Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Dialysis

Reducing central venous catheter use in haemodialysis

Although consensus guidelines promote the use of arteriovenous fistulas for vascular access, the vast majority of US patients initiate haemodialysis using a central venous catheter. Malas et al. evaluate the impact of the type of incident vascular access on patient survival after initiation of haemodialysis.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Impact of type of vascular access used at initiation of haemodialysis on patient survival.

References

  1. National Kidney Foundation. NKF–DOQI Clinical Practice Guidelines for Vascular Access 22–23 (New York, 1997).

  2. Pisoni, R. L. et al. Trends in US vascular access use, patient preferences, and related practices: An update from the US DOPPS practice monitor with international comparisons. Am. J. Kidney. Dis. doi.org/10.1053/j.ajkd.2014.12.014.

  3. Malas, M. A. et al. Trends in incident hemodialysis access and mortality. JAMA Surg. http://dx.doi.org/10:1001/jamasurg.2014.3484.

  4. Allon, M. Current management of vascular access. Clin. J. Am. Soc. Nephrol. 2, 786–800 (2007).

    Article  Google Scholar 

  5. Lee, T. et al. Outcomes of elderly patients after predialysis vascular access creation. J. Am. Soc. Nephrol. http://dx.doi.org/10.1681/ASN.2014090938.

  6. Blumenthal, D. & Collins, S. R. Health care coverage under the Affordable Care Act—a progress report. N. Engl. J. Med. 371, 275–281 (2014).

    Article  CAS  Google Scholar 

  7. Hurst, F. P. et al. Arteriovenous fistulas among incident hemodialysis patients in Department of Defense and Veterans Affairs facilities. J. Am. Soc. Nephrol. 21, 1571–1577 (2010).

    Article  Google Scholar 

  8. Dember, L. M. et al. Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis. JAMA 299, 2164–2171 (2008).

    Article  CAS  Google Scholar 

  9. O'Hare, A. M. et al. When to refer patients with chronic kidney disease for vascular access surgery: should age be a consideration? Kidney Int. 71, 555–561 (2007).

    Article  CAS  Google Scholar 

  10. Drew, D. A. et al. Vascular access choice in incident hemodialysis patients: a decision analysis. J. Am. Soc. Nephrol. 26, 183–191 (2015).

    Article  Google Scholar 

Download references

Acknowledgements

M.A.'s research is funded by an NIDDK grant, number R01-DK-085027.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael Allon.

Ethics declarations

Competing interests

M.A. is a consultant for CorMedix Inc. and Gore.

PowerPoint slides

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Allon, M. Reducing central venous catheter use in haemodialysis. Nat Rev Nephrol 11, 323–325 (2015). https://doi.org/10.1038/nrneph.2015.56

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrneph.2015.56

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing