Quality indicators of vascular access procedures for hemodialysis
Tóm tắt
Improved quality of surgical procedures can minimize complications, the morbidity and mortality of patients, and in addition decrease costs. Quality indicators in angioaccess surgery are, however, not clearly defined. The aim of this review article is therefore to find the most important factors affecting quality in vascular access procedures. Even though autogenous arteriovenous fistula has been recognized as the best vascular access for hemodialysis, the high percentage of unsuccessful attempts associated with it raises the question about quality assessment in angioaccess procedures. Unfortunately, quality indicators in vascular access surgery are difficult to define and measure. Among those that can be obtained are: the time between the presentation of patients to a vascular access surgeon and the construction of a fistula, the percentage of autogenous fistulas, the percentage of functional fistulas in prevalent and incident hemodialysis patients, the percentage of creation of a functional fistula in the first attempt, and durability of an access. Organizational improvement and educational programs are also necessary at institutions with inferior quality indicators of vascular access care, as even small increase in quality may mean the survival of an individual patient. Quality indicators in angioaccess surgery can also serve as a helpful tool in choosing the best vascular access surgeon or vascular access center. The choice can consequently reflect on increased survival and quality of life in patients needing hemodialysis.
Tài liệu tham khảo
ERA-EDTA Registry Annual Report 2017. https://www.era-edta-reg.org/files/annualreports/pdf/AnnRep2017.pdf. Accessed 4 Jan 2020
US Renal Data System, USRDS (2012) Annual data report: atlas of chronic kidney disease and end-stage renal disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2012. http://www.usrds.org/adr.aspx. Accessed Nov 12, 2019
Hemodialysis arteriovenous fistulas. Fistula First. National Vascular Access Improvement Initiative. www.fistulafirst.org. Accessed Nov 10, 2019
K/DOQI Clinical Practice Guidelines for Vascular Access. Am J Kidney Dis. 2006; 48:(1):183-247
Polkinghorne KR, Chin GK, MacGinley RJ et al (2013) KHA-CARI Guideline: vascular access - central venous catheters, arteriovenous fistulae and arteriovenous grafts. Nephrology (Carlton) 18(11):701–705
US Renal Data System. 2007 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States. Bethesda, MD, National Institute of Diabetes and Digestive and Kidney Diseases; 2007. Accessed Mar 5, 2016
Kimball TA, Barz K, Dimond KR, Edwards JM, Nehler MR (2011) Efficiency of the kidney disease outcomes quality initiative guidelines for preemptive vascular access in an academic setting. J Vasc Surg 54(3):760–765
Lok CE (2007) Fistula first initiative: advantages and pitfalls. Clin J Am Soc Nephrol 2:1043–1053
Dember LM, Beck GJ, Allon M et al (2008) Dialysis access consortium study group. Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis: a randomized controlled trial. JAMA 299(18):2164–2171
Schinstock CA, Albright RC, Williams AW et al (2011) Outcomes of arteriovenous fistula creation after the Fistula First Initiative. Clin J Am Soc Nephrol 6(8):1996–2002
Young EW, Goodkin DA, Mapes DL, Port FK, Keen ML, Chen K (2000) The dialysis outcomes and practice patterns study (DOPPS): an international hemodialysis study. Kidney Int 57(74):74–81
Pisoni RL, Gillespie BW, Dickinson DM, Chen K, Kutner M, Wolfe RA (2004) The dialysis outcomes and practice patterns study: design, data elements, and methodology. Am J Kidney Dis 44(2):7–15
Pisoni RL, Young EW, Dykstra DM, Greenwood RN, Hecking E, Gillespie B (2002) Vascular access use in Europe and the United States: results from the DOPPS. Kidney Int 61(1):305–316
Hirth RA, Turenne MN, Woods JD, Young EW, Port FK, Pauly MV (1996) Predictors of type of vascular access in hemodialysis patients. JAMA 276:1303–1308
Reddan D, Klassen P, Frankenfield DL et al (2002) National ESRD CPM Work Group: National profile of practice patterns for hemodialysis vascular access in the United States. J Am Soc Nephrol 13(8):2117–2124
Allon M, Ornt DB, Schwab SJ et al (2000) Factors associated with the prevalence of arteriovenous fistulas in hemodialysis patients in the HEMO study. Hemodialysis (HEMO) Study Group. Kidney Int 58:2178–2185
Huijbregts HJ, Bots ML, Moll FL, Blankestijn PJ, on behalf of the CIMINO members (2007) Hospital specific aspects predominantly determine primary failure of hemodialysis arteriovenous fistulas. J Vasc Surg 45:962–967
Asif A, Cherla G, Merrill D, Cipleu CD, Briones P, Pennell P (2005) Conversion of tunneled hemodialysis catheter-consigned patients to arteriovenous fistula. Kidney Int 67:2399–2406
McGill RL, Marcus RJ, Sandroni SE (2005) Fistula culture and no-excuses nephrology. J Vasc Access 6:62–63
Malovrh M (2006) Strategy for the maximal use of native arteriovenous fistulae for hemodialysis. Sci World J 6:808–815
Allon M, Lok CE (2010) Dialysis fistula or graft: the role for randomized clinical trials. Clin J Am Soc Nephrol 5(12):2348–2354
Murad MH, Swiglo BA, Sidawy AN, Ascher E, Montori VM (2008) Methodology for clinical practice guidelines for the management of arteriovenous access. J Vasc Surg 48(5):26–30
Sidawy AN, Spergel LM, Besarab A et al (2008) Society for vascular surgery: the society for vascular surgery: clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access. J Vasc Surg 48(5):2–25
Fluck R, Kumwenda M. Clinical practice guidelines vascular access for haemodialysis. Published by the UK Renal Association 5th edition, 2008–2011 Final version (5.01.11). Available at http://www.renal.org/guidelines/modules/ vascular-access-for-haemodialysis. Accessed Mar 4, 2016
Tordoir J, Canaud B, Haage P et al (2007) EBPG on vascular access. Nephrol Dial Transpl 22(2):88–117
Sidawy AN, Gray R, Besarab A et al (2002) Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg 35:603–610
Gray RJ, Sacks D, Martin LG, Trerotola SO (1999) Reporting standards for percutaneous interventions in dialysis access Technology Assessment Committee. J Vasc Interv Radiol 10(10):1405–1415
Lee T, Mokrzycki M, Moist L, Maya I, Vazquez M, Lok CE (2011) Standardized definitions for hemodialysis vascular access. Semin Dial 24(5):515–524
Schild AF (2010) Maintaining vascular access: the management of hemodialysis arteriovenous grafts. J Vasc Access 11:92–99
Dhingra RK, Young EW, Hulbert-Shearon TE, Leavey SF, Port FK (2001) Type of vascular access and mortality in U.S. hemodialysis patients. Kidney Int 60:1443–1451
Kulawik D, Sands JJ, Mayo K et al (2009) Focused vascular access education to reduce the use of chronic tunneled hemodialysis catheters: results of a network quality improvement initiative. Semin Dial 22(6):692–697
Lacson E Jr, Wang W, DeVries C et al (2011) Effects of a nationwide predialysis educational program on modality choice, vascular access, and patient outcomes. Am J Kidney Dis 58(2):235–242
Linardi F, Bevilacqua JL, Moron Morad JF, Costa JA (2004) Continuous quality improvement in vascular access for hemodialysis. J Vasc Br 3(3):191–196
Van Loon M, van der Mark W, Beukers N et al (2007) Implementation of a vascular access quality programme improves vascular access care. Nephrol Dial Transpl 22:1628–1632
DOPPS 4 (2011) Vascular access in use at cross-section, by country. http://www.dopps.org/annualreport/html/vType_c_mostrec2011.htm. Accessed Dec 12, 2019
Graham J, Hiremath S, Magner PO, Knoll GA, Burns KD (2008) Factors influencing the prevalence of central venous catheter use in a Canadian haemodialysis centre. Nephrol Dial Transpl 23(11):3585–3591
Preparation and placement of vascular access. http://www.cari.org.au. Accessed Mar 12, 2016
Davidson I, Hwang CH (2013) The „Access center effect “: are outcomes related to the center? J Vasc Access 14(6):S5
Lee T, Barker J, Allon M (2005) Tunneled catheters in hemodialysis patients: reasons and subsequent outcomes. Am J Kidney Dis 46(3):501–508
Ethier J, Mendelssohn DC, Elder SJ et al (2008) Vascular access use and outcomes: an international perspective from the dialysis outcomes and practice patterns study. Nephrol Dial Transpl 23:3219–3226
García-Trío G, Alonso M, Saavedra J, Cigarrán S, Lamas JM (2007) Integral management of vascular access by nephrologist. Three years work outcome. Nefrologia 27:335–339
Yu Q, Yu H, Chen S, Wang L, Yuan W (2011) Distribution and complications of native arteriovenous fistulas in maintenance hemodialysis patients: a single-center study. J Nephrol 24(5):597–603
Niemann A, Nygaard J, Hasenkam M, Ellebaek Petersen S (2010) The influence of the anastomotic length in A-V Fistulas. A computational fluid dynamic study. J Vasc Access 3(11):28
Ene-Iordache B, Cattaneo L, Dubini G, Remuzzi A (2013) Effect of anastomosis angle on the localization of disturbed flow in ‘side-to-end’ fistulae for haemodialysis access. Nephrol Dial Transpl 28(4):997–1005
Bharat A, Jaenicke M, Shenoy S (2012) A novel technique of vascular anastomosis to prevent juxta-anastomotic stenosis following arteriovenous fistula creation. J Vasc Surg 55(1):274–280
Van Canneyt K, Pourchez T, Eloot S et al (2010) Hemodynamic impact of anastomosis size and angle in side-to-end arteriovenous fistulae: a computer analysis. J Vasc Access 11(1):52–58
Lacson E Jr, Wang W, Lazarus JM, Hakim RM (2009) Change in vascular access and mortality in maintenance hemodialysis patients. Am J Kidney Dis 54(5):912–921
Allon M, Daugirdas J, Depner TA, Greene T, Ornt D, Schwab SJ (2006) Effect of change in vascular access on patient mortality in hemodialysis patients. Am J Kidney Dis 47:469–477
Ravani P, Brunori G, Mandolfo S et al (2004) Cardiovascular comorbidity and late referral impact arteriovenous fistula survival: a prospective multicenter study. J Am Soc Nephrol 15:204–209
Lomonte C, Casucci F, Antonelli M et al (2005) Is there a place for duplex screening of the brachial artery in the maturation of arteriovenous fistulas? Semin Dial 18(3):243–246
Ferring M, Henderson J, Wilmink T (2014) Accuracy of early postoperative clinical and ultrasound examination of arteriovenous fistulae to predict dialysis use. J Vasc Access 15(4):291–297
Bourquelot P, Pirozzi N (2014) Tips and tricks in creation of forearm arteriovenous fistulae. J Vasc Access 15(7):45–49
Fila B, Magaš S, Pavić P, Ivanac R, Ajduk M, Malovrh M (2016) The importance of success prediction in angioaccess surgery. Int Urol Nephrol 48(9):1469–1475
Bode A, Caroli A, Huberts W et al (2011) ARCH project consortium: clinical study protocol for the ARCH project—computational modeling for improvement of outcome after vascular access creation. J Vasc Access 12(4):369–376
Remuzzi A, Manini S (2014) Computational model for prediction of fistula outcome. J Vasc Access 15(7):64–69
Saucy F, Haesler E, Haller C, Déglise S, Teta D, Corpataux JM (2010) Is intra-operative blood flow predictive for early failure of radiocephalic arteriovenous fistula? Nephrol Dial Transpl 25:862–867
Konner K, Hulbert-Shearon TE, Roys EC, Port FK (2002) Tailoring the initial vascular access for dialysis patients. Kidney Int 62:329–333
Parisotto MT, Schoder VU, Miriunis C et al (2014) Cannulation technique influences arteriovenous fistula and graft survival. Kidney Int 86:790–797
Capurro F, De Mauri A, Navino C, David P, Chiarinotti D, De Leo M (2012) The middle arm arteriovenous fistula is an additional option to expand autogenous hemodialysis access. J Vasc Access 13(2):208–214
Gøransson LG, Bergrem H (2001) Consequences of late referral of patients with end-stage renal disease. J Intern Med 250:154–159
Astor BC, Eustace JA, Powe NR et al (2001) Timing of nephrologist referral and arteriovenous access use: the CHOICE Study. Am J Kidney Dis 38(3):494–501
Hughes SA, Mendelssohn JG, Tobe SW, McFarlane PA, Mendelssohn DC (2013) Factors associated with suboptimal initiation of dialysis despite early nephrologist referral. Nephrol Dial Transpl 28(2):392–397
Mendelssohn DC, Curtis BM, Yeates K et al (2011) STARRT Study investigators: suboptimal initiation of dialysis with and without early referral to a nephrologist. Nephrol Dial Transpl 26:2959–2965
Rooijens PP, Burgmans JP, Yo TI et al (2005) Autogenous radial-cephalic or prosthetic brachial-antecubital forearm loop AVF in patients with compromised vessels? A randomized, multicenter study of the patency of primary hemodialysis access. J Vasc Surg 42(3):481–487
Allon M, Robbin ML (2008) Resolved: fistulas are preferred to grafts as initial vascular access for dialysis. Con J Am Soc Nephrol 19(9):1632–1633
Gallieni M, Brenna I, Brunini F, Mezzina N, Pasho S, Fornasieri A (2014) Which cannulation technique for which patient. J Vasc Access 15(7):85–90
Jackson ZS, Ishibashi H, Gotlieb AI, Langille BL (2001) Effects of anastomotic angle on vascular tissue responses at end-to-side arterial grafts. J Vasc Surg 34(2):300–307
Lee T, Somarathna M, Hura A et al (2014) Natural history of venous morphologic changes in dialysis access stenosis. J Vasc Access 15(4):298–305
Saran R, Elder SJ, Goodkin DA (2008) Enhanced training in vascular access creation predicts arteriovenous fistula placement and patency in hemodialysis patients: results from the dialysis outcomes and practice patterns study. Ann Surg 247:885–891
Fassiadis N, Morsy M, Siva M, Marsh JE, Makanjuola AD, Chemla ES (2007) Does the surgeon’s experience impact on radiocephalic fistula patency rates? Semin Dial 20:455–457
Konner K (2002) The anastomosis of the arteriovenous fistula—common errors and their avoidance. Nephrol Dial Transpl 17:376–379
Besarab A, Asif A, Roy-Chaudhury P, Spergel LM, Ravani P (2007) The native arteriovenous fistula in 2007. Surveillance and monitoring. J Nephrol 20(6):656–667
Malik J, Kudlicka J, Novakova L, Adamec J, Malikova H, Kavan J (2014) Surveillance of arteriovenous accesses with the use of duplex Doppler ultrasonography. J Vasc Access 15(7):28–32
Smith GE, Gohil R, Chetter IC (2012) Factors affecting the patency of arteriovenous fistulas for dialysis access. J Vasc Surg 55(3):849–855
Leivaditis K, Panagoutsos S, Roumeliotis A, Liakopoulos V, Vargemezis V (2014) Vascular access for hemodialysis: postoperative evaluation and function monitoring. Int Urol Nephrol 46(2):403–409
Griffiths RI, Newsome BB, Block GA, Herbert RJ, Danese MD (2011) Patterns of hemodialysis catheter dysfunction defined according to National Kidney Foundation guidelines as blood flow < 300 mL/min. Int J Nephrol. https://doi.org/10.4061/2011/891259
Moura A, Madureira J, Alija P et al (2014) Type of vascular access and location in online hemodiafiltration and its association with patient’s perception of health-related quality of life. J Vasc Access 15(3):175–182
Wasse H, Kutner N, Zhang R, Huang Y (2007) Association of initial hemodialysis vascular access with patient-reported health status and quality of life. Clin J Am Soc Nephrol 2(4):708–714
Kosa SD, Bhola C, Lok CE (2015) Measuring patient satisfaction with vascular access: vascular access questionnaire development and reliability testing. J Vasc Access 16(3):200–205
Ravani P, Palmer SC, Oliver MJ et al (2013) Associations between hemodialysis access type and clinical outcomes: a systematic review. J Am Soc Nephrol 24(3):465–473
Xue JL, Dahl D, Ebben JP, Collins AJ (2003) The association of initial hemodialysis access type with mortality outcomes in elderly Medicare ESRD patients. Am J Kidney Dis 42(5):1013–1019
de Almeida E, Dias L, de Sousa FT, Mil-Homens MC, Pataca I, Prata MM (1997) Survival in haemodialysis: is there a role for vascular access? Nephrol Dial Transplant 12(4):852
Fila B, Ibeas J, Roca-Tey R, Lovčić V, Zibar L (2016) Arteriovenous fistula for haemodialysis: the role of surgical experience and vascular access education. Nefrologia 36(2):89–94
Basile C, Lomonte C (2007) The operating surgeon is the major determinant for a successful arteriovenous fistula maturation. Kidney Int 72:772
Fila B, Roca-Tey R, Malik J, Malovrh M, Pirozzi N, Kusztal M, Gallieni M, Jemcov T (2020) Quality assessment of vascular access procedures for hemodialysis: a position paper of the vascular access society based on the analysis of existing guidelines. J Vasc Access 21(2):148–153
Mishler R, Sands JJ, Ofsthun NJ, Teng M, Schon D, Lazarus JM (2006) Dedicated outpatient vascular access center decreases hospitalization and missed outpatient dialysis treatments. Kidney Int 69:393–398
Polkinghorne KR, Seneviratne M, Kerr PG (2009) Effect of a vascular access nurse coordinator to reduce central venous catheter use in incident hemodialysis patients: a quality improvement report. Am J Kidney Dis 53(1):99–106