ArticleCanadian journal of kidney health and disease2019
The Influence of Age on the Likelihood of Catheter-Free Fistula Use in Hemodialysis Patients.
Article in Canadian journal of kidney health and disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Analysis of arteriovenous fistula failure factors and construction of nomogram prediction model in patients with maintenance hemodialysis.Renal failure · 2025Article
- Challenges and potential solutions to enrollment in a clinical trial of arteriovenous fistula vs arteriovenous graft vascular access strategy.JVS-vascular insights · 2024Article
- Association between Timing of Vascular Access Creation and Mortality in Patients Initiating Hemodialysis: A Nationwide Cohort Study in Japan.American journal of nephrology · 2024Article
- Study protocol of a randomized controlled trial of fistula vs. graft arteriovenous vascular access in older adults with end-stage kidney disease on hemodialysis: the AV access trial.BMC nephrology · 2023Article
- Guidelines on vascular access for hemodialysis from the Brazilian Society of Angiology and Vascular Surgery.Jornal vascular brasileiro · 2023Review
- New Frontiers in Vascular Access Practice: From Standardized to Patient-tailored Care and Shared Decision Making.Kidney360 · 2021Review
- Starting Dialysis on Time, At Home on the Right Therapy (START): Description of an Intervention to Increase the Safe and Effective Use of Peritoneal Dialysis.Canadian journal of kidney health and disease · 2021Article
- Is the Fistula First Approach still valid?Jornal brasileiro de nefrologiaArticle
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Authors and funding
13 authors.
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Abstract
backgroundClinical practice guidelines recommend arteriovenous fistulas as the preferred form of vascular access for hemodialysis. However, some studies have suggested that older age is associated with poorer fistula outcomes.
objectiveWe assessed the impact of age on the outcomes of fistula creation and access-related procedures.
designThis was a prospective cohort study using data collected as part of the Dialysis Measurement Analysis and Reporting (DMAR) system.
settingParticipating Canadian dialysis programs, including Southern Alberta Renal Program, Manitoba Renal Program, Sunnybrook Health Sciences Centre (Toronto, Ontario), London Health Sciences Centre (London, Ontario), and The Ottawa Hospital (Ottawa, Ontario). PATIENTS: Incident hemodialysis patients aged 18 years and older who started dialysis between January 1, 2004, and May 31, 2012. MEASUREMENTS: The primary outcome was the proportion of all first fistula attempts that resulted in catheter-free fistula use, defined as independent use of a fistula for hemodialysis (ie, no catheter in place). Secondary outcomes included the time to catheter-free fistula use among patients with a fistula creation attempt, total number of days of catheter-free fistula use, and the proportion of a patient's hemodialysis career spent with an independently functioning fistula (ie, catheter-free fistula use).
methodsWe compared patient characteristics by age group, using
resultsA total of 1091 patients met our inclusion criteria (567 age ≥ 65; 524 age < 65). Only 57% of first fistula attempts resulted in catheter-free fistula use irrespective of age (adjusted odds ratio [OR] LIMITATIONS: The relatively short follow-up time may have underestimated the benefits of fistula creation and the observational study design precludes inferences about causality.
conclusionsIn our study, older patients who underwent a fistula attempt were just as likely as younger patients to achieve catheter-free fistula use, within a similar time frame, and while requiring a similar number of access procedures. However, the minority of dialysis time was spent catheter-free.
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