Dialysis access in europe and north america

are we on the same path?

Maurizio Gallieni, Ramesh Saxena, Ingemar Davidson

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Large differences in dialysis access exist between Europe, Canada, and the United States, even after adjustment for patient characteristics. Vascular access care is characterized by similar issues, but with a different magnitude. Obesity, type 2 diabetes, and peripheral vascular disease, independent predictors of central venous catheter use, are growing problems globally, which could lead to more difficulties in native arteriovenous fistula placement and survival. Creation of dedicated dialysis access teams, including a vascular access coordinator, is a fundamental step in improving vascular access care; however, it might not be sufficient. The possibility that factors other than patient characteristics and surgical skills are important in determining outcomes is likely; it might explain apparent contradictions of end-stage renal disease (ESRD) practices (kidney transplant, peritoneal dialysis, patterns of vascular access use in hemodialysis), where some countries excel in one area and score poorly in another. We are on the same path, but we have a long way to go.

Original languageEnglish (US)
Pages (from-to)96-105
Number of pages10
JournalSeminars in Interventional Radiology
Volume26
Issue number2
DOIs
StatePublished - Jun 2009

Fingerprint

North America
Blood Vessels
Dialysis
Central Venous Catheters
Peripheral Vascular Diseases
Arteriovenous Fistula
Peritoneal Dialysis
Type 2 Diabetes Mellitus
Chronic Kidney Failure
Canada
Renal Dialysis
Obesity
Transplants
Kidney
Survival

Keywords

  • Arteriovenous fistula
  • Catheter
  • Graft
  • Hemodialysis
  • Vascular access

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Dialysis access in europe and north america : are we on the same path? / Gallieni, Maurizio; Saxena, Ramesh; Davidson, Ingemar.

In: Seminars in Interventional Radiology, Vol. 26, No. 2, 06.2009, p. 96-105.

Research output: Contribution to journalArticle

Gallieni, Maurizio ; Saxena, Ramesh ; Davidson, Ingemar. / Dialysis access in europe and north america : are we on the same path?. In: Seminars in Interventional Radiology. 2009 ; Vol. 26, No. 2. pp. 96-105.
@article{6649a7c9c55a4a81a7bbd3e0b02190e4,
title = "Dialysis access in europe and north america: are we on the same path?",
abstract = "Large differences in dialysis access exist between Europe, Canada, and the United States, even after adjustment for patient characteristics. Vascular access care is characterized by similar issues, but with a different magnitude. Obesity, type 2 diabetes, and peripheral vascular disease, independent predictors of central venous catheter use, are growing problems globally, which could lead to more difficulties in native arteriovenous fistula placement and survival. Creation of dedicated dialysis access teams, including a vascular access coordinator, is a fundamental step in improving vascular access care; however, it might not be sufficient. The possibility that factors other than patient characteristics and surgical skills are important in determining outcomes is likely; it might explain apparent contradictions of end-stage renal disease (ESRD) practices (kidney transplant, peritoneal dialysis, patterns of vascular access use in hemodialysis), where some countries excel in one area and score poorly in another. We are on the same path, but we have a long way to go.",
keywords = "Arteriovenous fistula, Catheter, Graft, Hemodialysis, Vascular access",
author = "Maurizio Gallieni and Ramesh Saxena and Ingemar Davidson",
year = "2009",
month = "6",
doi = "10.1055/s-0029-1222452",
language = "English (US)",
volume = "26",
pages = "96--105",
journal = "Seminars in Interventional Radiology",
issn = "0739-9529",
publisher = "Thieme Medical Publishers",
number = "2",

}

TY - JOUR

T1 - Dialysis access in europe and north america

T2 - are we on the same path?

AU - Gallieni, Maurizio

AU - Saxena, Ramesh

AU - Davidson, Ingemar

PY - 2009/6

Y1 - 2009/6

N2 - Large differences in dialysis access exist between Europe, Canada, and the United States, even after adjustment for patient characteristics. Vascular access care is characterized by similar issues, but with a different magnitude. Obesity, type 2 diabetes, and peripheral vascular disease, independent predictors of central venous catheter use, are growing problems globally, which could lead to more difficulties in native arteriovenous fistula placement and survival. Creation of dedicated dialysis access teams, including a vascular access coordinator, is a fundamental step in improving vascular access care; however, it might not be sufficient. The possibility that factors other than patient characteristics and surgical skills are important in determining outcomes is likely; it might explain apparent contradictions of end-stage renal disease (ESRD) practices (kidney transplant, peritoneal dialysis, patterns of vascular access use in hemodialysis), where some countries excel in one area and score poorly in another. We are on the same path, but we have a long way to go.

AB - Large differences in dialysis access exist between Europe, Canada, and the United States, even after adjustment for patient characteristics. Vascular access care is characterized by similar issues, but with a different magnitude. Obesity, type 2 diabetes, and peripheral vascular disease, independent predictors of central venous catheter use, are growing problems globally, which could lead to more difficulties in native arteriovenous fistula placement and survival. Creation of dedicated dialysis access teams, including a vascular access coordinator, is a fundamental step in improving vascular access care; however, it might not be sufficient. The possibility that factors other than patient characteristics and surgical skills are important in determining outcomes is likely; it might explain apparent contradictions of end-stage renal disease (ESRD) practices (kidney transplant, peritoneal dialysis, patterns of vascular access use in hemodialysis), where some countries excel in one area and score poorly in another. We are on the same path, but we have a long way to go.

KW - Arteriovenous fistula

KW - Catheter

KW - Graft

KW - Hemodialysis

KW - Vascular access

UR - http://www.scopus.com/inward/record.url?scp=68149166368&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=68149166368&partnerID=8YFLogxK

U2 - 10.1055/s-0029-1222452

DO - 10.1055/s-0029-1222452

M3 - Article

VL - 26

SP - 96

EP - 105

JO - Seminars in Interventional Radiology

JF - Seminars in Interventional Radiology

SN - 0739-9529

IS - 2

ER -