Temporal trends in hemodialysis access creation during the fistula first era.

ABSTRACT:

Objective

Although forearm arteriovenous fistulas (AVFs) are the preferred initial vascular access for hemodialysis based on national guidelines, there are no population-level studies evaluating trends in creation of forearm vs upper arm AVFs and arteriovenous grafts (AVGs). The purpose of this study was to report temporal trends in first-time permanent hemodialysis access type, and to assess the effect of national initiatives on rates of AVF placement.

Methods

Retrospective cross-sectional study (2012-2022) utilizing the Vascular Quality Initiative database. All patients older than 18 years with creation of first-time upper extremity surgical hemodialysis access were included. Anatomic location of the AVF or AVG (forearm vs upper arm) was defined based on inflow artery, out

SUBMITTER: Fitzgibbon JJ 

PROVIDER: S-EPMC12539789 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature