Pregled bibliografske jedinice broj: 1203449
Quality assessment of vascular access procedures for hemodialysis: A position paper of the Vascular Access Society based on the analysis of existing guidelines
Quality assessment of vascular access procedures for hemodialysis: A position paper of the Vascular Access Society based on the analysis of existing guidelines // The Journal of Vascular Access, 21 (2019), 2; 148-153 doi:10.1177/1129729819848624 (međunarodna recenzija, članak, znanstveni)
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Naslov
Quality assessment of vascular access
procedures for hemodialysis: A position
paper of the Vascular Access Society based
on the analysis of existing guidelines
Autori
Branko Fila ; Ramon Roca-Tey ; Jan Malik ; Marko Malovrh ; Nicola Pirozzi ; Mariusz Kusztal ; Maurizio Gallieni ; Tamara Jemcov
Izvornik
The Journal of Vascular Access (3110-6700) 21
(2019), 2;
148-153
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
Hemodialysis ; guidelines ; quality assessment ; vascular access procedures
Sažetak
Quality assessment in vascular access procedures for hemodialysis is not clearly defined. The aim of this article is to compare various guidelines regarding recommendation on quality control in angioaccess surgery. The overall population of end-stage renal disease patients and patients in need for hemodialysis treatment is growing every year. Chronic intermittent hemodialysis is still the main therapy. The formation of a functional angioaccess is the cornerstone in the management of those patients. Native (autologous) arteriovenous fistula is the best vascular access available. A relatively high percentage of primary failure and fistula abandonment increases the need for quality control in this field of surgery. There are very few recommendations of quality assessment on creation of a vascular access for hemodialysis in the searched guidelines. Some guidelines recommend the proportion of native arteriovenous fistula in incident and prevalent patients as well as the maximum tolerable percentage of central venous catheters and complications. According to some guidelines, surgeon's experience and expertise have a considerable influence on outcomes. There are no specific recommendations regarding surgeon's specialty, grade, level of skills, and experience. In conclusion, there is a weak recommendation in the guidelines on quality control in vascular access surgery. Quality assessment criteria should be defined in this field of surgery. According to these criteria, patients and nephrologists could choose the best vascular access center or surgeon. Centers with best results should be referral centers, and centers with poorer results should implement quality improvement programs.
Izvorni jezik
Engleski
