Quality assessment of vascular access procedures for hemodialysis: A position paper of the Vascular Access Society based on the analysis of existing guidelines
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, přehledy
PubMed
31106700
DOI
10.1177/1129729819848624
Knihovny.cz E-zdroje
- Klíčová slova
- Hemodialysis, guidelines, quality assessment, vascular access procedures,
- MeSH
- arteriovenózní zkrat škodlivé účinky normy MeSH
- chirurgové normy MeSH
- chronické selhání ledvin diagnóza terapie MeSH
- dialýza ledvin škodlivé účinky normy MeSH
- konsensus MeSH
- lidé MeSH
- medicína založená na důkazech normy MeSH
- rizikové faktory MeSH
- směrnice pro lékařskou praxi jako téma normy MeSH
- ukazatele kvality zdravotní péče normy MeSH
- výsledek terapie MeSH
- výsledky a postupy - zhodnocení (zdravotní péče) normy MeSH
- zlepšení kvality normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Quality assessment in vascular access procedures for hemodialysis is not clearly defined. The aim of this article is to compare various guidelines regarding recommendation on quality control in angioaccess surgery. The overall population of end-stage renal disease patients and patients in need for hemodialysis treatment is growing every year. Chronic intermittent hemodialysis is still the main therapy. The formation of a functional angioaccess is the cornerstone in the management of those patients. Native (autologous) arteriovenous fistula is the best vascular access available. A relatively high percentage of primary failure and fistula abandonment increases the need for quality control in this field of surgery. There are very few recommendations of quality assessment on creation of a vascular access for hemodialysis in the searched guidelines. Some guidelines recommend the proportion of native arteriovenous fistula in incident and prevalent patients as well as the maximum tolerable percentage of central venous catheters and complications. According to some guidelines, surgeon's experience and expertise have a considerable influence on outcomes. There are no specific recommendations regarding surgeon's specialty, grade, level of skills, and experience. In conclusion, there is a weak recommendation in the guidelines on quality control in vascular access surgery. Quality assessment criteria should be defined in this field of surgery. According to these criteria, patients and nephrologists could choose the best vascular access center or surgeon. Centers with best results should be referral centers, and centers with poorer results should implement quality improvement programs.
3rd Department of Internal Medicine 1st Faculty of Medicine Charles University Prague Czech Republic
Department of Clinical Science Division of Nephrology and Dialysis University La Sapienza Rome Italy
Department of Medicine Surgery and Dentistry University of Milan Milan Italy
Department of Nephrology Clinical Hospital Centre Zemun Belgrade Serbia
Department of Nephrology Hospital de Mollet Fundació Sanitària Mollet Barcelona Spain
Department of Nephrology University Medical Centre Ljubljana Ljubljana Slovenia
Department of Vascular Surgery University Hospital Dubrava Zagreb Croatia
Citace poskytuje Crossref.org
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