Establishing patient-specific criteria for selecting the optimal upper extremity vascular access procedure.

ABSTRACT:

Objective

The Kidney Disease Outcome Quality Initiative and Fistula First Breakthrough Initiative call for the indiscriminate creation of arteriovenous fistulas (AVFs) over arteriovenous grafts (AVGs) without providing patient-specific criteria for vascular access selection. Although the U.S. AVF rate has increased dramatically, several reports have found that this singular focus on increasing AVFs has resulted in increased AVF nonmaturation/early failure and a high prevalence of catheter dependence. The objective of this study was to determine the appropriateness of vascular access procedures in clinical scenarios constructed with combinations of relevant factors potentially influencing outcomes.

Methods

The RAND/UCLA Appropriateness Method was used. Accordingly, a comprehe

SUBMITTER: Woo K 

PROVIDER: S-EPMC5533515 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature