Association Between Attempted Arteriovenous Fistula Creation and Mortality in People Starting Hemodialysis via a Catheter: A Multicenter, Retrospective Cohort Study.

ABSTRACT:

Background

In North America, most people start hemodialysis via a central venous catheter ("catheter"). These patients are counseled to undergo arteriovenous fistula ("fistula") creation within weeks of starting hemodialysis because fistulas are associated with improved survival.

Objectives

To determine whether attempting to create a fistula in patients who start hemodialysis via a catheter is associated with improved mortality. We also sought to determine whether differences in baseline patient characteristics, vascular procedures for access-related complications, or days in hospital may confound or mediate the relationship between attempted fistula creation and mortality.

Design

Multicenter, retrospective cohort study.

Setting

Six dialysis programs located in

SUBMITTER: Roberts DJ 

PROVIDER: S-EPMC8326626 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature