Tradeoffs in Vascular Access Selection in Elderly Patients Initiating Hemodialysis With a Catheter.

ABSTRACT:

Rationale & objective

National vascular access guidelines recommend placement of arteriovenous fistulas (AVFs) over grafts (AVGs) in hemodialysis patients, but have not been comprehensively assessed in the elderly. We evaluated clinically relevant vascular access outcomes in elderly patients receiving an AVF or AVG after hemodialysis therapy initiation.

Study design

Retrospective cohort study using national administrative data.

Settings & partcipants

Claims data from the US Renal Data System of 9,458 US patients 67 years and older who initiated hemodialysis therapy from July 1, 2010, to June 30, 2011, with a catheter and received an AVF (n=7,433) or AVG (n=2,025) within the ensuing 6 months.

Predictor

Arteriovenous access subtype, AVF or AVG.

Outcomes

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SUBMITTER: Lee T 

PROVIDER: S-EPMC6153087 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature