Ethnic differences in arm vein diameter and arteriovenous fistula creation rates in men undergoing hemodialysis access

Journal of Vascular Surgery
Brandon IshaqueChristian de Virgilio

Abstract

The National Kidney Foundation recommends that arteriovenous fistulas (AVFs) be placed in at least 65% of hemodialysis patients. Some studies suggest that African American patients are less likely to receive a first-time AVF than patients of other ethnicities, although the reason for this disparity is unclear. The purpose of our study is to determine (1) whether there are ethnic differences in AVF creation, (2) whether this may be related to differences in vein diameters, and (3) whether AVF patency rates are similar between African American and non-African American male patients. Consecutive male patients undergoing first-time hemodialysis access from 2006 to 2010 at two institutions were retrospectively reviewed. Data collected included age, ethnicity, weight, height, body mass index, diabetes, hypertension, congestive heart failure, smoking history, intravenous drug abuse, need for temporary access placement, and preoperative venous ultrasound measurements. Categoric variables were compared using χ(2) analysis, and the Wilcoxon rank-sum test was used to compare continuous variables. Of 249 male patients identified, 95 were African American. Median age in African American and non-African American patients was 63 years. Hypert...Continue Reading

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Citations

Nov 24, 2012·Seminars in Dialysis·Ho-Won Lee, Michael Allon
Mar 11, 2015·Annals of Vascular Surgery·Michael F AmendolaRonald K Davis
Feb 11, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ronald L PisoniBruce M Robinson
Feb 22, 2017·The Journal of Vascular Access·Rita L McGill, Eduardo Lacson
Aug 12, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Timmy LeeMichael Allon
Oct 22, 2020·Clinical Journal of the American Society of Nephrology : CJASN·Joyce QianMichael Allon

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