2019
Vascular access for hemodialysis in the elderly
Arhuidese I, Cooper M, Rizwan M, Nejim B, Malas M. Vascular access for hemodialysis in the elderly. Journal Of Vascular Surgery 2019, 69: 517-525.e1. PMID: 30683199, DOI: 10.1016/j.jvs.2018.05.219.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overArteriovenous Shunt, SurgicalBlood Vessel Prosthesis ImplantationCatheterization, Central VenousClinical Decision-MakingDatabases, FactualFemaleGraft Occlusion, VascularHumansKidney Failure, ChronicLife ExpectancyMalePatient SelectionQuality of LifeRenal DialysisRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyConceptsArteriovenous fistulaArteriovenous graftsElderly patientsPopulation-based cohort of elderly patientsHD cathetersMedian time to maturationOutcomes of arteriovenous fistulaUnited States Renal Database SystemCohort of elderly patientsMultivariate Cox regression analysisCatheter-free dialysisPre-emptive surgeryPrimary assisted patencyKaplan-Meier analysisCox regression analysisStudent's t-testPopulation-based cohortAssisted patencyTolerate surgerySecondary patencyPrimary patencySurgical riskModes of HDConduit patencyRetrospective analysis
2018
Utilization, patency, and complications associated with vascular access for hemodialysis in the United States
Arhuidese I, Orandi B, Nejim B, Malas M. Utilization, patency, and complications associated with vascular access for hemodialysis in the United States. Journal Of Vascular Surgery 2018, 68: 1166-1174. PMID: 30244924, DOI: 10.1016/j.jvs.2018.01.049.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overArteriovenous Shunt, SurgicalBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationCatheterization, Central VenousCatheter-Related InfectionsCentral Venous CathetersDatabases, FactualFemaleGraft Occlusion, VascularHumansMaleMedical AuditMedicareMiddle AgedPractice Patterns, Physicians'Prosthesis-Related InfectionsRenal DialysisRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular PatencyConceptsCatheter-free dialysisPrimary assisted patencyAutogenous fistulasPrimary patencyProsthetic graftsCatheter useAssisted patencySecondary patencySevere infectionsMedian time to maturationOutcome of vascular accessVascular accessAssociated with high mortalityLong-term hemodialysisComplications associated with vascular accessPatient survivalRetrospective studyAccess infectionFistula useGraft useHemodialysis cathetersFistulaCompare outcomesLow infection riskCatheter
2014
Mortality benefits of different hemodialysis access types are age dependent
Hicks C, Canner J, Arhuidese I, Zarkowsky D, Qazi U, Reifsnyder T, Black J, Malas M. Mortality benefits of different hemodialysis access types are age dependent. Journal Of Vascular Surgery 2014, 61: 449-456. PMID: 25175630, DOI: 10.1016/j.jvs.2014.07.091.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overArteriovenous Shunt, SurgicalCatheterization, Central VenousCatheters, IndwellingCentral Venous CathetersChi-Square DistributionFemaleHumansMaleMiddle AgedMultivariate AnalysisPatient SelectionProportional Hazards ModelsRenal DialysisRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesYoung AdultConceptsArteriovenous fistulaArteriovenous graftsHemodialysis cathetersMortality benefitDialysis accessBenefits of arteriovenous fistulasPredictor of overall mortalityCox proportional hazards modelsEffects of ageAge groupsUnited States Renal Data SystemRisk of deathAccess typeYears of ageProportional hazards modelHemodialysis access typePatient ageHemodialysis initiationRisk-adjusted mortalityOverall mortalityDialysis patientsPatientsHazards modelSpline modelIncreasing age