Forearm Versus Upper Arm Location of Arteriovenous Access Used at Hemodialysis Initiation: Temporal Trends and Racial Disparities.

ABSTRACT:

Rationale & objective

Race and ethnicity differences exist in the type of arteriovenous access (AVA, including fistulas and grafts) used at hemodialysis (HD) initiation. The preferred anatomic location for the creation of an initial HD AVA is typically in the forearm We evaluated race and ethnicity differences in the use of an AVA in the forearm location at HD initiation.

Study design

Retrospective cohort study.

Setting & participants

Using records from DaVita Kidney Care linked to the US Renal Data System (USRDS), we evaluated patients aged≥16 years who initiated in-center HD with an AVA between 2006 and 2019.

Predictor

Race and ethnicity, categorized as non-Hispanic White, non-Hispanic Black, Hispanic, or Other.

Outcome

Forearm versus upper arm AVA loc

SUBMITTER: Worsley ML 

PROVIDER: S-EPMC11757070 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature