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

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Changes in the practice of angioaccess surgery: Impact of dialysis outcome and quality initiative recommendations Enrico Ascher, MD, Prasad Gade, MD, Anil Hingorani, MD, Fernanda Mazzariol, MD, Yilmaz Gunduz, MD, Maria Fodera, MD, William Yorkovich, RPA Journal of Vascular Surgery Volume 31, Issue 1, Pages 84-92 (January 2000) DOI: 10.1016/S0741-5214(00)70070-X Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Overall patency rates before and after the implementation of the National Kidney Foundation—Dialysis Outcome and Quality Initiative recommendations. There was a significant improvement in the overall patency rate of the angioaccess procedures after the implementation of the National Kidney Foundation—Dialysis Outcome and Quality Initiative recommendations. DOQI, Dialysis Outcome and Quality Initiative. Journal of Vascular Surgery 2000 31, 84-92DOI: (10.1016/S0741-5214(00)70070-X) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Change in choice of angioaccess procedures with time. Note reversal of the number of arteriovenous grafts placed, compared with the number of arteriovenous fistulas. AVG, Arteriovenous graft; AVF, arteriovenous fistula. Journal of Vascular Surgery 2000 31, 84-92DOI: (10.1016/S0741-5214(00)70070-X) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Primary patency rate of arteriovenous fistulas versus arteriovenous grafts. Native arteriovenous fistulas have significantly higher patency rates at the end of 1 year. The dotted line represents a greater than 10% standard error. AVG, Arteriovenous graft; AVF, arteriovenous fistula. Journal of Vascular Surgery 2000 31, 84-92DOI: (10.1016/S0741-5214(00)70070-X) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Primary patency rate (arteriovenous grafts plus arteriovenous fistulas) versus patency rate of revisions (arteriovenous grafts plus arteriovenous fistulas). Revisions of the angioaccess procedures were associated with a significantly lower patency rate when compared with the primary procedures. Journal of Vascular Surgery 2000 31, 84-92DOI: (10.1016/S0741-5214(00)70070-X) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions