Evidence map›Paper›PMID 32615582›Full record

ArticlePloS one2020

The attitude of kidney transplant recipients towards elective arteriovenous fistula ligation.

Klaudia Bardowska, Krzysztof Letachowicz, Dorota Kamińska, Mariusz Kusztal, Tomasz Gołębiowski, Tomasz Królicki, Karolina Zajdel, Oktawia Mazanowska, Dariusz Janczak, Magdalena Krajewska

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. 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

10 authors at 1 institution in 1 country.

Klaudia BardowskaFaculty of Medicine, Wroclaw Medical University, Wrocław, Poland.ORCID 0000-0001-9578-0836
Krzysztof LetachowiczDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wrocław, Poland.ORCID 0000-0002-2747-8851
Dorota KamińskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wrocław, Poland.
Mariusz KusztalDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wrocław, Poland.
Tomasz GołębiowskiDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wrocław, Poland.
Tomasz KrólickiFaculty of Medicine, Wroclaw Medical University, Wrocław, Poland.
Karolina ZajdelFaculty of Medicine, Wroclaw Medical University, Wrocław, Poland.
Oktawia MazanowskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wrocław, Poland.
Dariusz JanczakDepartment of Vascular, General and Transplantation Surgery, Wroclaw Medical University, Wrocław, Poland.
Magdalena KrajewskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wrocław, Poland.
Wroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArteriovenous fistulas (AVF) are a source of various complications. Among previously hemodialyzed kidney transplant recipients (KTxR), the AVF may persist over time. The patients' decisions whether to ligate the functioning AVF may be prompted by many factors. Our knowledge of benefits concerning the procedure as well as patients' attitude towards it is scarce.

aimEvaluation of the patients' opinion on the persistent AVF ligation after a successful kidney transplantation. MATERIALS AND

methodsAn anonymous survey was carried out among 301 previously hemodialyzed KTxR. The patients were recruited during scheduled visits in the Transplantation Outpatient Unit. All subjects completed an anonymous questionnaire including questions about their attitude towards the matter in question.

results69 patients (22.9%) have considered AVF closure. The most common causes for such attitude were esthetic reasons (n = 29) and concerns about heart health (n = 13). Among those 69 subjects, 18 have presented with symptomatic AVF due to multiple symptoms. Symptomatic AVFs were localized on the forearm in 14 out of 18 cases. As many as 116 (38.5%) cases have never wanted to ligate the AVF and 116 (38.5%) subjects did not have a clear opinion. In our study we report 158 (52.5%) cases of non-functioning AVFs. The main reason for the above was spontaneous AVF thrombosis (121 cases). Only 24 subjects reported to rely on the physician-provided information about the AVF management.

conclusionsOne fourth of KTRs have ever considered AVF ligation. There is a distinct need for educating patients on the possibilities of post-transplantation AVF management.

Indexed as

Arteriovenous Shunt, SurgicalAttitude to HealthKidney TransplantationPatient PreferenceAdultElective Surgical ProceduresEstheticsFemaleForearmHumansKidney Failure, ChronicLigationMaleMiddle AgedPatient Education as TopicRenal Dialysis

Identifiers

PMID32615582
PMCPMC7332306
OpenAlexW3038324993

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.