Evidence map›Paper›PMID 41191301›Full record

SynthesisJournal of nephrology2025

Cannulation of the arteriovenous fistula in haemodialysis: a systematic review and narrative synthesis.

Mayte Chocarro-Haro, Miren-Idoia Pardavila-Belio, Cristina Labiano, Andrea Navarrete, Jon Urretavizcaya, Raquel Sola-Freire, María Izal, Inés Díaz-Dorronsoro, Ana Choperena

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of nephrology, 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

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.

Mayte Chocarro-HaroClínica Universidad de Navarra, Pamplona, Spain.
Miren-Idoia Pardavila-BelioDepartment of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Campus Universitario, C/ Irunlarrea, 1, 31008, Pamplona, Spain. mpardavila@unav.es.ORCID 0000-0003-1879-2723
Cristina LabianoClínica Universidad de Navarra, Pamplona, Spain.
Andrea NavarreteClínica Universidad de Navarra, Pamplona, Spain.
Jon UrretavizcayaClínica Universidad de Navarra, Pamplona, Spain.
Raquel Sola-FreireClínica Universidad de Navarra, Pamplona, Spain.
María IzalClínica Universidad de Navarra, Pamplona, Spain.
Inés Díaz-DorronsoroClínica Universidad de Navarra, Pamplona, Spain.
Ana ChoperenaIdiSNA, Navarra Institute for Health Research, Pamplona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArteriovenous fistulas (AVF) and arteriovenous grafts (AVG) are the preferred options for establishing vascular access in adult patients undergoing haemodialysis treatment. Although various official recommendations exist for AVF and AVG cannulation, a comprehensive, personalised approach to cannulation has yet to be proposed. This systematic review highlights existing knowledge gaps and identifies best practices by synthesising quality evidence on all components involved in AVF and AVG cannulation for haemodialysis.

methodsA search was conducted across the PubMed, CINAHL, Cochrane, Scopus and Web of Science databases for studies published between January 2016 and January 2023. This review followed the PRISMA statement and was registered with PROSPERO (CRD42024293288).

resultsTwenty-four studies met the inclusion criteria and reported outcomes for 11,687 patients and 801 ward staff in 14 countries. Collectively, their results emphasized a person-centred approach, the importance of nurses' and patients' skills, and the need for continuous learning to enhance patient care. While recommendations varied, the implementation of the button-hole technique and innovative nurse-led devices such as plastic cannulas and point-of-care ultrasound guided cannulation were highly recommended.

conclusionThis systematic review highlights the importance of adopting a person-centred approach to managing patients undergoing haemodialysis. It also recommends the systematic assessment of vascular access and the continuous training for nurses and patients. Further research is needed to evaluate the cost-effectiveness of innovative, nurse-led tools in haemodialysis units.

Indexed as

Arteriovenous Shunt, SurgicalCatheterizationRenal DialysisHumansArteriovenous fistulaArteriovenous graftsCannulationHaemodialysisVascular access

Identifiers

PMID41191301
PMCPMC12712022

What OpenQuestion holds

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LicenceCC BY
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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.