Conclusion
The results of the present study indicate that silicone gel sheet alone
or in combination with application of glucocorticosteroid during sheet
occlusion may improve scar outcome after removal of CVC in children
treated for neoplastic diseases. Data assessed by the dermatologist
showed significantly improved scar outcome for the intervention groups,
however the result was not supported by the data assessed by the study
nurse and the patients. The POSAS assessed by the patients and the study
nurse showed no statistically significant difference between the
intervention and control groups.
Overall, there is a need for larger studies and interventions that can
distinguish between the effect of silicone gel sheet and the effect of
glucocorticosteroid in combination with silicone gel sheet.