GuidelineJournal of nephrology2016
The vascular access in the elderly: a position statement of the Vascular Access Working Group of the Italian Society of Nephrology.
Guideline in Journal of nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 31 citations in OpenAlex.
- Telemedicine-supported assisted home hemodialysis in elderly and multimorbid patients: a real-world cohort study in a public healthcare system.International urology and nephrology · 2026Observational
- Article
- Outcome of Permanent Vascular Access with Vein ≤ 2.2 mm in Diameter.World journal of surgery · 2020Observational
- Effects of patient age on patency of chronic hemodialysis vascular access.BMC nephrology · 2019Observational
- Hemodialysis access type is associated with blood pressure variability and echocardiographic changes in end-stage renal disease patients.Journal of nephrology · 2019Article
- Observational
- Anatomical variations of the left anonymous trunk are associated with central venous catheter dysfunction.Journal of nephrology · 2018Article
- Impaired maturation of distal radio-cephalic fistula for haemodialysis: a review of treatment options.Journal of nephrology · 2017Review
Corrections and comments
- Erratum issued
Authors and funding
12 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The incident hemodialysis (HD) population is aging, and the elderly group is the one with the most rapid increase. In this context it is important to define the factors associated with outcomes in elderly patients. The high prevalence of comorbidities, particularly diabetes mellitus, peripheral vascular disease and congestive heart failure, usually make vascular access (VA) creation more difficult. Furthermore, many of these patients may have an insufficient vasculature for fistula maturation. Finally, many fistulas may never be used due to the competing risk of death before dialysis initiation. In these cases, an arteriovenous graft and in some cases a central venous catheter become a valid alternative form of VA. Nephrologists need to know what is the most appropriate VA option in these patients. Age should not be a limiting factor when determining candidacy for arteriovenous fistula creation. The aim of this position statement, prepared by experts of the Vascular Access Working Group of the Italian Society of Nephrology, is to critically review the current evidence on VA in elderly HD patients. To this end, relevant clinical studies and recent guidelines on VA are reviewed and commented. The main advantages and potential drawbacks of the different VA modalities in the elderly patients are discussed.
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