Patient Frailty and Functional Use of Hemodialysis Vascular Access: A Retrospective Study of the US Renal Data System.

ABSTRACT:

Rationale & objective

Despite the high prevalence of frailty among dialysis patients, it is unknown whether frailty is associated with dialysis vascular access failure. This study examined the association between frailty and functional use of vascular access.

Study design

Retrospective observational study.

Setting & participants

Patients who initiated hemodialysis through a tunneled catheter in the US Renal Data System database from 2012 through 2017 and underwent subsequent creation of an arteriovenous fistula or graft.

Predictors

The "claims-based frailty indicator" (CFI) was calculated using a validated claims-based disability status model anchored to a well-described frailty phenotype.

Outcomes

Time to functional use for fistulas and grafts defined a

SUBMITTER: Woo K 

PROVIDER: S-EPMC9187779 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature