ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2020
Vascular access placement and mortality in elderly incident hemodialysis patients.
Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A meta-analysis of the impact of initial hemodialysis access type on mortality in elderly incident hemodialysis population.BMC geriatrics · 2025Pooled it
- Timely AVF creation in late-referral hemodialysis patients, a two-cohort study: Too late to plan, not too late to act.The journal of vascular access · 2026Article
- Arteriovenous fistulas are associated with superior outcomes in very elderly hemodialysis patients: a nationwide cohort study.The Korean journal of internal medicine · 2026Article
- Adverse clinical outcomes and associated factors among older adults undergoing hemodialysis in Brazil: A single-center experience.PloS one · 2025Article
- Retrospective evaluation of three types of expanded polytetrafluoroethylene grafts for upper limb vascular access.Renal failure · 2024Article
- Bacteremia and Mortality among Patients with Nontunneled and Tunneled Catheters for Hemodialysis.International journal of nephrology · 2024Article
- Identification and Validation of Hub Genes in the Stenosis of Arteriovenous Fistula.Journal of personalized medicine · 2023Article
- Guidelines on vascular access for hemodialysis from the Brazilian Society of Angiology and Vascular Surgery.Jornal vascular brasileiro · 2023Review
- Unplanned hemodialysis initiation and low geriatric nutritional risk index scores are associated with end-stage renal disease outcomes.Scientific reports · 2022Article
- Arteriovenous Vascular Access-Related Procedural Burden Among Incident Hemodialysis Patients in the United States.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021Observational
- Outcomes of arteriovenous fistula in elderly patients on maintenance haemodialysis.International urology and nephrology · 2021Article
- The survival analysis of tunnel-cuffed central venous catheter versus arteriovenous hemodialysis access among elderly patients: A retrospective single center study.Annals of medicine and surgery (2012) · 2020Article
- Outcomes of arteriovenous access among cancer patients requiring chronic haemodialysis.BMC nephrology · 2020Observational
- Vascular access type and mortality in haemodialysis: a retrospective cohort study.BMC nephrology · 2020Article
- Effects of patient age on patency of chronic hemodialysis vascular access.BMC nephrology · 2019Observational
- Patency rates of arteriovenous fistulas created before versus after hemodialysis initiation.PloS one · 2019Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundArteriovenous fistulas (AVFs) are the preferred vascular access type in most hemodialysis patients. However, the optimal vascular access type in octogenarians and older (≥80 years) hemodialysis patients remains widely debated given their limited life expectancy and lower AVF maturation rates.
methodsAmong incident hemodialysis patients receiving care in a large national dialysis organization during 2007-2011, we examined patterns of vascular access type conversion in 1 year following dialysis initiation in patients <80 versus ≥80 years of age. Among a subcohort of patients ≥80 years of age, we examined the association between vascular access type conversion and mortality using multivariable survival models.
resultsIn the overall cohort of 100 804 patients, the prevalence of AVF/arteriovenous graft (AVG) as the primary vascular access type increased during the first year of hemodialysis, but plateaued thereafter. Among 8356 patients ≥80 years of age and treated for >1 year, those with initial AVF/AVG use and placement of AVF from a central venous catheter (CVC) had lower mortality compared with patients with persistent CVC use. When the reference group was changed to patients who had AVF placement from a CVC in the first year of dialysis, those with initial AVF use had similar mortality. A longer duration of CVC use was associated with incrementally worse survival.
conclusionsAmong incident hemodialysis patients ≥80 years of age, placement of an AVF from a CVC within the first year of dialysis had similar mortality compared with initial AVF use. Our data suggest that initial CVC use with later placement of an AVF may be an acceptable option among elderly hemodialysis patients.
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