Evidence map›Paper›PMID 34713416›Full record

ArticleJournal of nephrology2022

Results of the implementation of a triage system of vascular access performance in haemodialysis patients: experience of a single dialysis centre.

Sandro Mazzaferro, Maria Luisa Muci, Lida Tartaglione, Luciano Carbone, Cristina De Santis, Corrado De Vito, Silverio Rotondi

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In one paragraph

Article in Journal of nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 2 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

7 authors at 3 institutions in 2 countries.

Sandro MazzaferroNephrology and Dialysis Unit, ICOT Hospital, Polo Pontino Sapienza University of Rome, Latina, Italy. sandro.mazzaferro@uniroma1.it.ORCID 0000-0003-3071-1893
Maria Luisa MuciNephrology and Dialysis Unit, ICOT Hospital, Polo Pontino Sapienza University of Rome, Latina, Italy.
Lida TartaglioneNephrology and Dialysis Unit, ICOT Hospital, Polo Pontino Sapienza University of Rome, Latina, Italy.
Luciano CarboneNephrology and Dialysis Unit, ICOT Hospital, Polo Pontino Sapienza University of Rome, Latina, Italy.
Cristina De SantisNephrology and Dialysis Unit, ICOT Hospital, Polo Pontino Sapienza University of Rome, Latina, Italy.
Corrado De VitoDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, P.le Aldo Moro, 5, 00185, Rome, Italy.
Silverio RotondiNephrology and Dialysis Unit, ICOT Hospital, Polo Pontino Sapienza University of Rome, Latina, Italy.
CTO Hospital · ITPoliclinico Umberto I · ITDepartment of Public Health · MM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine systems for monitoring vascular access (VA) performance are lacking. We developed a vascular access triage system to evaluate the monthly performance of the access, developed a specific score and assessed the association between score improvement and clinical outcomes.

methodsVascular access was triaged (Green, Yellow or Red) according to a score generated by dialytic and clinical parameters in all patients who, from 1/1/2014 to 31/03/2014, had been receiving haemodialysis treatment for at least 3 consecutive months in our Unit and who were then followed up for 4 years.

resultsWe enrolled 130 patients, 78 with arteriovenous fistula (AVF) and 52 with tunnelled central venous catheter (CVC). During a median of 29 ± 11 months of follow up (range 3-46 months), 28 deaths and 303 hospitalizations (lasting 16 ± 30 days) were recorded. Vascular access triage scores improved over time (2014 vs 2015 vs 2016 vs 2017) in the population with an AVF (Green from 25% to 58% to 77% to 79%, Yellow from 65% to 39% to 18% to 20% and Red from 10% to 3% to 5% to 1%, respectively; χ

conclusionThe vascular access monitoring system improved the vascular access score as well as some clinical and dialytic parameters. Green triage in AVF patients identify those with better outcomes, in agreement with the commonly recognized clinical value of a well-functioning vascular access.

Indexed as

Arteriovenous Shunt, SurgicalCentral Venous CathetersKidney Failure, ChronicHospitalizationHumansRenal DialysisTriageArteriovenous fistulaCentral venous catheterHaemodialysisVascular access

Identifiers

PMID34713416
OpenAlexW3208973898

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Registered trials

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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.