Racial and Sex Disparities in Catheter Use and Dialysis Access in the United States Medicare Population.

ABSTRACT:

Background

Despite efforts to increase arteriovenous fistula and graft use, 80% of patients in the United States start hemodialysis on a central venous catheter (CVC).

Methods

To better understand in incident hemodialysis patients how sex and race/ethnicity are associated with time on a central venous catheter and transition to an arteriovenous fistula and graft, our observational cohort study analyzed US Renal Data System data for patients with incident ESKD aged ≥66 years who started hemodialysis on a CVC in July 2010 through 2013.

Results

At 1 year, 32.7% of 74,194 patients transitioned to an arteriovenous fistula, 10.8% transitioned to an arteriovenous graft, 32.1% stayed on a CVC, and 24.5% died. Women spent a significantly longer time on a CVC than men. Compared

SUBMITTER: Arya S 

PROVIDER: S-EPMC7062210 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature