrup
authors: Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
authors: A
authors: A
authors: Dawson
authors: Southeast Veterinary Oncology, Orange Park, FL, USA.
authors: J
authors: J
authors: Locke
authors: Animal Cancer Care Clinic, Ft. Lauderdale, FL, USA.
authors: J A
authors: JA
authors: Villamil
authors: VCA West Los Angeles Animal Hospital, Los Angeles, CA, USA.
authors: J
authors: J
authors: Chretin
authors: Wheat Ridge Animal Hospital, Wheat Ridge, CO, USA.
authors: G
authors: G
authors: Sfiligoi
authors: Hope Veterinary Specialists, Malvern, PA, USA.
authors: C
authors: C
authors: Clifford
authors: Veterinary Cancer Group, Woodland Hills, CA, USA.
authors: M
authors: M
authors: Rosenberg
authors: BluePearl Georgia Veterinary Specialists, Sandy Springs, GA, USA.
authors: T
authors: T
authors: Hamilton
authors: BluePearl Georgia Veterinary Specialists, Sandy Springs, GA, USA.
authors: R
authors: R
authors: Regan
authors: Department of Small Animal Medicine and Surgery, University of Guelph Ontario Veterinary College, Guelph, Ontario, Canada.
authors: M
authors: M
authors: Parsons-Doherty
authors: Columbia River Veterinary Specialists, Vancouver, WA, USA.
authors: C
authors: C
authors: Mallett
authors: Portland Veterinary Specialists, Portland, ME, USA.
authors: J
authors: J
authors: Philibert
authors: Veterinary Oncology Services, NY, Middletown, NY, USA.
authors: J
authors: J
authors: Impellizeri
authors: Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
authors: E
authors: E
authors: Hofmeister
mesh_terms: D000704:Analysis of Variance; D017750:Animal Technicians / Q000523:psychology; D000818:Animals; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D001290:Attitude; D004283:Dog Diseases / Q000188:drug therapy*; D004285:Dogs; D004867:Equipment Design / Q000379:methods* / Q000523:psychology; D005845:Georgia; D006801:Humans; D009369:Neoplasms / Q000188:drug therapy / Q000662:veterinary*; D016273:Occupational Exposure / Q000517:prevention & control*; D011482:Protective Devices; D017751:Safety Management / Q000379:methods*; D013594:Syringes; D013995:Time; D064232:Visual Analog Scale
chemical_list: D000970:Antineoplastic Agents
keywords: ONB; antineoplastic drug; device; occupational safety