Document Detail


Vascular access for haemodialysis: from surgical procedure to an integrated therapeutic approach.
MedLine Citation:
PMID:  9870444     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the past 10 years the type of vascular access for haemodialysis procedures have changed markedly in our centre: more elbow AV fistulae and more central venous catheters are now used. Nevertheless, early referral to nephrologists and availability of central venous catheters and peritoneal dialysis allow elderly people to be admitted for dialysis treatment. Since vascular access for haemodialysis plays a key role in patient well-being, it is mandatory to apply quality assurance criteria to vascular access for haemodialysis surgery. Based on the results of a national survey, in Italy this policy is still in its early stages: monitoring of vascular access differs amongst centres, interventional radiology is used in a differing way, planning of vascular access for haemodialysis in pre-dialysis patients often remains an unsolved problem. According to our initial experience, we propose the use and validation of a quality-index [(minimum success rate) in elective vascular access for haemodialysis surgery], allowing accreditation of a department and a single surgeon for access management. Prevalence of central venous catheters at first dialysis of chronic renal failure patients is also proposed to evaluate the efficiency in access planning. Better knowledge of vascular access management by different teams could eventually lead to definition of guidelines for this 'Cinderella of dialysis'.
Authors:
D Bonucchi; A D'Amelio; M Grosoli; A Baraldi; G Cappelli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association     Volume:  13 Suppl 7     ISSN:  0931-0509     ISO Abbreviation:  Nephrol. Dial. Transplant.     Publication Date:  1998  
Date Detail:
Created Date:  1999-03-25     Completed Date:  1999-03-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706402     Medline TA:  Nephrol Dial Transplant     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  78-81     Citation Subset:  IM    
Affiliation:
Nephrology and Dialysis Department, Azienda Ospedaliera Policlinico, Modena, Italy.
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MeSH Terms
Descriptor/Qualifier:
Arteriovenous Shunt, Surgical* / standards
Catheterization, Central Venous / standards,  utilization
Catheters, Indwelling* / standards
Humans
Italy
Kidney Failure, Chronic / therapy
Quality Assurance, Health Care
Renal Dialysis*

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


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