Who should be referred for a fistula? A survey of nephrologists

Background. There is marked variation in the use of the arteriovenous fistula (AVF) across programmes, regions and countries not explained by differences in patient demographics or comorbidities. The lack of clear criteria of who should or should not get a fistula may contribute to this, as well as...

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Published in:Nephrology, dialysis, transplantation dialysis, transplantation, 2010-08, Vol.25 (8), p.2644-2651
Main Authors: Xi, Wang, MacNab, Jennifer, Lok, Charmaine E., Lee, Timmy C., Maya, Ivan D., Mokrzycki, Michele H., Moist, Louise M.
Format: Article
Language:English
Subjects:
Adult
Aged
arteriovenous fistula
Arteriovenous Shunt, Surgical - statistics & numerical data
Canada
central venous catheter
Contraindications
Data Collection
Decision Making
Female
haemodialysis
Health Services Accessibility
Humans
Kidney Failure, Chronic - therapy
Male
Middle Aged
Original
Patient Selection
Physicians
Registries
Renal Dialysis - methods
Time Factors
United States
vascular access
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Summary:Background. There is marked variation in the use of the arteriovenous fistula (AVF) across programmes, regions and countries not explained by differences in patient demographics or comorbidities. The lack of clear criteria of who should or should not get a fistula may contribute to this, as well as barriers to creating AVFs. Methods. We conducted a survey of Canadian and American nephrologists to assess the patient variables considered to determine the timing and type of access requested. Perceived barriers and absolute contraindications to access were also collected. Results. An immediate referral for a fistula was more highly preferred when patients are
ISSN:0931-0509
1460-2385
DOI:10.1093/ndt/gfq064