ReviewSeminars in dialysis
Optimal hemodialysis vascular access in the elderly patient.
Review in Seminars in dialysis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.
- The vascular access in the elderly: a position statement of the Vascular Access Working Group of the Italian Society of Nephrology.Journal of nephrology · 2016Guideline
- Trial
- Multicenter Investigation of the Initial Hemodialysis Vascular Access and Its Related Factors in Hangzhou of China.BioMed research international · 2021Trial
- Mortality risk associated with permanent central venous catheter use in the oldest-old population: a nationwide cohort study.The Korean journal of internal medicine · 2026Article
- Determinants of Patient Satisfaction with Vascular Access in Hemodialysis: Insights from a Multicenter Study in Italy.Clinics and practice · 2025Article
- Management of Elderly Patients with Chronic Kidney Disease.Yonsei medical journal · 2025Review
- Prospective Analysis of Arteriovenous Fistula Performance in the Context of Competing Risks.Kidney360 · 2025Article
- Temporal trends in hemodialysis access creation during the fistula first era.Journal of vascular surgery · 2024Article
- Placing an appropriate tunneled dialysis catheter in an appropriate patient including the nonconventional sites.Cardiovascular diagnosis and therapy · 2023Review
- The challenging surgical vascular access creation.Cardiovascular diagnosis and therapy · 2023Review
- Surgical creation of lower extremity fistula and grafts.Cardiovascular diagnosis and therapy · 2023Review
- Prevalence and clinical significance of anatomic variant in cephalic arch on preoperative mapping venography.Scientific reports · 2022Article
- Strategies to counteract adverse remodeling of vascular graft: A 3D view of current graft innovations.Frontiers in bioengineering and biotechnology · 2022Review
- Outcomes of arteriovenous fistula in elderly patients on maintenance haemodialysis.International urology and nephrology · 2021Article
- Nuances of Arteriovenous Fistula Creation for Vascular Access in Hemodialysis.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2021Article
- Preoperative assessment for percutaneous and open surgical arteriovenous fistula creation in patients for haemodialysis.Clinical kidney journal · 2021Review
- Patency Outcomes of Arteriovenous Fistulas and Grafts for Hemodialysis Access: A Trade-Off between Nonmaturation and Long-Term Complications.Kidney360 · 2020Article
- The Impact of Comorbidity Burden on The Association between Vascular Access Type and Clinical Outcomes among Elderly Patients Undergoing Hemodialysis.Scientific reports · 2019Article
- Outcomes of initial hemodialysis vascular access in patients initiating dialysis with a tunneled catheter.Journal of vascular surgery · 2019Article
- Association between initial vascular access and survival in hemodialysis according to age.The Korean journal of internal medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 6 institutions in 3 countries.
Funding
Abstract
The optimal vascular access for elderly patients remains a challenge due to the difficulty balancing the benefits and risks in a population with increased comorbidity and decreased survival. Age is commonly associated with failure to mature in fistula and decreased rates of primary and secondary patency in both fistula and grafts. In the elderly, at 1 and 2 years, primary patency rates range from 43% to 74% and from 29% to 67%, respectively. Secondary patency rates at 1 and 2 years range from 56% to 82% and 44% to 67%, respectively. Cumulative fistula survival is no better than grafts survival when primary failures are included. Several observational studies consistently demonstrate a lower adjusted mortality among those using a fistula compared with a catheter; however, catheter use in the elderly is increasing in most countries with the exception of Japan. Both guidelines and quality initiatives do not acknowledge the trade-offs involved in managing the elderly patients with multiple chronic conditions and limited life expectancy or the value that patients place on achieving these outcomes. The framework for choice of vascular access presented in this article considers: (1) likelihood of disease progression before death, (2) patient life expectancy, (3) risks and benefits by vascular access type, and (4) patient preference. Future studies evaluating the timing and type of vascular access with careful assessments of complications, functionality, cost benefit, and patients' preference will provide relevant information to individualize and optimize care to improve morbidity, mortality, and quality of life in the elderly patient.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.