Center-Effect of Incident Hemodialysis Vascular Access Use: Analysis of a Bi-national Registry.

ABSTRACT:

Background

Commencing hemodialysis (HD) with an arteriovenous access is associated with superior patient outcomes compared with a catheter, but the majority of patients in Australia and New Zealand initiate HD with a central venous catheter. This study examined patient and center factors associated with arteriovenous fistula/graft access use at HD commencement.

Methods

We included all adult patients starting chronic HD in Australia and New Zealand between 2004 and 2015. Access type at HD initiation was analyzed using logistic regression. Patient-level factors included sex, age, race, body mass index (BMI), smoking status, primary kidney disease, late nephrologist referral, comorbidities, and prior RRT. Center-level factors included size; transplant capability; home HD propor

SUBMITTER: Ng S 

PROVIDER: S-EPMC8791318 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature