Evidence map›Paper›PMID 39326402›Full record

ArticleBlood purification2025

Novel Method to Monitor Arteriovenous Fistula Maturation: Impact on Catheter Residence Time.

Laura Rosales Merlo, Xiaoling Ye, Hanjie Zhang, Brenda Chan, Marilou Mateo, Seth Johnson, Frank M van der Sande, Jeroen P Kooman, Peter Kotanko

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

Article in Blood purification, 2025. 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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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

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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.

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

9 authors.

Laura Rosales MerloRenal Research Institute, New York, New York, USA.
Xiaoling YeRenal Research Institute, New York, New York, USA.
Hanjie ZhangRenal Research Institute, New York, New York, USA.
Brenda ChanRenal Research Institute, New York, New York, USA.
Marilou MateoRenal Research Institute, New York, New York, USA.
Seth JohnsonRenal Research Institute, New York, New York, USA.
Frank M van der SandeDivision of Nephrology, Department of Internal Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Jeroen P KoomanDivision of Nephrology, Department of Internal Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Peter KotankoRenal Research Institute, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionArteriovenous fistula (AVF) maturation assessment is essential to reduce venous catheter residence. We introduced central venous oxygen saturation (ScvO2) and estimated upper body blood flow (eUBBF) to monitor newly created fistula maturation and recorded catheter time in patients with and without ScvO2-based fistula maturation.

methodsFrom 2017 to 2019, we conducted a multicenter quality improvement project (QIP) in hemodialysis patients with the explicit goal to shorten catheter residence time post-AVF creation through ScvO2-based maturation monitoring. In patients with a catheter as vascular access, we tracked ScvO2 and eUBBF pre- and post-AVF creation. The primary outcome was catheter residence time post-AVF creation. We compared catheter residence time post-AVF creation between QIP patients and controls. One control group comprised concurrent patients; a second control group comprised historic controls (2014-2016). We conducted Kaplan-Meier analysis and constructed a Cox proportional hazards model with variables adjustment to assess time-to-catheter removal.

resultsThe QIP group comprised 44 patients (59 ± 17 years), the concurrent control group 48 patients (59 ± 16 years), the historic control group 57 patients (58 ± 15 years). Six-month post-AVF creation, the fraction of non-censored patients with catheter in place was 21% in the QIP cohort, 67% in the concurrent control group, and 68% in the historic control group. In unadjusted and adjusted analysis, catheter residence time post-fistula creation was shorter in QIP patients compared to either control groups (p < 0.001).

conclusionScvO2-based assessment of fistula maturation is associated with shorter catheter residence post-AVF creation.

Indexed as

Arteriovenous Shunt, SurgicalRenal DialysisAgedFemaleHumansMaleMiddle AgedOxygen SaturationTime FactorsArteriovenous fistula maturationCentral venous catheterCentral venous oxygen saturationHemodialysisUpper body blood flowVascular access

Identifiers

PMID39326402
PMCPMC11731835

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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.