Evidence map›Paper›PMID 39085574›Full record

Trial reportJournal of nephrology2024

Effect of no-touch versus conventional technique on arteriovenous fistula outcomes: a randomised controlled trial.

Qianling Ye, Jun Zou, Xiang Li, Weikang Guan, Chenming Hu, Bin Zhao, Yue Li, Ming Chen, Qiwen Su, Huaping Wu

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Journal of nephrology, 2024. 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
–field-weighted citation impact
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.

  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

10 authors.

Qianling YeDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Jun ZouDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Xiang LiDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Weikang GuanDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Chenming HuDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Bin ZhaoDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Yue LiDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Ming ChenDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Qiwen SuDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Huaping WuDepartment of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China. dazhou_huaping@163.com.

Funding

Chengdu University of Traditional Chinese Medicine YYZX2022174
6 · The paper itself

Abstract

backgroundAutologous arteriovenous fistulae (AVFs) are the best type of vascular access in patients with kidney failure. However, the conventional technique has a high failure rate. We performed a randomised controlled trial to investigate whether the no-touch technique has a higher maturation and patency rate than that of the conventional technique for creating AVFs.

methodsThis study was a single-centre randomised controlled trial involving patients with kidney failure requiring an AVF for haemodialysis access. A total of 179 patients undergoing their first radial artery-cephalic fistula were randomized 1:1 to the no-touch technique (n = 90) or conventional technique (n = 89). The maturation and patency rate of the two techniques were compared and analysed.

resultsThe preoperative baseline data showed no differences between groups. When comparing the no-touch technique to the conventional technique, the maturation rate was 93% vs. 89% and the 1-year primary function patency was 72% vs. 62%, respectively. Factors associated with AVF failure included age > 55 years (OR = 2.417, 95% CI 1.242-4.703), female sex (OR = 2.149, 95% CI 1.099-4.202), and vein diameter ≤ 1.8 mm (OR = 3.664, 95% CI 1.714-7.832). For patients with small veins the maturation rate was 92.98% vs. 80% and the 1-year primary function patency was 68.42% vs. 40% for the no-touch technique and conventional technique, respectively.

conclusionsThe no-touch technique has a higher maturation and patency rate than the conventional technique for creating an autologous AVF, especially in patients with small veins. This technique may provide a better outcome for patients with small cephalic veins.

Indexed as

Arteriovenous Shunt, SurgicalRadial ArteryRenal DialysisVascular PatencyAdultAgedFemaleGraft Occlusion, VascularHumansMaleMiddle AgedRisk FactorsTime FactorsTreatment OutcomeVeinsArteriovenous fistulaeChronic kidney diseaseHaemodialysisNo-touch technique

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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.