Journal article

Barriers to Timely Arteriovenous Fistula Creation: A Study of Providers and Patients

Pamela A Lopez-Vargas, Jonathan C Craig, Martin P Gallagher, Rowan G Walker, Paul L Snelling, Eugenia Pedagogos, Nicholas A Gray, Murthy D Divi, Alastair H Gillies, Michael G Suranyi, Hla Thein, Stephen P McDonald, Christine Russell, Kevan R Polkinghorne

American Journal of Kidney Diseases | W B SAUNDERS CO-ELSEVIER INC | Published : 2011

Abstract

BACKGROUND: Current clinical practice guidelines recommend a native arteriovenous fistula (AVF) as the vascular access of first choice. Despite this, most patients in western countries start hemodialysis therapy using a catheter. Little is known regarding specific physician and system characteristics that may be responsible for delays in permanent access creation. STUDY DESIGN: Multicenter cohort study using mixed methods; qualitative and quantitative analysis. SETTING & PARTICIPANTS: 9 nephrology centers in Australia and New Zealand, including 319 adult incident hemodialysis patients. PREDICTOR: Identification of barriers and enablers to AVF placement. OUTCOMES: Type of vascular access used..

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