ArticleBMC nephrology2012
Effects of starting hemodialysis with an arteriovenous fistula or central venous catheter compared with peritoneal dialysis: a retrospective cohort study.
Article in BMC nephrology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Peritoneal dialysis versus haemodialysis for people commencing dialysis.The Cochrane database of systematic reviews · 2024Pooled it
- Effects of Arteriovenous Fistula on Blood Pressure in Patients With End-Stage Renal Disease: A Systematic Meta-Analysis.Journal of the American Heart Association · 2019Pooled it
- Difficult cannulation of hemodialysis arteriovenous fistula - Role of imaging in access management (DICAF STUDY).The journal of vascular access · 2022Observational
- Emergency Department Utilization Among Maintenance Hemodialysis Patients: A Systematic Review.Kidney medicine · 2022Article
- Break-in Period ≤24 Hours as an Option for Urgent-start Peritoneal Dialysis in Patients With Diabetes.Frontiers in endocrinology · 2022Article
- Urgent-start peritoneal dialysis results in fewer procedures than hemodialysis.Clinical kidney journal · 2020Article
- The Impact of Vascular Access Types on Hemodialysis Patient Long-term Survival.Scientific reports · 2019Article
- The modality of choice, manual or automated, for urgent start peritoneal dialysis.Clinical kidney journal · 2019Article
- Peritoneal dialysis as initial dialysis modality: a viable option for late-presenting end-stage renal disease.Journal of nephrology · 2019Review
- Optimal start in dialysis shows increased survival in patients with chronic kidney disease.PloS one · 2019Article
- Morbimortality study of infection in patients undergoing different types of dialysis in a renal replacement therapy center.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious DiseasesArticle
- Survival of patients on chronic hemodialysis versus chronic peritoneal dialysis.Revista peruana de medicina experimental y salud publicaArticle
- Comparison of vascular access use in hemodialysis patients in Isfahan in 2003 and 2013.Indian journal of nephrologyArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough several studies have demonstrated early survival advantages with peritoneal dialysis (PD) over hemodialysis (HD), the reason for the excess mortality observed among incident HD patients remains to be established, to our knowledge. This study explores the relationship between mortality and dialysis modality, focusing on the role of HD vascular access type at the time of dialysis initiation.
methodsA retrospective cohort study was performed among local adult chronic kidney disease patients who consecutively initiated PD and HD with a tunneled cuffed venous catheter (HD-TCC) or a functional arteriovenous fistula (HD-AVF) in our institution in the year 2008. A total of 152 patients were included in the final analysis (HD-AVF, n = 59; HD-TCC, n = 51; PD, n = 42). All cause and dialysis access-related morbidity/mortality were evaluated at one year. Univariate and multivariate analysis were used to compare the survival of PD patients with those who initiated HD with an AVF or with a TCC.
resultsCompared with PD patients, both HD-AVF and HD-TCC patients were more likely to be older (p<0.001) and to have a higher frequency of diabetes mellitus (p = 0.017) and cardiovascular disease (p = 0.020). Overall, HD-TCC patients were more likely to have clinical visits (p = 0.069), emergency room visits (p<0.001) and hospital admissions (p<0.001). At the end of follow-up, HD-TCC patients had a higher rate of dialysis access-related complications (1.53 vs. 0.93 vs. 0.64, per patient-year; p<0.001) and hospitalizations (0.47 vs. 0.07 vs. 0.14, per patient-year; p = 0.034) than HD-AVF and PD patients, respectively. The survival rates at one year were 96.6%, 74.5% and 97.6% for HD-AVF, HD-TCC and PD groups, respectively (p<0.001). In multivariate analysis, HD-TCC use at the time of dialysis initiation was the important factor associated with death (HR 16.128, 95%CI [1.431-181.778], p = 0.024).
conclusionOur results suggest that HD vascular access type at the time of renal replacement therapy initiation is an important modifier of the relationship between dialysis modality and survival among incident dialysis patients.
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