Hemodialysis vascular access and subsequent transplantation: a report from the ESPN/ERA-EDTA Registry.

ABSTRACT:

Background

Current guidelines advocate use of arteriovenous fistula (AVF) over central venous catheter (CVC) for children starting hemodialysis (HD). European data on current practice, determinants of access choice and switches, patient survival, and access to transplantation are limited.

Methods

We included incident patients from 18 European countries who started HD from 2000 to 2013 for whom vascular access type was reported to the ESPN/ERA-EDTA Registry. Data were evaluated using descriptive statistics, logistic and Cox regression models, and cumulative incidence competing risk analysis.

Results

Three hundred ninety-three (55.1%) of 713 children started HD with a CVC and were more often females, younger, had more often an unknown diagnosis, glomerulonephritis, or v

SUBMITTER: Boehm M 

PROVIDER: S-EPMC6394682 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature