Evidence map›Paper›PMID 36609176›Full record

ArticleThe journal of vascular access2024

A decade of arteriovenous fistula creations in the ⩾75 years population: Equal opportunity or sub-optimal use of resources.

Michael Corr, Astha Pachchigar, Michael O'Neill, Rebecca Higgins, Stephen O'Neill, Jennifer Hanko, Agnes Masengu

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Article in The journal of vascular access, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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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

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Michael CorrCentre of Public Health, Queen's University, Belfast, UK.ORCID 0000-0001-9272-2323
Astha PachchigarSchool of Medicine, Queen's University, Belfast, UK.
Michael O'NeillSchool of Medicine, Queen's University, Belfast, UK.
Rebecca HigginsRegional Nephrology & Transplant Unit, Belfast Health and Social Care Trust, Belfast, UK.
Stephen O'NeillCentre of Public Health, Queen's University, Belfast, UK.
Jennifer HankoRegional Nephrology & Transplant Unit, Belfast Health and Social Care Trust, Belfast, UK.
Agnes MasenguRegional Nephrology & Transplant Unit, Belfast Health and Social Care Trust, Belfast, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal vascular access in the elderly remains contentious in the context of increasingly limited resources and anticipated survival on hemodialysis. Research focus has shifted to include the impact of vascular access on quality of life. This study explored clinical outcomes in individuals aged ⩾75 years who had an arteriovenous fistula (AVF) created in a single center over a 10-year period. MATERIALS AND

methodsDemographic and clinical data concerning AVFs created January 2009-December 2019 were identified from a prospective database for retrospective analysis. Outcome measures were AVF patency and failure to mature rates plus overall patient and vascular access survival. The Vascular Access Specific Quality of life measure (VASQoL) was completed in a contemporary cohort aged ⩾75 years established on HD in October 2021.

resultsAVF outcomes were available for 272 patients (93%). The failure to mature (FTM) rate was 36% with the significant predictors of AVF FTM being the creation of a radiocephalic AVF (OR 8.13, 95% CI 8.02-8.52,

conclusionsIn this cohort, AVF creation in individuals aged ⩾75 years AVFs was associated with comparable AVF patency rates to younger patients. AVF functional patency was associated with superior patient survival compared to those with AVF FTM. A multi-disciplinary surveillance program may help reduce AVF loss. Further work on how vascular access choice impacts quality of life in elderly patients is required.

Indexed as

Arteriovenous Shunt, SurgicalDatabases, FactualQuality of LifeRenal DialysisVascular PatencyAgedAged, 80 and overAge FactorsFemaleGraft Occlusion, VascularHumansMaleRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsAV fistulacathetersDialysisdialysis accesseconomics and health servicesultrasonography—Doppler evaluation

Identifiers

PMID36609176
PMCPMC11308278

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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.