author_facet Dumaine, Chance S.
Brown, Robert S.
MacRae, Jennifer M.
Oliver, Matthew J.
Ravani, Pietro
Quinn, Robert R.
Dumaine, Chance S.
Brown, Robert S.
MacRae, Jennifer M.
Oliver, Matthew J.
Ravani, Pietro
Quinn, Robert R.
author Dumaine, Chance S.
Brown, Robert S.
MacRae, Jennifer M.
Oliver, Matthew J.
Ravani, Pietro
Quinn, Robert R.
spellingShingle Dumaine, Chance S.
Brown, Robert S.
MacRae, Jennifer M.
Oliver, Matthew J.
Ravani, Pietro
Quinn, Robert R.
Seminars in Dialysis
Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
Nephrology
author_sort dumaine, chance s.
spelling Dumaine, Chance S. Brown, Robert S. MacRae, Jennifer M. Oliver, Matthew J. Ravani, Pietro Quinn, Robert R. 0894-0959 1525-139X Wiley Nephrology http://dx.doi.org/10.1111/sdi.12655 <jats:title>Abstract</jats:title><jats:p>Since the publication of the first vascular access clinical practice guidelines in 1997, the global nephrology community has dedicated significant time and resources toward increasing the prevalence of arteriovenous fistulas and decreasing the prevalence of central venous catheters for hemodialysis. These efforts have been bolstered by observational studies showing an association between catheter use and increased patient morbidity and mortality. To date, however, no randomized comparisons of the outcomes of different forms of vascular access have been conducted. There is mounting evidence that much of the difference in patient outcomes may be explained by patient factors, rather than choice of vascular access. Some have called into question the appropriateness of fistula creation for certain patient populations, such as those with limited life expectancy and those at high risk of fistula‐related complications. In this review, we explore the extent to which catheters and fistulas exhibit the characteristics of the “ideal” vascular access and highlight the significant knowledge gaps that exist in the current literature. Further studies, ideally randomized comparisons of different forms of vascular access, are required to better inform shared decision making.</jats:p> Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”? Seminars in Dialysis
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title Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_unstemmed Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_full Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_fullStr Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_full_unstemmed Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_short Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_sort central venous catheters for chronic hemodialysis: is “last choice” never the “right choice”?
topic Nephrology
url http://dx.doi.org/10.1111/sdi.12655
publishDate 2018
physical 3-10
description <jats:title>Abstract</jats:title><jats:p>Since the publication of the first vascular access clinical practice guidelines in 1997, the global nephrology community has dedicated significant time and resources toward increasing the prevalence of arteriovenous fistulas and decreasing the prevalence of central venous catheters for hemodialysis. These efforts have been bolstered by observational studies showing an association between catheter use and increased patient morbidity and mortality. To date, however, no randomized comparisons of the outcomes of different forms of vascular access have been conducted. There is mounting evidence that much of the difference in patient outcomes may be explained by patient factors, rather than choice of vascular access. Some have called into question the appropriateness of fistula creation for certain patient populations, such as those with limited life expectancy and those at high risk of fistula‐related complications. In this review, we explore the extent to which catheters and fistulas exhibit the characteristics of the “ideal” vascular access and highlight the significant knowledge gaps that exist in the current literature. Further studies, ideally randomized comparisons of different forms of vascular access, are required to better inform shared decision making.</jats:p>
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author Dumaine, Chance S., Brown, Robert S., MacRae, Jennifer M., Oliver, Matthew J., Ravani, Pietro, Quinn, Robert R.
author_facet Dumaine, Chance S., Brown, Robert S., MacRae, Jennifer M., Oliver, Matthew J., Ravani, Pietro, Quinn, Robert R., Dumaine, Chance S., Brown, Robert S., MacRae, Jennifer M., Oliver, Matthew J., Ravani, Pietro, Quinn, Robert R.
author_sort dumaine, chance s.
container_issue 1
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container_title Seminars in Dialysis
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description <jats:title>Abstract</jats:title><jats:p>Since the publication of the first vascular access clinical practice guidelines in 1997, the global nephrology community has dedicated significant time and resources toward increasing the prevalence of arteriovenous fistulas and decreasing the prevalence of central venous catheters for hemodialysis. These efforts have been bolstered by observational studies showing an association between catheter use and increased patient morbidity and mortality. To date, however, no randomized comparisons of the outcomes of different forms of vascular access have been conducted. There is mounting evidence that much of the difference in patient outcomes may be explained by patient factors, rather than choice of vascular access. Some have called into question the appropriateness of fistula creation for certain patient populations, such as those with limited life expectancy and those at high risk of fistula‐related complications. In this review, we explore the extent to which catheters and fistulas exhibit the characteristics of the “ideal” vascular access and highlight the significant knowledge gaps that exist in the current literature. Further studies, ideally randomized comparisons of different forms of vascular access, are required to better inform shared decision making.</jats:p>
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spelling Dumaine, Chance S. Brown, Robert S. MacRae, Jennifer M. Oliver, Matthew J. Ravani, Pietro Quinn, Robert R. 0894-0959 1525-139X Wiley Nephrology http://dx.doi.org/10.1111/sdi.12655 <jats:title>Abstract</jats:title><jats:p>Since the publication of the first vascular access clinical practice guidelines in 1997, the global nephrology community has dedicated significant time and resources toward increasing the prevalence of arteriovenous fistulas and decreasing the prevalence of central venous catheters for hemodialysis. These efforts have been bolstered by observational studies showing an association between catheter use and increased patient morbidity and mortality. To date, however, no randomized comparisons of the outcomes of different forms of vascular access have been conducted. There is mounting evidence that much of the difference in patient outcomes may be explained by patient factors, rather than choice of vascular access. Some have called into question the appropriateness of fistula creation for certain patient populations, such as those with limited life expectancy and those at high risk of fistula‐related complications. In this review, we explore the extent to which catheters and fistulas exhibit the characteristics of the “ideal” vascular access and highlight the significant knowledge gaps that exist in the current literature. Further studies, ideally randomized comparisons of different forms of vascular access, are required to better inform shared decision making.</jats:p> Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”? Seminars in Dialysis
spellingShingle Dumaine, Chance S., Brown, Robert S., MacRae, Jennifer M., Oliver, Matthew J., Ravani, Pietro, Quinn, Robert R., Seminars in Dialysis, Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?, Nephrology
title Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_full Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_fullStr Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_full_unstemmed Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_short Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
title_sort central venous catheters for chronic hemodialysis: is “last choice” never the “right choice”?
title_unstemmed Central venous catheters for chronic hemodialysis: Is “last choice” never the “right choice”?
topic Nephrology
url http://dx.doi.org/10.1111/sdi.12655