Factors influencing maturation time of native arteriovenous fistulas

Annals of Vascular Surgery
Joie DunnKaren Woo

Abstract

To determine the factors influencing the maturation time of native arteriovenous fistulas. A retrospective review was performed of hemodialysis patients from a single university-associated dialysis center from 2004 to 2009. Demographics, comorbidities, and insurance status were recorded. Maturation time was defined as the time from access creation until the access was able to be used regularly for hemodialysis for a period of 2 weeks. A total of 249 patients were identified during the study period who had an arteriovenous fistula created that successfully matured; 104 (42%) patients were women and 145 (58%) were men. Most of the patients were Hispanic (82%). Ninety-seven (39%) of the patients had Medicaid-type insurance and 133 (53%) had Medicare. The mean age was 51 years, and 190 (76%) of the patients had diabetes. The overall mean maturation time was 79 days. Women had a significantly longer time to fistula maturation than males (91.9 days vs. 70.5 days, P = 0.0028). Diabetics also had a significantly longer maturation time than nondiabetics (92.5 days vs. 75.4 days, P = 0.0004). Age did not have an effect on maturation time. On multivariable analysis, sex remained significant (P = 0.007), however, diabetes lost its signific...Continue Reading

References

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Citations

Jul 13, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Karen Woo, Charmaine E Lok
Jan 28, 2017·The Journal of Vascular Access·Mathew WoosterNeil Moudgill
May 23, 2019·The Journal of Vascular Access·Joana Gameiro, Jose Ibeas
Mar 16, 2017·BMC Medical Informatics and Decision Making·Michela BozzettoAndrea Remuzzi
Aug 6, 2020·Journal of Vascular Surgery. Vascular Science·Tambudzai KudzeAlan Dardik
Aug 10, 2021·Frontiers in Cardiovascular Medicine·Shin Mei ChanAlan Dardik
Sep 9, 2021·The Journal of Vascular Access·Gustavo Martinez-MierFrancisco Gerardo Sanchez-Ruiz

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