Increased use of catheters as vascular access: Is it justiied by patients' clinical conditions?

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dc.contributor.authorDi Benedetto A.
dc.contributor.authorBasci A.
dc.contributor.authorCesare S.
dc.contributor.authorMarcelli D.
dc.contributor.authorPonce P.
dc.contributor.authorRichards N.
dc.date.accessioned2019-10-27T00:01:21Z
dc.date.available2019-10-27T00:01:21Z
dc.date.issued2007
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: Over the last years many technical improvements have been made in hemodialysis treatment. Vascular access (VA) stiff remains an important problem. Although the use of indwelling vascular catheters is discouraged, in Europe there is an increasing use of them. The K/DOQI Guidelines recommend a native arteriovenous fistula (AVF) as VA of choice. As reported by DOPPS, there is considerable geographic variation in the distribution of type of VA used amongst hemodialysis patients. The aim of this study was to evaluate the time patients in four European countries have to wait before undergoing their first surgery for VA (AVF or graft). Methods: All incident patients admitted to HD clinics located in Turkey, Italy, the UK and Portugal of the European FME clinics network between October 1, 2002 and September 30, 2004 were considered. Data were gained from the Clinical Database EuCliD®. Results: 2,152 patients (males 55.9%, mean age 62.5±15.7 years, diabetics 27%) were selected. Italy and Portugal had a higher proportion of elderly patients. At time of admission, the proportion of patients starting dialysis with AVF ranged between 23% and 60% from Turkey to Italy respectively. Patients with an indwelling catheter at admission are expected to undergo VA surgery as soon as possible. After 3 months of follow-up, about 75% of all patients had undergone surgery, however in the UK less than 50% of the patients had had a VA procedure. Overall, males have significantly higher probability of undergoing surgery, whilst elderly patients have a lower probability (27% and 14% respectively). Conclusion: Significant differences exist between countries in the time interval from referral to creation of VA. Health care system related problems seem to be the major reason to explain such differences. Patients in the UK have longer waiting times than the other countries studied. © Wichtig Editore, 2007.en_US
dc.identifier.endpage27en_US
dc.identifier.issn1129-7298
dc.identifier.issue1en_US
dc.identifier.pmid17393367en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage21en_US
dc.identifier.urihttps://hdl.handle.net/11454/21541
dc.identifier.volume8en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Vascular Accessen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectArteriovenous fistulaen_US
dc.subjectHemodialysisen_US
dc.subjectVascular accessen_US
dc.titleIncreased use of catheters as vascular access: Is it justiied by patients' clinical conditions?en_US
dc.typeArticleen_US

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