| The Vascular Access Questionnaire: assessing patient-reported views of vascular access. | |
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MedLine Citation:
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PMID: 18609528 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The use of central venous catheters for vascular access in hemodialysis (HD) patients is associated with an increased risk of complications compared to arteriovenous fistulas (AVF). Despite this, catheter use remains high and patient satisfaction may be an important driver of catheter use. METHODS: We developed the Vascular Access Questionnaire (VAQ) to measure patient-reported views of their vascular access. Chronic HD patients at two centers were asked to rate how bothered they were by 17 access-related problems. VAQ symptom scores were compared between patients using catheters and those using fistulas for vascular access. RESULTS: Two hundred and twenty-two patients were eligible for the study. Symptom score was not different between patients using catheters and those using fistulas (p=0.36). However, patients using fistulas were more likely to be at least moderately bothered by pain, bleeding, bruising, swelling, and the appearance of their access than patients using catheters. Elderly patients reported lower symptom scores with catheters than fistulas. CONCLUSIONS: Patients appear to be primarily concerned with the appearance of their access and cannulation-related complications, particularly the elderly. Better education about the risk of adverse events with catheters and the implementation of measures aimed at reducing cannulation-related complications may help to increase fistula rates and improve patient satisfaction with their vascular access. |
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Authors:
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R R Quinn; D L Lamping; C E Lok; R A Meyer; J A Hiller; J Lee; E P Richardson; A Kiss; M J Oliver |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The journal of vascular access Volume: 9 ISSN: 1129-7298 ISO Abbreviation: J Vasc Access Publication Date: 2008 Apr-Jun |
Date Detail:
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Created Date: 2008-07-08 Completed Date: 2008-10-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100940729 Medline TA: J Vasc Access Country: Italy |
Other Details:
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Languages: eng Pagination: 122-8 Citation Subset: IM |
Affiliation:
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Department of Medicine, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. robert.quinn@sunnybrook.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arteriovenous Shunt, Surgical / adverse effects, psychology* Catheterization, Central Venous / adverse effects, psychology* Female Humans Linear Models Male Middle Aged Patient Satisfaction* Questionnaires* Renal Dialysis / adverse effects, psychology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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