Evidence map›Paper›PMID 25751655›Full record

SynthesisPloS one2015

One-stage vs. two-stage brachio-basilic arteriovenous fistula for dialysis access: a systematic review and a meta-analysis.

Khalid Bashar, Donagh A Healy, Sawsan Elsheikh, Leonard D Browne, Michael T Walsh, Mary Clarke-Moloney, Paul E Burke, Eamon G Kavanagh, Stewart R Walsh

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06336226 (Brachio Basilic Arterio Venous Fistula One Stage Versus Two Stage as a Hemodialysis Access), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06336226 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Brachio Basilic Arterio Venous Fistula One Stage Versus Two Stage as a Hemodialysis Access

TypeinterventionalSponsorAssiut UniversityRan2024 to 2025Enrolled50ConditionsArterio-venous FistulaArmsBrachio basilic arterio venous fistula one stage versus two stage
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Transposed Basilic Vein Fistula: A Credible Option.Annals of vascular diseases · 2018
    Article
  9. Article
  10. Arteriovenous Access: Infection, Neuropathy, and Other Complications.Canadian journal of kidney health and disease · 2016
    Article
  11. Article
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

9 authors.

Khalid BasharDepartment of Vascular Surgery, University Hospital Limerick, Limerick, Ireland.
Donagh A HealyDepartment of Vascular Surgery, University Hospital Limerick, Limerick, Ireland.
Sawsan ElsheikhDepartment of Acute Medicine, James Connolly Memorial Hospital, Dublin, Ireland.
Leonard D BrowneCentre for Applied Biomedical Engineering Research (CABER), Department of Mechanical, Aeronautical & Biomedical Engineering, Materials and Surface Science Institute, University of Limerick, Limerick, Ireland.
Michael T WalshCentre for Applied Biomedical Engineering Research (CABER), Department of Mechanical, Aeronautical & Biomedical Engineering, Materials and Surface Science Institute, University of Limerick, Limerick, Ireland.
Mary Clarke-MoloneyDepartment of Vascular Surgery, University Hospital Limerick, Limerick, Ireland.
Paul E BurkeDepartment of Vascular Surgery, University Hospital Limerick, Limerick, Ireland.
Eamon G KavanaghDepartment of Vascular Surgery, University Hospital Limerick, Limerick, Ireland.
Stewart R WalshDepartment of Surgery, National University of Ireland, Galway, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA brachiobasilic arteriovenous fistula (BB-AVF) can provide access for haemodialysis in patients who are not eligible for a more superficial fistula. However, it is unclear whether one- or two-stage BB-AVF is the best option for patients.

aimTo systematically assess the difference between both procedures in terms of access maturation, patency and postoperative complications.

methodsOnline search for randomised controlled trials (RCTs) and observational studies that compared the one-stage versus the two-stage technique for creating a BB-AVF.

resultsEight studies were included (849 patients with 859 fistulas), 366 created using a one-stage technique, while 493 in a two-stage approach. There was no statistically significant difference between the two groups in the rate of successful maturation (Pooled risk ratio = 0.95 [0.82, 1.11], P = 0.53). Similarly, the incidence of postoperative haematoma (Pooled risk ratio = 0.73 [0.34, 1.58], P = 0.43), wound infection (Pooled risk ratio = 0.77 [0.35, 1.68], P = 0.51) and steal syndrome (Pooled risk ratio = 0.65 [0.27, 1.53], P = 0.32) were statistically comparable.

conclusionAlthough more studies seem to favour the two-stage BVT approach, evidence in the literature is not sufficient to draw a final conclusion as the difference between the one-stage and the two-stage approaches for creation of a BB-AVF is not statistically significant in terms of the overall maturation rate and postoperative complications. Patency rates (primary, assisted primary and secondary) were comparable in the majority of studies. Large randomised properly conducted trials with superior methodology and adequate sub-group analysis are needed before making a final recommendation.

Indexed as

Arteriovenous Shunt, SurgicalBrachial ArteryHumansKidney Failure, ChronicRenal DialysisTreatment Outcome

Identifiers

PMID25751655
PMCPMC4353636

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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.