In contrast to reports of favorable survival in incident patients on peritoneal dialysis compared with hemodialysis, a recent study has shown similar survival outcome depending on type of vascular access. Central venous catheters for hemodialysis have an inherent risk of sepsis, which accounts for the early survival advantage of peritoneal dialysis.
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References
Perl, J. et al. Hemodialysis vascular access modifies the association between dialysis modality and survival. J. Am. Soc. Nephrol. 22, 1113–1121 (2011).
Korevaar, J. C. et al. for the NECOSAD Study Group. Effect of starting with hemodialysis compared with peritoneal dialysis in patients new on dialysis treatment: a randomized controlled trial. Kidney Int. 64, 2222–2228 (2003).
Pisoni, R. L. et al. Facility hemodialysis vascular access use and mortality in countries participating in DOPPS: an instrumental variable analysis. Am. J. Kidney Dis. 53, 475–491 (2009).
Ng, L. J. et al. Hospitalization risks related to vascular access type among incident US hemodialysis patients. Nephrol. Dial. Transplant. doi:10.1093/ndt/gfr063.
McClellan, W. M. et al. Geographic concentration of poverty and arteriovenous fistula use among ESRD patients. J. Am. Soc. Nephrol. 21, 1776–1782 (2010).
Xi, W. et al. Who should be referred for a fistula? A survey of nephrologists. Nephrol. Dial. Transplant. 25, 2644–2651 (2010).
Ocak, G. et al. Haemodialysis catheters increase mortality as compared to arteriovenous accesses especially in elderly patients. Nephrol. Dial. Transplant. doi:10.1093/ndt/gfq775.
Mendelssohn, D. C. et al. Haemodialysis vascular access problems in Canada: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS II). Nephrol. Dial. Transplant. 21, 721–728 (2006).
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Tordoir, J. Vascular access type defines survival in patients on dialysis. Nat Rev Nephrol 7, 489–490 (2011). https://doi.org/10.1038/nrneph.2011.94
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DOI: https://doi.org/10.1038/nrneph.2011.94