Starting hemodialysis with catheter and mortality risk: persistent association in a competing risk analysis

The Journal of Vascular Access
Ramon Roca-TeyCatalan Renal Registry Committee

Abstract

The vascular access (VA) used at hemodialysis (HD) inception is involved in the mortality risk. We analyzed the survival of incident patients over time according to the initial VA and the VA profile of patients who died during the first year of follow-up. Data of VA were obtained from 9956 incident HD patients from the Catalan Registry. Over 12 years, 47.9% of patients initiated HD with a fístula, 1.2% with a graft, 15.9% with a tunneled catheter and 35% with an untunneled catheter. Regarding fistula use, the hazard ratio of death for all-causes over time when applying a multivariate competing risk model was 1.55 [95% confidence interval (CI): 1.42-1.69] and 1.43 (95% CI: 1.33-1.54) for patients with tunneled and untunneled catheter, respectively. During the first year of follow-up, the crude all-cause mortality rate (deaths/100 patient-years) was higher during the early (first 120 days) compared to the late (121-365 days) period: 18.3 (95% CI: 16.8-19.8) versus 15.4 (95% CI: 14.5-16.5). Regarding fistula use, for patients using untunneled and tunneled catheter, the odds ratio of death in the early period for all-causes was 3.66 (95% CI: 2.80-4.81) and 2.97 (95% CI: 2.17-4.06), for cardiovascular causes it was 2.76 (95% CI: 1.9...Continue Reading

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Citations

Sep 7, 2016·Nefrología : publicación oficial de la Sociedad Española Nefrologia·José L MerinoVicente Paraíso
Jun 24, 2017·Environment International·Lap Ah TseChi Fai Ng
Mar 17, 2018·The Journal of Vascular Access·Ramon Roca-TeyUNKNOWN Spanish Multidisciplinary Vascular Access Group (GEMAV)
Mar 10, 2016·The Journal of Vascular Access·Ramon Roca-Tey
Nov 10, 2018·Hemodialysis International·Ladan Golestaneh, Michele H Mokrzycki
May 22, 2019·International Angiology : a Journal of the International Union of Angiology·Ramon Roca-TeyJordi Calls
Oct 2, 2019·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Adil M Hazara, Sunil Bhandari
Jul 31, 2019·PloS One·Araceli Caro MartínezNuria Aresté Fosalba
Dec 28, 2016·Artificial Organs·Tibor FülöpNeville R Dossabhoy
Apr 14, 2020·Clinical and Experimental Nephrology·Yukimasa IwataYoshitaka Isaka

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