Evidence map›Paper›PMID 33841870›Full record

ArticleClinical kidney journal2021

Vascular access cannulation and haemostasis: a national observational study of French practices.

Marion Sallée, Lucile Mercadal, Guillaume Jean, Bruno Guery, Didier Borniche, Jan-Marc Charrel, Thierry Hannedouche, Frank Le Roy, Philippe Brunet

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical kidney journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Article
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  7. 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

9 authors at 7 institutions in 2 countries.

Marion SalléeDepartment of Nephrology and Renal Transplantation, Assistance Publique-Hôpitaux de Marseille, Hôpital de la Conception, Marseille, France.
Lucile MercadalDepartment of Nephrology, hôpital universitaire Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France.
Guillaume JeanNephroCare Tassin-Charcot, Sainte-Foy-lès-Lyon, France.
Bruno GueryDepartment of Nephrology-adult dialysis, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France.
Didier BornicheAFIDTN, French Association of Nurses for Dialysis, Transplantation and Nephrology, Bihorel, France.
Jan-Marc CharrelFrance Rein, Rhône-Alpes, France.
Thierry HannedoucheDepartment of Nephrology and Haemodialysis, Hôpitaux Universitaires de Strasbourg & Faculté de Médecine, Strasbourg, France.
Frank Le RoyDepartment of Nephrology University, Centre Hospitalier Universitaire de Rouen, France.
Philippe BrunetDepartment of Nephrology and Renal Transplantation, Assistance Publique-Hôpitaux de Marseille, Hôpital de la Conception, Marseille, France.
Inserm · FRAssistance Publique – Hôpitaux de Paris · FRAssociation of Women's Health Obstetric and Neonatal Nurses · USCentre Hospitalier Universitaire de Rouen · FRHôpital Necker-Enfants Malades · FRHôpitaux Universitaires de Strasbourg · FRNephroCare Tassin-Charcot · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe report the results of an observational study of arteriovenous fistula (AVF) cannulation and haemostasis practices in France.

methodsThe study (sponsored by Brothier Pharmaceutical Inc.) was conducted in 150 dialysis units. Data obtained from 150 supervisory nurses, 1538 nurses and 3588 patients with an AVF were analysed.

resultsThe nurses reported using rope-ladder, area or buttonhole cannulation techniques in 68, 26 and 6% of cases, respectively. Metal needles were used most frequently (64%), with mainly a diameter of 15 G or 16 G. The needle was introduced with the bevel up in 56% of cases. Compression applied using dressings (in particular, pure calcium alginate dressings) was the method of choice for haemostasis of the puncture sites and was assessed as being strong by most of the nurses and very strong in cases of prolonged bleeding. Most (82%) of the patients reported the use of local anaesthetic before cannulation and 23% reported an allergic skin reaction to the anaesthetic. Bleeding of the puncture sites lasted for >10 min for 48% of the patients and it reappeared between two sessions for 29% of the patients. Whereas the nurses appeared to have a good understanding of AVF, more than half of the patients did not know how to care for it, with 55% requiring more information.

conclusionsThis study underlines the lack of national consensus concerning AVF cannulation practices. It suggests that haemostasis methods of the puncture sites can be improved and it highlights the need to improve patient knowledge.

Indexed as

arteriovenous fistulacannulationcatheterdialysishaemodialysishaemostasisvascular access

Identifiers

PMID33841870
PMCPMC8023177
OpenAlexW3090163847

What OpenQuestion holds

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LicenceCC BY-NC
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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.