Who should be referred for a fistula? A survey of nephrologists
Open Access
- 22 February 2010
- journal article
- research article
- Published by Oxford University Press (OUP) in Nephrology Dialysis Transplantation
- Vol. 25 (8), 2644-2651
- https://doi.org/10.1093/ndt/gfq064
Abstract
Background. There is marked variation in the use of the arteriovenous fistula (AVF) across programmes, regions and countries not explained by differences in patient demographics or comorbidities. The lack of clear criteria of who should or should not get a fistula may contribute to this, as well as barriers to creating AVFs. Methods. We conducted a survey of Canadian and American nephrologists to assess the patient variables considered to determine the timing and type of access requested. Perceived barriers and absolute contraindications to access were also collected. Results. An immediate referral for a fistula was more highly preferred when patients are Conclusions. This study demonstrated marked variability in timing and criteria used to select patients for referral for a vascular access between nephrologists practicing within Canada and the USA. Establishing minimal eligibility criteria for fistulae is an important area of future research.Keywords
This publication has 35 references indexed in Scilit:
- Conversion of tunneled hemodialysis catheter–consigned patients to arteriovenous fistulaKidney International, 2005
- Outcomes of Upper Arm Arteriovenous Fistulas for Maintenance Hemodialysis AccessArchives of Surgery, 2004
- The association of initial hemodialysis access type with mortality outcomes in elderly medicare ESRD patientsAmerican Journal of Kidney Diseases, 2003
- Vascular access and increased risk of death among hemodialysis patientsKidney International, 2002
- Delayed nephrologist referral and inadequate vascular access in patients with advanced chronic kidney failureJournal of Clinical Epidemiology, 2002
- Hemodialysis vascular access preferences and outcomes in the Dialysis Outcomes and Practice Patterns Study (DOPPS)Kidney International, 2002
- Vascular access use in Europe and the United States: Results from the DOPPSKidney International, 2002
- Timing of nephrologist referral and arteriovenous access use: The CHOICE StudyAmerican Journal of Kidney Diseases, 2001
- US Vascular Mapping before Hemodialysis Access PlacementRadiology, 2000
- The hemodialysis access: preferences and concerns of patients, dialysis nurses and technicians, and physicians.American Journal of Nephrology, 1998