Evidence map›Paper›PMID 30310807›Full record

ReviewVascular specialist international2018

A Systematic Review and Meta-Analysis of Randomized Trials Comparing Two-Stage with One-Stage Brachio-Basilic Vein Fistulas.

Stavros K Kakkos, George C Lampropoulos, Konstantinos M Nikolakopoulos, Ioannis A Tsolakis, Spyros I Papadoulas, Evangelos C Papachristou, Dimitrios Goumenos, Miltos K Lazarides

Registry-linked trialOpen access · diamondAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Vascular specialist international, 2018. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 21% 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.

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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Stavros K KakkosDepartment of Vascular Surgery, University Hospital of Patras, Patras, Greece.
George C LampropoulosDepartment of Vascular Surgery, University Hospital of Patras, Patras, Greece.
Konstantinos M NikolakopoulosDepartment of Vascular Surgery, University Hospital of Patras, Patras, Greece.
Ioannis A TsolakisDepartment of Vascular Surgery, University Hospital of Patras, Patras, Greece.
Spyros I PapadoulasDepartment of Vascular Surgery, University Hospital of Patras, Patras, Greece.
Evangelos C PapachristouDepartment of Nephrology, University Hospital of Patras, Patras, Greece.
Dimitrios GoumenosDepartment of Nephrology, University Hospital of Patras, Patras, Greece.
Miltos K LazaridesDepartment of Vascular Surgery, Democritus University Hospital, Alexandroupolis, Greece.
General University Hospital of Patras · GRDemocritus University of Thrace · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is currently debate if brachio-basilic vein fistula (BBVF) should be performed as a one-stage or two-stage procedure. The aim of the present study was to perform a systematic review and meta-analysis on BBVF staging. MATERIALS AND

methodsOn February 25, 2016, a search for randomized-controlled trials (RCTs) on BBVF procedures was performed in MEDLINE and Scopus databases. Meta-analyses were performed with fixed-effect or random-effects models as appropriate with risk ratios (RRs). The primary efficacy and safety outcome measures were BBVF maturation and development of complications, respectively. Specific types of complications, including loss of functional secondary patency and long-term complications were all secondary outcome measures.

resultsWe identified three RCTs reporting on 126 patients. Maturation failure of two-stage BBVFs (3/47, 6.4%) was less frequent than one-stage BBVFs (16/79, 20.3%; RR, 0.27; P=0.02). Complication rates of two-stage and one-stage BBVFs were similar (RR, 0.80; P=0.54), but on sensitivity analysis these were less likely to occur with two-stage BBVFs (37% vs. 69% for one-stage BBVFs; RR, 0.57; P=0.03). Two-stage BBVFs were less likely to lose their functional secondary patency (21.3% vs. 31.6% for one-stage BBVFs; RR, 0.61; P=0.11). This non-significant trend became significant (RR, 0.36; P=0.02) on sensitivity analysis. There was no difference in specific complication rates of the two study groups.

conclusionAmong candidates for BBVF fistula, there is evidence to suggest that two-stage BBVFs achieve higher maturation rates compared to one-stage BBVFs. The evidence for difference in long-term secondary patency is less robust, calling for further research.

Indexed as

Arteriovenous fistulaBrachio-basilicRenal dialysisSurgical technique

Identifiers

PMID30310807
PMCPMC6175573
OpenAlexW2897316867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.