Dialysis Access in Europe and North America: Are We on the Same Path?

ABSTRACT

Large differences in dialysis access exist between Europe, Canada, and the United States, even after adjustment for patient characteristics. Vascular access care is characterized by similar issues, but with a different magnitude. Obesity, type 2 diabetes, and peripheral vascular disease, independent predictors of central venous catheter use, are growing problems globally, which could lead to more difficulties in native arteriovenous fistula placement and survival. Creation of dedicated dialysis access teams, including a vascular access coordinator, is a fundamental step in improving vascular access care; however, it might not be sufficient. The possibility that factors other than patient characteristics and surgical skills are important in determining outcomes is likely; it might explain apparent contradictions of end-stage renal disease (ESRD) practices (kidney transplant, peritoneal dialysis, patterns of vascular access use in hemodialysis), where some countries excel in one area and score poorly in another. We are on the same path, but we have a long way to go.

KEYWORDS

Arteriovenous fistula - hemodialysis - vascular access - catheter - graft

REFERENCES

• 1 Ethier J, Mendelssohn D C, Elder S J et al.. Vascular access use and outcomes: an international perspective from the Dialysis Outcomes and Practice Patterns Study.  Nephrol Dial Transplant. 2008;  23(10) 3219-3226
• 2 Finelli L, Miller J T, Tokars J I, Alter M J, Arduino M J. National surveillance of dialysis-associated diseases in the United States, 2002.  Semin Dial. 2005;  18(1) 52-61
• 3 Pisoni R L, Young E W, Dykstra D M et al.. Vascular access use in Europe and the United States: results from the DOPPS.  Kidney Int. 2002;  61(1) 305-316
• 4 Rayner H C, Pisoni R L, Bommer J et al.. Mortality and hospitalization in haemodialysis patients in five European countries: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS).  Nephrol Dial Transplant. 2004;  19(1) 108-120
• 5 Dialysis and Transplant Italian Registry—RIDT .Available at: http://www.sin-ridt.org/sin-ridt.org.htm Accessed January 18, 2009
• 6 Registry ERA-EDTA. ERA-EDTA Registry 2006 Annual Report. Amsterdam; The Netherlands, Academic Medical Center, Department of Medical Informatics; 2008 Available at: http://www.era-edta-reg.org/index.jsp?p=annrep Accessed January 18, 2009
• 7 2006 United States Renal Data System (USRDS) Annual Data Report. Available at: http://www.usrds.org/2006/ref/L_vasc_access_06.pdf Accessed January 18, 2009
• 8 Rajagopalan S, Dellegrottaglie S, Furniss A L et al.. Peripheral arterial disease in patients with end-stage renal disease: observations from the Dialysis Outcomes and Practice Patterns Study (DOPPS).  Circulation. 2006;  114(18) 1914-1922
• 9 Fistula First National Vascular Access Improvements Initiative .Available at: http://www.fistulafirst.org/ Accessed January 19, 2009
• 10 The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Dialysis Access Clinical Trials Consortium .Available at: http://www.niddk.nih.gov/patient/dac/DAC.htm Accessed January 20, 2009
• 11 2006 United States Renal Data System (USRDS) Annual Data Report. Available at: http://www.usrds.org/2006/ref/L_vasc_access_06.pdf Accessed January 18, 2009
• 12 Berardinelli L. The endless history of vascular access: a surgeon's perspective.  J Vasc Access. 2006;  7(3) 103-111
• 13 Bacchini G, La Milia V, Andrulli S, Locatelli F. Color Doppler ultrasonography percutaneous transluminal angioplasty of vascular access grafts.  J Vasc Access. 2007;  8(2) 81-85
• 14 Mendelssohn D C, Ethier J, Elder S J, Saran R, Port F K, Pisoni R L. Haemodialysis vascular access problems in Canada: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS II).  Nephrol Dial Transplant. 2006;  21(3) 721-728
• 15 Graham J, Hiremath S, Magner P O, Knoll G A, Burns K D. Factors influencing the prevalence of central venous catheter use in a Canadian haemodialysis centre.  Nephrol Dial Transplant. 2008;  23(11) 3585-3591
• 16 Ljungström K G, Troëng T, Björck M. Time-trends in vascular access surgery in Sweden 1987-2006.  Eur J Vasc Endovasc Surg. 2008;  36(5) 592-596
• 17 Lok C E. Fistula first initiative: advantages and pitfalls.  Clin J Am Soc Nephrol. 2007;  2(5) 1043-1053
• 18 Huijbregts H J, Bots M L, Moll F L, Blankestijn P J. CIMINO Members . Accelerated increase of arteriovenous fistula use in haemodialysis centres: results of the multicentre CIMINO initiative.  Nephrol Dial Transplant. 2007;  22(9) 2595-2600
• 19 Davidson I J, Gallieni M, Saxena R, Dolmatch B. A patient centered decision making dialysis access algorithm.  J Vasc Access. 2007;  8(2) 59-68
• 20 Golper T. Patient education: can it maximize the success of therapy?.  Nephrol Dial Transplant. 2001;  16(suppl 7) 20-24
• 21 Davidson I JA. Access clinic, access decisions and multi-disciplinary care our patients deserve.  J Vasc Access. 2006;  7 235-238
• 22 Astor B C, Eustace J A, Powe N R et al.. Timing of nephrologist referral and arteriovenous access use: the CHOICE Study.  Am J Kidney Dis. 2001;  38(3) 494-501
• 23 National Kidney Foundation . K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification.  Am J Kidney Dis. 2002;  39(2, Suppl 1) S1-S266
• 24 Bourquelot P. Vascular access in children: the importance of microsurgery for creation of autologous arteriovenous fistulae.  Eur J Vasc Endovasc Surg. 2006;  32(6) 696-700
• 25 Bourquelot P, Cussenot O, Corbi P et al.. Microsurgical creation and follow-up of arteriovenous fistulae for chronic haemodialysis in children.  Pediatr Nephrol. 1990;  4(2) 156-159
• 26 Davidson I J, Chan D, Dolmatch B et al.. Duplex ultrasound evaluation for dialysis access selection and maintenance: a practical guide.  J Vasc Access. 2008;  9(1) 1-9
• 27 Tessitore N, Bedogna V, Poli A. The role of surveillance in mature arteriovenous fistula management.  J Vasc Access. 2004;  5(2) 57-61
• 28 Tessitore N, Bedogna V, Poli A et al.. Adding access blood flow surveillance to clinical monitoring reduces thrombosis rates and costs, and improves fistula patency in the short term: a controlled cohort study.  Nephrol Dial Transplant. 2008;  23(11) 3578-3584
• 29 Davidson I. Access clinic. Access decisions and the multi-disciplinary care our patients deserve [abstract].  J Vasc Access. 2006;  7(4) 235-238
• 30 Becker B N, Breiterman-White R, Nylander W et al.. Care pathway reduces hospitalizations and cost for hemodialysis vascular access surgery.  Am J Kidney Dis. 1997;  30(4) 525-531
• 31 Allon M, Bailey R, Ballard R et al.. A multidisciplinary approach to hemodialysis access: prospective evaluation.  Kidney Int. 1998;  53(2) 473-479
• 32 Flu H, Breslau P J, Krol-van Straaten J M, Hamming J F, Lardenoye J W. The effect of implementation of an optimized care protocol on the outcome of arteriovenous hemodialysis access surgery.  J Vasc Surg. 2008;  48(3) 659-668
• 33 Polkinghorne K R, Seneviratne M, Kerr P G. 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. 2009;  53(1) 99-106
• 34 Saran R, Elder S J, Goodkin D A et al.. 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. 2008;  247(5) 885-891
• 35 Rayner H C, Pisoni R L, Gillespie B W Dialysis Outcomes and Practice Patterns Study et al. Creation, cannulation and survival of arteriovenous fistulae: data from the Dialysis Outcomes and Practice Patterns Study.  Kidney Int. 2003;  63(1) 323-330
• 36 Verhallen A M, Kooistra M P, van Jaarsveld B C. Cannulating in haemodialysis: rope-ladder or buttonhole technique?.  Nephrol Dial Transplant. 2007;  22(9) 2601-2604
• 37 Doss S, Schiller B, Moran J. Buttonhole cannulation—an unexpected outcome.  Nephrol Nurs J. 2008;  35(4) 417-419
• 38 Ferrero S, Argentero P, Saltarelli M. Vascular Access Regional Group . Vascular access related infections in the Piedmontees Dialysis centres.  , (Abstract) J Vasc Access. 2009;  10(1) 72
• 39 Dember L M, Beck G J, Allon M Dialysis Access Consortium Study Group et al. Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis: a randomized controlled trial.  JAMA. 2008;  299(18) 2164-2171
• 40 Chemla E S, Morsy M. A European perspective on the Dialysis Access Consortium (DAC) Study regarding the effects of clopidogrel on early failure of arteriovenous fistulas for hemodialysis.  J Vasc Access. 2008;  9(4) 229-230