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
2015
Trends in Incident Hemodialysis Access and Mortality
Malas MB, Canner JK, Hicks CW, Arhuidese IJ, Zarkowsky DS, Qazi U, Schneider EB, Black JH, Segev DL, Freischlag JA. Trends in Incident Hemodialysis Access and Mortality. JAMA Surgery 2015, 150: 441-448. PMID: 25738981, DOI: 10.1001/jamasurg.2014.3484.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseHemodialysis cathetersArteriovenous fistulaArteriovenous graftsLower mortalityRenal diseaseVascular accessHD outcomesNational Kidney Foundation Kidney Disease Outcomes Quality InitiativeKidney Foundation Kidney Disease Outcomes Quality InitiativeMultivariable Cox proportional hazards modelsPrior renal replacement therapyUS Renal Data SystemCox proportional hazards modelArteriovenous fistula useIncident HD patientsInitiation of hemodialysisRetrospective cohort studyRenal replacement therapyProportional hazards modelFistula useCohort studySurvival benefitHD patientsPropensity score-matching technique
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