Evidence map›Paper›PMID 23992885›Full record

ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2014

Objectives and design of the hemodialysis fistula maturation study.

Laura M Dember, Peter B Imrey, Gerald J Beck, Alfred K Cheung, Jonathan Himmelfarb, Thomas S Huber, John W Kusek, Prabir Roy-Chaudhury, Miguel A Vazquez, Charles E Alpers and 6 more

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03188978 (High-intensity Atorvastatin for Arteriovenous Fistula Failure), which is not on this map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
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.

NCT03188978 phase1 / phase2withdrawnnot on this mapstarted 2018, after this paper: background citation

High-intensity Atorvastatin for Arteriovenous Fistula Failure (HAFF): A Feasibility Pilot Study

TypeinterventionalSponsorAlbany Medical CollegeRan2018 to 2019Enrolled0ConditionsPrimary Arteriovenous Fistula FailureArmsAtorvastatin 40mg, Placebo
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 138 citations in OpenAlex.

  1. Article
  2. Human Data First: New Biological Premises for Arteriovenous Fistula Research.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Muscle Wasting and Arteriovenous Fistula Nonmaturation in Kidney Failure.Journal of the American Society of Nephrology : JASN · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. The challenging surgical vascular access creation.Cardiovascular diagnosis and therapy · 2023
    Review
  17. Article
  18. Article
  19. Radiocephalic Arteriovenous Fistula Patency and Use: A Post Hoc Analysis of Multicenter Randomized Clinical Trials.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  20. Article

1 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

16 authors at 10 institutions in 1 country.

Laura M DemberRenal, Electrolyte and Hypertension Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Electronic address: ldember@upenn.edu.
Peter B ImreyDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.
Gerald J BeckDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.
Alfred K CheungNephrology and Hypertension Division, University of Utah School of Medicine, Salt Lake City, UT.
Jonathan HimmelfarbKidney Research Institute, Division of Nephrology, University of Washington, Seattle, WA.
Thomas S HuberDivision of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, FL.
John W KusekDivision of Kidney, Urologic, and Hematologic Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD.
Prabir Roy-ChaudhuryDivision of Nephrology and Hypertension, University of Cincinnati College of Medicine, Cincinnati, OH.
Miguel A VazquezDivision of Nephrology, University of Texas Southwestern, Dallas, TX.
Charles E AlpersDepartment of Pathology, University of Washington, Seattle, WA.
Michelle L RobbinDepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL.
Joseph A VitaEvans Department of Medicine and Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, MA.
Tom GreeneDivision of Epidemiology, University of Utah School of Medicine, Salt Lake City, UT.
Jennifer J GassmanDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.
Harold I FeldmanRenal, Electrolyte and Hypertension Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Hemodialysis Fistula Maturation Study Group
Cleveland Clinic · USUniversity of Pennsylvania · USUniversity of Utah · USUniversity of Washington · USBoston University · USFlorida College · USNational Institute of Diabetes and Digestive and Kidney Diseases · USThe University of Texas Southwestern Medical Center · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati Medical Center · US

Funding

Frequent Hemodialysis Network Data Coordinating CenterU01DK066597 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI BECK, GERALD J · 2003 to 2010
$8.9M
Hemodialysis Fistula Maturation Consortium Data Coordinating CenterU01DK082236 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI BECK, GERALD J · 2008 to 2013
$7.6M
Vascular Structure and Function in Arteriovenous Fistula MaturationU01DK082179 · NIDDK · UNIVERSITY OF WASHINGTON · PI HIMMELFARB, JONATHAN · 2008 to 2012
$2.5M
Determinants of Hemodialysis AV Fistula MaturationU01DK082232 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI DEMBER, LAURA M · 2008 to 2012
$2.4M
Modulation of the Hemodynamic Factors Associated with AVF MaturationU01DK082189 · NIDDK · UNIVERSITY OF FLORIDA · PI HUBER, THOMAS S · 2008 to 2012
$1.8M
Anatomic and functional predictors of arteriovenous fistula maturationU01DK082240 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI VAZQUEZ, MIGUEL A · 2008 to 2012
$1.8M
Maturation of Hemodialysis Arteriovenous FistulasU01DK082222 · NIDDK · UNIVERSITY OF UTAH · PI CHEUNG, ALFRED K · 2008 to 2012
$1.8M
Clinical, Hemodynamic and Biological Markers of AV Fistula MaturationU01DK082218 · NIDDK · UNIVERSITY OF CINCINNATI · PI ROY-CHAUDHURY, PRABIR · 2008 to 2012
$1.7M
NIDDK NIH HHS U01 DK066597NIDDK NIH HHS U01DK066597NIDDK NIH HHS U01 DK082179NIDDK NIH HHS U01DK082179NIDDK NIH HHS U01 DK082189NIDDK NIH HHS U01DK082189NIDDK NIH HHS U01 DK082218NIDDK NIH HHS U01DK082218NIDDK NIH HHS U01 DK082222NIDDK NIH HHS U01DK082222NIDDK NIH HHS U01 DK082232NIDDK NIH HHS U01 DK082236NIDDK NIH HHS U01DK082236NIDDK NIH HHS U01 DK082240NIDDK NIH HHS U01DK082240
6 · The paper itself

Abstract

backgroundA large proportion of newly created arteriovenous fistulas cannot be used for dialysis because they fail to mature adequately to support the hemodialysis blood circuit. The Hemodialysis Fistula Maturation (HFM) Study was designed to elucidate clinical and biological factors associated with fistula maturation outcomes. STUDY

designMulticenter prospective cohort study. SETTING &

participantsApproximately 600 patients undergoing creation of a new hemodialysis fistula will be enrolled at 7 centers in the United States and followed up for as long as 4 years. PREDICTORS: Clinical, anatomical, biological, and process-of-care attributes identified pre-, intra-, or postoperatively. OUTCOMES: The primary outcome is unassisted clinical maturation, defined as successful use of the fistula for dialysis for 4 weeks without maturation-enhancing procedures. Secondary outcomes include assisted clinical maturation, ultrasound-based anatomical maturation, fistula procedures, fistula abandonment, and central venous catheter use. MEASUREMENTS: Preoperative ultrasound arterial and venous mapping, flow-mediated and nitroglycerin-mediated brachial artery dilation, arterial pulse wave velocity, and venous distensibility; intraoperative vein tissue collection for histopathologic and molecular analyses; postoperative ultrasounds at 1 day, 2 weeks, 6 weeks, and prior to fistula intervention and initial cannulation.

resultsAssuming complete data, no covariate adjustment, and unassisted clinical maturation of 50%, there will be 80% power to detect ORs of 1.83 and 1.61 for dichotomous predictor variables with exposure prevalences of 20% and 50%, respectively. LIMITATIONS: Exclusion of 2-stage transposition fistulas limits generalizability. The requirement for study visits may result in a cohort that is healthier than the overall population of patients undergoing fistula creation.

conclusionsThe HFM Study will be of sufficient size and scope to: (1) evaluate a broad range of mechanistic hypotheses, (2) identify clinical practices associated with maturation outcomes, (3) assess the predictive utility of early indicators of fistula outcome, and (4) establish targets for novel therapeutic interventions to improve fistula maturation.

Indexed as

Arteriovenous Shunt, SurgicalAgedBlood VesselsFemaleHumansKidney Failure, ChronicMaleMiddle AgedMonitoring, PhysiologicOutcome Assessment, Health CarePerioperative CareProspective StudiesRegional Blood FlowRenal DialysisResearch DesignRisk Assessmentarteriovenous fistulaobservationalVascular access

Identifiers

PMID23992885
PMCPMC4134933
OpenAlexW2051251810

What OpenQuestion holds

Textmetadata
LicenceTDM
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.