Document Detail

Has the Fistula First Breakthrough Initiative caused an increase in catheter prevalence?
MedLine Citation:
PMID:  19000118     Owner:  NLM     Status:  MEDLINE    
The use of central venous hemodialysis catheters (CVC) continues to be high among the incident as well as the prevalent HD patients. Whereas many strategies have been implemented to decrease the use of CVCs, their placement rates have doubled since 1996. While many factors, including late referral, are responsible for the increased use of CVCs, the arteriovenous Fistula First Breakthrough Initiative (known as "Fistula First" [FF]) has also been implicated in the increased use of CVCs. It has been suggested that while the FF initiative has resulted in a substantial increase in arteriovenous fistulae placement and use, it has also resulted in an increase in the use of CVCs. This report argues that catheter rates have remained unchanged and provides data regarding the impact of the FF initiative on catheter use.
Lawrence M Spergel
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Publication Detail:
Type:  Journal Article     Date:  2008-09-24
Journal Detail:
Title:  Seminars in dialysis     Volume:  21     ISSN:  1525-139X     ISO Abbreviation:  Semin Dial     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-12-10     Completed Date:  2009-06-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  United States    
Other Details:
Languages:  eng     Pagination:  550-2     Citation Subset:  IM    
Dialysis Management Medical Group, San Francisco, California94109, USA.
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MeSH Terms
Arteriovenous Shunt, Surgical
Catheterization, Central Venous / statistics & numerical data*,  utilization*
Renal Dialysis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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