Evidence map›Paper›PMID 38539052›Full record

ArticleThe journal of vascular access2025

Incidental AVF creation during unrelated hospitalization is associated with worse outcomes compared with outpatient AVF creation.

Muhammad Saad Hafeez, Othman M Abdul-Malak, Katherine M Reitz, Catherine Go, Mohammad H Eslami, Rabih A Chaer, Theodore H Yuo

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of vascular access, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 93% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 1 institution in 1 country.

Muhammad Saad HafeezDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID 0000-0002-9786-933X
Othman M Abdul-MalakDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Katherine M ReitzDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Catherine GoDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Mohammad H EslamiDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Rabih A ChaerDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Theodore H YuoDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID 0000-0001-8542-3130
University of Pittsburgh Medical Center · US

Funding

Vascular Surgery Research Training (VascTrain) ProgramT32HL098036 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Edith Tzeng · 2010 to 2026
$7.2M
NHLBI NIH HHS T32 HL098036NIA NIH HHS L30 AG064730
6 · The paper itself

Abstract

introductionArteriovenous fistula (AVF) creation during an inpatient hospitalization is often performed for patient convenience and to ensure compliance. We sought to evaluate whether this approach has comparable outcomes to outpatient AVF creation.

methodsWe identified patients undergoing index AVF creation from the United States Renal Data System dataset (2012-2017). Patients were grouped into outpatient and inpatient. Outpatient included patients that were operated in either an outpatient setting, ambulatory surgical center or were admitted inpatient on the day of AVF creation. Inpatient included only patients with claims for an inpatient visit before access creation. Multiple safety outcomes were compared between groups using unadjusted and adjusted logistic regression methods generating odds ratios and 95% confidence intervals (95% CI). One-year maturation rates were compared using competing-risks regression methods generating sub-hazard ratios (sHR) and 95% CI. Outcomes were also compared after 1:1 propensity score matching.

resultsWe identified 68,872 patients undergoing AVF creation, 4855 (7.1%) of which were created during inpatient hospitalization. Patients in the inpatient group were older (65.8 ± 13.8 vs 65.2 ± 13.8,

conclusionIncidental AVF creation in hospitalized patients is associated with worse outcomes, ranging from mortality to postoperative complications to fistula maturation, compared with outpatient AVF creation.

Indexed as

Ambulatory Surgical ProceduresArteriovenous Shunt, SurgicalHospitalizationInpatientsRenal DialysisAgedDatabases, FactualFemaleHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment Outcomearteriovenous fistulaDialysisoutcomesUSRDS

Identifiers

PMID38539052
PMCPMC13108602
OpenAlexW4393276221

What OpenQuestion holds

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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.