International Differences in the Location and Use of Arteriovenous Accesses Created for Hemodialysis: Results From the Dialysis Outcomes and Practice.

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Presentation transcript:

International Differences in the Location and Use of Arteriovenous Accesses Created for Hemodialysis: Results From the Dialysis Outcomes and Practice Patterns Study (DOPPS)  Ronald L. Pisoni, Lindsay Zepel, Richard Fluck, Charmaine E. Lok, Hideki Kawanishi, Gültekin Süleymanlar, Haimanot Wasse, Francesca Tentori, Jarcy Zee, Yun Li, Douglas Schaubel, Steven Burke, Bruce Robinson  American Journal of Kidney Diseases  Volume 71, Issue 4, Pages 469-478 (April 2018) DOI: 10.1053/j.ajkd.2017.09.012 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Description of samples used for various analyses. Abbreviations: AV, arteriovenous; AVF, arteriovenous fistula; AVG, arteriovenous graft; DOPPS, Dialysis Outcomes and Practice Patterns Study; ESRD, end-stage renal disease. American Journal of Kidney Diseases 2018 71, 469-478DOI: (10.1053/j.ajkd.2017.09.012) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Distribution of time to first day of successful arteriovenous (AV) access use by region among AV accesses that were successfully used for 30 or more days: (A) AV fistulas (AVFs) and (B) AV grafts (AVGs). Sample: restricted to AVFs/AVGs that were created within the study and were successfully used for at least 30 days; open diamond represents the mean. Europe/Australia and New Zealand (ANZ) includes Belgium, France, Germany, Italy, Spain, Sweden, and United Kingdom. American Journal of Kidney Diseases 2018 71, 469-478DOI: (10.1053/j.ajkd.2017.09.012) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Trend in arteriovenous fistula (AVF) location in the upper versus lower arm from the Dialysis Outcomes and Practice Patterns Study (DOPPS) 1 (1996-2001) to DOPPS 5 (2012-2015), by region. Based on location of AVF in use at study entry in the initial round of data collection for each study phase: DOPPS 1 (1996-2001), DOPPS 2 (2002-2004), DOPPS 3 (2005-2008), DOPPS 4 (2009-2012), DOPPS 5 (2012-2015). Europe/Australia and New Zealand (ANZ) includes France, Germany, Italy, Spain, and United Kingdom (DOPPS 1) and ANZ, Belgium, France, Germany, Italy, Spain, Sweden, and United Kingdom (DOPPS 2-5). Results were similar when Europe/ANZ was restricted to countries present in all phases. Abbreviation: Fac, facilities. American Journal of Kidney Diseases 2018 71, 469-478DOI: (10.1053/j.ajkd.2017.09.012) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Percentage of new arteriovenous fistulas (AVFs) located in the lower arm in male versus female hemodialysis patients by age group, for all new AVFs created for the study cohort. (A) Males and (B) females. AVFs created within 180 days before study entry were included for incident patients (ie, patients who entered the Dialysis Outcomes and Practice Patterns Study [DOPPS] within 90 days of end-stage renal disease start). American Journal of Kidney Diseases 2018 71, 469-478DOI: (10.1053/j.ajkd.2017.09.012) Copyright © 2017 The Authors Terms and Conditions