Evidence map›Paper›PMID 41170654›Full record

ArticleJournal of renal care2025

The Chain of Cannulation: A Qualitative Comparison of the Cannulation Process and European Guidelines.

Karin Staaf, Fredrik Uhlin

Abstract read
In one paragraph

Article in Journal of renal care, 2025. 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

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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

2 authors.

Karin StaafDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-1529-1237
Fredrik UhlinDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundThe cannulation of an arteriovenous fistula can be performed using several different techniques and surrounding routines, which are presently not well-defined. The recently described chain of cannulation includes planning cannulation, pre-cannulation, during cannulation, evaluating cannulation and post-cannulation, and was based on the Swedish context, in which the buttonhole cannulation technique is the most common.

objectivesTo explore whether the chain of cannulation is in agreement with nursing guidelines from other dialysis contexts, in terms of cannulation techniques and their preconditions.

designQualitative comparison of guidelines regarding arteriovenous fistula cannulation.

participantsTwo guidelines regarding the process of arteriovenous cannulation, written in English, were included and compared to a compilation of Swedish local guidelines. MEASUREMENTS/APPROACH: The British and European guidelines were analysed using deductive qualitative content analysis. The utilised categorisation matrix was based on the chain of cannulation and its subcategories. The identified subcategories were compared among guidelines, using qualitative triangulation to find agreement, dissonance or silence.

resultsThe majority of subcategories showed partial agreement between at least two of the guidelines. Silence and dissonance were identified in the following subcategories: hygiene routines, preventing pain, how to needle, angle during cannulation, needle withdrawal and haemostasis. Two new subcategories were identified in the British guidelines: patient involvement, and screening and control.

conclusionThe chain of cannulation, which originated in the Swedish context, showed agreement with needling guidelines from other nursing contexts regarding arteriovenous cannulation techniques and their preconditions.

Indexed as

Arteriovenous Shunt, SurgicalCatheterizationGuidelines as TopicPractice Guidelines as TopicRenal DialysisEuropeHumansQualitative ResearchSwedencannulation techniquecomplicationshaemodialysishygienenursing

Identifiers

PMID41170654
PMCPMC12576761

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