Evidence map›Paper›PMID 23591442›Full record

ReviewNature reviews. Nephrology2013

Vascular access in haemodialysis: strengthening the Achilles' heel.

Miguel C Riella, Prabir Roy-Chaudhury

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
17.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT02374762 completednot on this mapstarted 2015, after this paper: background citation

Contact-Free Video Imaging of Arteriovenous Fistulas In Chronic Hemodialysis Patients

TypeobservationalSponsorRenal Research InstituteRan2015 to 2015Enrolled41ConditionsChronic Kidney Disease, Fistula, Hemodialysis Fistula Thrombosis
NCT06249373 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Multicenter Randomized Controlled Trial on the Effect of Low-intensity Pulsed Ultrasound on the Maturation of Newly Constructed Autogenous Arteriovenous Fistulas in Uremic Patients

TypeinterventionalSponsorSuzhou Municipal HospitalRan2024 to 2026Enrolled300ConditionsUremia, ChronicArmsLow intensity pulse ultrasound (LIPUS) intervention for arteriovenous fistula anastomosis
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 159 citations in OpenAlex.

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  16. Transforming Dialysis Access Together: A Multidisciplinary, Cross-Cutting, Patient-Centered Initiative.Clinical journal of the American Society of Nephrology : CJASN · 2024
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  18. Hemodialysis Access: US for Preprocedural Mapping and Evaluation of Maturity and Access Dysfunction.Radiographics : a review publication of the Radiological Society of North America, Inc · 2024
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Miguel C RiellaDepartment of Medicine, Nephrology Division, Catholic University of Paraná, Rua Bruno Filgueira 369, Curitiba 80240-220, Brazil. mcriella@pro-renal.org.br
Prabir Roy-Chaudhury
Pontifícia Universidade Católica do Paraná · BRSabin Vaccine Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite all the progress achieved since Scribner first introduced the arteriovenous (AV) shunt in 1960 and Cimino and Brescia introduced the native AV fistula in 1962, we have continued to face a conundrum in vascular access for dialysis, in that dialysis vascular access is at the same time both the 'lifeline' and the 'Achilles' heel' of haemodialysis. Indeed, findings from a multitude of published articles in this area, unfortunately mainly observational studies, reflect both our frustration and our limited knowledge in this area. Despite improved understanding of the pathophysiology of stenosis and thrombosis of the vascular access, we have unfortunately not been very successful in translating these advances into either improved therapies or a superior process of care. As a result, we continue to face an epidemic of arteriovenous fistula (AVF) maturation failure, a proliferation of relatively ineffective interventions such as angioplasty and stent placement, an extremely high incidence of catheter use, and more doubts rather than guidance with regard to the role (or lack thereof) of surveillance. An important reason for these problems is the lack of focused translational research and robust randomized prospective studies in this area. In this Review, we will address some of these critical issues, with a special emphasis on identifying the best process of care pathways that could reduce morbidity and mortality. We also discuss the potential use of novel therapies to reduce dialysis vascular access dysfunction.

Indexed as

Arteriovenous Shunt, SurgicalGraft Occlusion, VascularHumansKidney Failure, ChronicRenal DialysisVascular Grafting

Identifiers

PMID23591442
OpenAlexW1995616893

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.