Vascular access placement and mortality in elderly incident hemodialysis patients.

ABSTRACT:

Background

Arteriovenous fistulas (AVFs) are the preferred vascular access type in most hemodialysis patients. However, the optimal vascular access type in octogenarians and older (≥80 years) hemodialysis patients remains widely debated given their limited life expectancy and lower AVF maturation rates.

Methods

Among incident hemodialysis patients receiving care in a large national dialysis organization during 2007-2011, we examined patterns of vascular access type conversion in 1 year following dialysis initiation in patients <80 versus ≥80 years of age. Among a subcohort of patients ≥80 years of age, we examined the association between vascular access type conversion and mortality using multivariable survival models.

Results

In the overall cohort of 100 804 patients

SUBMITTER: Ko GJ 

PROVIDER: S-EPMC7057539 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature