Arteriovenous Fistula Placement, Maturation, and Patency Loss in Older Patients Initiating Hemodialysis.

ABSTRACT:

Rationale & objective

The current clinical guidelines for vascular access do not have specific recommendations for older hemodialysis patients. Our study aimed to determine the association of age with arteriovenous fistula (AVF) placement, maturation, and primary and secondary patency loss among older hemodialysis recipients.

Study design

Retrospective cohort study.

Setting & participants

A US national cohort of incident hemodialysis patients 67 years or older (N = 43,851) assembled from the US Renal Data System.

Exposure

Age at dialysis initiation.

Outcomes

AVF placement, maturation, primary patency loss, and abandonment.

Analytical approach

Cause-specific and subdistribution proportional hazards models were used to examine the association of age

SUBMITTER: Qian JZ 

PROVIDER: S-EPMC7534584 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature