The associations of hemodialysis access type and access satisfaction with health- related quality of life Natalie Domenick Sridharan, MD, MSc, Larry Fish,

Slides:

Advertisements

Similar presentations

Outcomes of endovascular lower extremity interventions depend more on indication than physician specialty Justin R. Wallace, MD, MSc, Theodore Yuo, MD,

Advertisements

Professionalism and the work-life balance Thomas S. Huber, MD, PhD Journal of Vascular Surgery Volume 60, Issue 4, Pages (October 2014) DOI:

Hemodialysis arteriovenous fistula as first option not necessary in elderly patients Jie Cui, MD, David Steele, MD, Julia Wenger, MPH, Tatsuo Kawai, MD,

Arteriovenous grafts are associated with earlier catheter removal and fewer catheter days in the United States Renal Data System population Andrew E.

Without prejudice Journal of Vascular Surgery

Jehad Almasri, MD, Mouaz Alsawas, MD, Maria Mainou, MD, Reem A

Management and outcomes of dialysis access-associated steal syndrome

Outcomes of endovascular lower extremity interventions depend more on indication than physician specialty Justin R. Wallace, MD, MSc, Theodore Yuo, MD,

James C. Harms, MD, Sunil Rangarajan, MD, Carlton J

Midterm results of a novel technique to salvage autogenous dialysis access in aneurysmal arteriovenous fistulas Karen Woo, MD, Patrick R. Cook, DO, Joy.

Giant arteriovenous fistula in Parkes Weber syndrome

Amplatzer vascular plug for occlusion or flow reduction of hemodialysis arteriovenous access Pierre Bourquelot, MD, Lamisse Karam, MD, Alain Raynaud,

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Howard E. Katzman, MD, Robert B. McLafferty, MD, John R

Vascular access in hemodialysis patients older than 80 years

Short-term effects of cycle and treadmill training on exercise tolerance in peripheral arterial disease Bradley Sanderson, MSc, Christopher Askew, PhD,

Transdermal Fentanyl for Chronic Pain in AIDS

Comparative outcomes of primary autogenous fistulas in elderly, multiethnic Asian hemodialysis patients Claude J. Renaud, MRCP (UK), FAMS, Jackie Ho.

The first operation on the profunda femoris artery

Using distal revascularization with interval ligation as the primary treatment of hand ischemia after dialysis access creation Rahim Aimaq, MD, Steven.

Development of a symptom assessment instrument for chronic hemodialysis patients: the dialysis symptom index Steven D Weisbord, MD, Linda F Fried, MD,

Lowell S. Kabnick, MD Journal of Vascular Surgery

Without prejudice Journal of Vascular Surgery

Collateral artery from arteriovenous malformation of the rectum in a patient with peripheral artery disease Hirotomo Uchiyama, MD, Reiji Hattori, MD,

Arteriovenous grafts are associated with earlier catheter removal and fewer catheter days in the United States Renal Data System population Andrew E.

Tumescent anesthesia reduces pain associated with balloon angioplasty of hemodialysis fistulas Wen-Yu V. Haines, MD, Ryan Deets, BS, Ning Lu, BS, John.

Satinderjit Locham, Apurva B

Infected aneurysm of the thoracic aorta

Changing demographics in patients with vascular disease

IP161. Staple Aneurysmorrhaphy of Arteriovenous Fistula Pseudoaneurysm Pending Rupture: A Case Report and Literature Review Peter Lee Journal of Vascular.

Cost analysis of the Hemodialysis Reliable Outflow (HeRO) Graft compared to the tunneled dialysis catheter Julien Al Shakarchi, MBChB, MSc, MRCS, Nicholas.

The best of times, the worst of times…

Michael D. Sgroi, MD, Madhukar S. Patel, MD, Samuel E

Caitlin W. Hicks, MD, MS, Joseph K

Effect of hospital-level variation in the use of carotid artery stenting versus carotid endarterectomy on perioperative stroke and death in asymptomatic.

Amir A. Ghaffarian, Mark R. Sarfati, MD, FACS, Larry W

Efficiency of the kidney disease outcomes quality initiative guidelines for preemptive vascular access in an academic setting Traci A. Kimball, MD, Ken.

Risk stratification for the development of respiratory adverse events following vascular surgery using the Society of Vascular Surgery's Vascular Quality.

Andre Biuckians, MD, MPH, Eric C. Scott, MD, George H

Karthikeshwar Kasirajan, MD, Mark D. Morasch, MD, Michel S

Patient compliance limits the efforts of quality improvement initiatives on arteriovenous fistula maturation Susanna K. Lynch, BS, Sadaf S. Ahanchi,

Reply Journal of Vascular Surgery

Melanie R. Hoehn, MD, Ryan M. McEnaney, MD, Theodore H

Calf raise exercise increases walking performance in patients with intermittent claudication Michel Van Schaardenburgh, MD, Martin Wohlwend, MSc, Øivind.

Brachiobasilic versus brachiocephalic arteriovenous fistula: A prospective randomized study Cuneyt Koksoy, MD, Rojbin Karakoyun Demirci, MD, Deniz Balci,

Great saphenous vein diameter does not correlate with worsening quality of life scores in patients with great saphenous vein incompetence Kathleen Gibson,

David L. Dawson, MD, Jennifer Meyer, RCIS, Eugene S

Quality of life of patients with Takayasu’s arteritis

Poor health-related quality of life in patients with peripheral arterial disease: Type D personality and severity of peripheral arterial disease as independent.

Changes in the practice of angioaccess surgery: Impact of dialysis outcome and quality initiative recommendations Enrico Ascher, MD, Prasad Gade, MD,

The influence of aortic cuffs and iliac limb extensions on the outcome of endovascular abdominal aortic aneurysm repair Roel Hobo, MSc, Robert J.F. Laheij,

Patient-reported quality of life after abdominal aortic aneurysm surgery: A prospective comparison of endovascular and open repair Badr Aljabri, MD,

Prevention of radiation injury from medical imaging

Relationship between clinical classification of chronic venous disease and patient- reported quality of life: results from an international cohort study

M. Chris Pastor, MD, MSc, David Kopriva, MDCM, FRCS(C)

Creating functional autogenous vascular access in older patients

Basilic vein transposition versus biosynthetic prosthesis as vascular access for hemodialysis Massimo Morosetti, MD, Silvia Cipriani, MD, Sara Dominijanni,

The care of the patient with vascular disease

Effectiveness and safety of dialysis vascular access procedures performed by interventional nephrologists Gerald A. Beathard, Terry Litchfield Kidney.

J. J. Smith, FRCS, A. M. Garratt, PhD, M. Guest, FRCS, R. M

Primary balloon angioplasty of small (≤2 mm) cephalic veins improves primary patency of arteriovenous fistulae and decreases reintervention rates Pierfrancesco.

Theodore H. Yuo, MD, MS, Joseph Sidaoui, MD, Luke K

Results of a single center vascular screening and education program

Patients started on hemodialysis with tunneled dialysis catheter have similar survival after arteriovenous fistula and arteriovenous graft creation Theodore.

One-year patency rate of native arteriovenous fistulas reconstructed by vascular stripping in hemodialysis patients with venous neointimal hyperplasia

Proximal vein thrombosis secondary to hemodialysis catheterization complicated by arteriovenous fistula Joseph J. Piotrowski, M.D., Robert B. Rutherford,

Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas Nicholas J. Gargiulo, MD, Frank J. Veith, MD,

Modified use of the Hemodialysis Reliable Outflow (HeRO) graft for salvage of threatened dialysis access Bassan J. Allan, MD, Angela T. Prescott, MD,

Isolated femoral endarterectomy: Impact of SFA TASC classification on recurrence of symptoms and need for additional intervention Georges Al-Khoury,

Failure of arteriovenous fistula maturation: an unintended consequence of exceeding Dialysis Outcome Quality Initiative guidelines for hemodialysis access

Presentation transcript:

The associations of hemodialysis access type and access satisfaction with health- related quality of life Natalie Domenick Sridharan, MD, MSc, Larry Fish, PhD, Lan Yu, PhD, Steven Weisbord, MD, Manisha Jhamb, MD, Michel S. Makaroun, MD, Theodore H. Yuo, MD, MSc Journal of Vascular Surgery Volume 67, Issue 1, Pages 229-235 (January 2018) DOI: 10.1016/j.jvs.2017.05.131 Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 1 There was a significant difference in satisfaction by access type with lowest median Vascular Access Questionnaire (VAQ) score (indicating highest satisfaction) in patients with arteriovenous fistula (AVF). Significant differences are indicated by asterisks. By domain, patients with catheters were least bothered by physical symptoms, including pain, bleeding, swelling, and bruising. Patients with catheters were most dissatisfied with dialysis-related complications, such as their vascular access not working, their access being difficult to care for, or being worried about requiring hospitalization or replacement of the access. Arteriovenous graft (AVG) access type was associated with most dissatisfaction with access interference with social functioning. Journal of Vascular Surgery 2018 67, 229-235DOI: (10.1016/j.jvs.2017.05.131) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 2 When dividing patients into binary groups, arteriovenous fistula (AVF) patients were overall much more likely to be satisfied with their access, compared with tunneled dialysis catheter (TDC) or arteriovenous graft (AVG). Journal of Vascular Surgery 2018 67, 229-235DOI: (10.1016/j.jvs.2017.05.131) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 3 There was no difference in either quality of life (QOL) summary score by access type (P = nonsignificant). SF-36, Short Form-36. Journal of Vascular Surgery 2018 67, 229-235DOI: (10.1016/j.jvs.2017.05.131) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 4 Directional arrows represent hypothesized causal pathways. Coefficients of significant relationships are displayed. Other pathways were found to be nonsignificant. Access type was found to have a nonsignificant direct relationship with health-related quality of life (HRQOL). Access satisfaction mediated the effect of access type on HRQOL. HD, hemodialysis. Journal of Vascular Surgery 2018 67, 229-235DOI: (10.1016/j.jvs.2017.05.131) Copyright © 2017 Society for Vascular Surgery Terms and Conditions