ArticleThe journal of vascular access2021
The patient experience of hemodialysis vascular access decision-making.
Article in The journal of vascular access, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05654103 (Randomized Controlled Trial Comparing endoAVF Versus surgAVF), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Randomized Controlled Trial Comparing endoAVF Versus surgAVF
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between Guillain-Barré syndrome and SARS-CoV-2 virus infection, including the impact of COVID-19 vaccination in the context of the development and general clinical characteristics of the disease.Journal of neurovirology · 2025Pooled it
- Veteran perspectives on dialysis modality and vascular access communication in the United States veterans health administration: A qualitative study.Preventive medicine reports · 2026Article
- Vascular Access 4.0 for Hemodialysis: Toward a Needle-Free, Smart, Closed, and Connected System.Journal of clinical medicine · 2026Article
- Understanding perceived quality of nursing care among adults receiving haemodialysis in Northern Ghana: A qualitative inquiry.PloS one · 2026Article
- Vascular Access Type and Survival Outcomes in Hemodialysis Patients: A Seven-Year Cohort Study.Medicina (Kaunas, Lithuania) · 2025Article
- Patient Perspectives on Arteriovenous Fistula Placement, Maturation, and Use: A Qualitative Study.Kidney medicine · 2024Article
- Exploring Health Literacy and Vascular Access Decision Making: A Scoping Review.Journal of clinical medicine · 2024Article
- Nephrology Partnership for Advancing Technology in Healthcare (N-PATH) program: the teachers' perspective.Clinical kidney journal · 2024Article
- Barriers to Implementing the Kidney Disease Outcomes Quality Initiative End-Stage Kidney Disease Life Plan Guideline.Journal of general internal medicine · 2023Article
- Is there a causal nexus between COVID-19 infection, COVID-19 vaccination, and Guillain-Barré syndrome?European journal of medical research · 2023Review
- Alignment Among Patient, Caregiver, and Health Care Provider Perspectives on Hemodialysis Vascular Access Decision-Making: A Qualitative Study.Canadian journal of kidney health and disease · 2023Article
- The potential of mHealth for older adults on dialysis and their care partners: What's been done and where do we go from here?Frontiers in nephrology · 2022Article
- Shared decision-making in hemodialysis vascular access practice.Kidney international · 2021Review
- New Frontiers in Vascular Access Practice: From Standardized to Patient-tailored Care and Shared Decision Making.Kidney360 · 2021Review
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundTo describe vascular access (VA)-related decision-making from the patient perspective, in patients who have already chosen hemodialysis as their renal replacement modality, and identify areas where physicians can improve this experience.
methodsIn-person, semi-structured interviews with 15 patients with end-stage kidney disease were systematically analyzed by two independent researchers using thematic analysis. Interviews were conducted until systematic analysis revealed no new themes.
resultsPatients had mean age 57 (range 22-85), with seven males and diverse racial/ethnic/marital status. All (15/15) patients viewed VA as "intertwined and interrelated" with dialysis, prioritized the dialysis, described the VA merely as the "hookup" to life-preserving dialysis and gave it minimal consideration. Three themes were identified: consolidation of dialysis and VA, reliance on supportive advisors and communication with physicians. Although 14/15 patients described processes common to medical decision-making, including information seeking, learning from the experiences of others, and weighing risks and benefits, they did not apply these processes specifically to VA. While all participants took ownership of the VA decision, they lacked clear understanding about the different types of VA and their consequences. Most patients (14/15) depended on family and friends for reinforcement, motivation and advice. Patients all described physician characteristics they associated with trustworthiness, the most common being listening and explaining, demonstrating empathy and making an effort to meet the patient's individual needs. Perceived arrogance, unavailability and lack of expertise represented untrustworthiness. The majority (14/15) accepted VA recommendations from physicians they found trustworthy and authoritative.
conclusionsThe study participants were minimally engaged in VA decision-making. Educational aids and shared decision-making tools are needed to empower patients to make better-informed, self-efficacious VA decisions.
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