Associations between initial dialysis access types and death from dialysis withdrawal in incident patients with kidney failure.

ABSTRACT:

Background

Patients receiving haemodialysis via a central venous catheter (HD-CVC) have been shown to have an increased risk of all-cause mortality. It is unclear whether death from dialysis withdrawal is associated with the high mortality risk observed in patients initiated on HD-CVC.

Methods

Using the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry, we examined the association between initial dialysis access [HD-CVC, haemodialysis via arteriovenous fistula (HD-AVF), and peritoneal dialysis (PD) via PD catheter (PD-PDC)] and death from dialysis withdrawal in adult patients starting dialysis in Australia between 2005 and 2022, analysed by time-stratified adjusted Cox regression with propensity score-matched cohorts.

Results

Of 47 412 incident pati

SUBMITTER: Chen JHC 

PROVIDER: S-EPMC11879430 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature