Balancing Fistula First with Catheters Last

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Eduardo LacsonRaymond M Hakim

Abstract

The success of Fistula First nationwide has been accompanied by an unplanned increase in hemodialysis catheters. Complications related to prolonged hemodialysis catheter use include increased morbidity, mortality, and cost. We hypothesize that the national focus on increasing fistulas may have inadvertently diverted attention away from initiatives to decrease dependence on hemodialysis catheters. Based on a synthesis of guidelines, reviews, published evidence, and the authors' opinions, we propose that the national vascular access initiative be revised to have a dual goal of Fistula First and "Catheters Last." These goals are not mutually exclusive, but rather complementary. We recommend a systematic refocus on interventions that not only increase fistulas, but help avoid extended catheter use. Clearly, the ideal practice for hemodialysis vascular access remains early placement of fistulas with enough maturation time such that they can be used for initiating long-term hemodialysis therapy when the need arises. To effect this change, a reimbursement policy covering the costs associated with permanent access placement before the need for dialysis is essential. Individualized patient management strategies may consider such innovat...Continue Reading

References

Mar 1, 1979·American Journal of Surgery·R D SigleyR M Mack
Apr 28, 1978·JAMA : the Journal of the American Medical Association·A B SchwartzR A Capaldo
May 1, 1992·Critical Care Medicine·L PasseriniE G King
Jun 1, 1989·Transplantation·M M NiyamathullahM G Kirubakaran
Mar 1, 1988·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·J D HarnettR D Guttmann
Feb 1, 1995·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·E AnaissieI Raad
Jul 1, 1995·Annals of Vascular Surgery·M R TabbaraE G Beven
Jan 1, 1996·Journal of Vascular and Interventional Radiology : JVIR·S O TrerotolaA Watson
Aug 1, 1996·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·P JungersC Jacobs
Sep 18, 1997·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Sep 1, 1995·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·N KoneckyI Kronzon
Jan 10, 1998·Journal of Vascular Surgery·T C HodgesJ L Cronenwett
Jan 15, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M LeblancB Canaud
May 22, 1998·Journal of the American Society of Nephrology : JASN·B HoenM Kessler
May 22, 1998·Journal of the American Society of Nephrology : JASN·F J BrunsM L Zeidel
Aug 11, 1998·Journal of the American Society of Nephrology : JASN·D HernándezA Torres
Dec 31, 1998·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·B CanaudC Mion
Feb 23, 1999·Kidney International·N R PoweW Briggs
Jul 20, 1999·Kidney International·P E MillerM Allon
Aug 13, 1999·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·S V JassalJ M Roscoe
Oct 8, 1999·Journal of Vascular Surgery·P G KalmanK W Sniderman
Oct 16, 1999·Arteriosclerosis, Thrombosis, and Vascular Biology·H MasudaS Glagov
Jan 5, 2000·Journal of the American Society of Nephrology : JASN·Wim VAN BiesenNorbert H Lameire
Jan 29, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·J A Diaz-Buxo
Jan 29, 2000·Kidney International·C O Stehman-BreenM Caps
Sep 30, 2000·EDTNA/ERCA Journal : Official Journal of the European Dialysis and Transplant Nurses Association, European Renal Care Association·R Yang, S Humphrey
Sep 30, 2000·Radiology·M L RobbinM Allon
Oct 21, 2000·Mayo Clinic Proceedings·J T McCarthy, J M Steckelberg
Nov 30, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·L Turmel-RodriguesD Blanchard
Dec 29, 2000·Seminars in Dialysis·J W JacksonR R Brantley
Feb 13, 2001·Kidney International. Supplement·M GirndtH Köhler
Jun 15, 2001·Journal of Thrombosis and Thrombolysis·C M ClaseC S Cinà
Jul 17, 2001·Transplantation·A K MadanD P Slakey
Sep 5, 2001·Kidney International·P McCarleyT A Ikizler
Sep 5, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·B C AstorJ Coresh
Sep 5, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·E J KingdonA Davenport
Sep 26, 2001·Infectious Disease Clinics of North America·E L Pesanti
Sep 29, 2001·Kidney International·R K DhingraF K Port
Oct 30, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·M A LittleJ J Walshe
Oct 31, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·T E MingaM Allon

❮ Previous
Next ❯

Citations

Nov 5, 2010·The New England Journal of Medicine·Jonathan Himmelfarb, T Alp Ikizler
Jul 8, 2011·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·YanQing TongZhengPing Qu
Jan 14, 2012·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·William D PaulsonSriram S Iyer
Apr 25, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Kerri L CavanaughT Alp Ikizler
Apr 24, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Pietro RavaniBrendan Barrett
Feb 19, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Stephen Z FademThomas G Peters
May 26, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Leslie P WongSusan Messing
Oct 5, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Eduardo LacsonRaymond M Hakim
Apr 21, 2012·Clinical Journal of the American Society of Nephrology : CJASN·Saugar MaripuriKerri L Cavanaugh
Jul 9, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Carrie A SchinstockKarl A Nath
Apr 21, 2012·International Journal of Nephrology·Timmy LeeMichele Mokrzycki
Feb 2, 2013·Clinical Journal of the American Society of Nephrology : CJASN·Charmaine E LokLouise Moist
Dec 4, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Alex RosenblumEduardo Lacson
Aug 28, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Steven M ShechterNadia Zalunardo
Dec 12, 2012·Seminars in Nephrology·Prabir Roy-ChaudhuryRino Munda
Nov 20, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Hui XueEduardo Lacson
Feb 24, 2012·Kidney International·Mahesh K KrishnamoorthyPrabir Roy-Chaudhury
Aug 28, 2009·Kidney International·Raymond M Hakim, Jonathan Himmelfarb
Nov 22, 2011·Advances in Chronic Kidney Disease·Ramapriya Sinnakirouchenan, Jean L Holley
Jun 4, 2011·Current Problems in Surgery·Michael J CostanzaVivian Gahtan
Apr 5, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Roman ShingarevMichael Allon
Feb 22, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Eduardo Lacson, Raymond M Hakim
Jan 18, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Henry N YoungBryan N Becker
Jan 25, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Steven M JonesJennifer M Macrae
Jun 18, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Priti R PatelMatthew J Arduino
Sep 15, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Eduardo LacsonRaymond M Hakim
Jan 20, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ronald L PisoniFriedrich K Port
Oct 22, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Eduardo LacsonJ Michael Lazarus
Oct 31, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Charmaine E Lok, Louise Moist
Jun 15, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·David A DrewDaniel E Weiner
Jun 25, 2008·Seminars in Dialysis·Adriana M Hung, T Alp Ikizler
Feb 23, 2011·Seminars in Dialysis·Prashant AminTushar J Vachharajani
May 23, 2012·Seminars in Dialysis·Eduardo Lacson, Franklin W Maddux
Apr 11, 2012·Seminars in Dialysis·Joseph A VassalottiUNKNOWN Fistula First Breakthrough Initiative Community Education Committee
Mar 8, 2014·Seminars in Dialysis·Rachel Fissell, Charmaine Lok
Aug 22, 2009·Advances in Chronic Kidney Disease·Micah R Chan, Alexander S Yevzlin
Jun 15, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Joseph PulliamEduardo Lacson
Feb 11, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ronald L PisoniBruce M Robinson
May 25, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Eduardo Lacson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Related Papers

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Michael AllonSteve J Schwab
American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Brian D BradburyMahesh Krishnan
Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
Deepa H ChandElaine S Kamil
© 2021 Meta ULC. All rights reserved