Open AccessExamining the Association between Hemodialysis Access Type and Mortality: The Role of Access Complications
Author(s) -
Pietro Ravani,
Robert R. Quinn,
Matthew J. Oliver,
Bruce Robinson,
Ronald L. Pisoni,
Neesh Pannu,
Jennifer M. MacRae,
Braden Manns,
Brenda R. Hemmelgarn,
Matthew T. James,
Marcello Tonelli,
Brenda W. Gillespie
Publication year - 2017
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.12181116
Subject(s) - medicine , hemodialysis , hazard ratio , complication , vascular access , fistula , dialysis , catheter , hemodialysis access , arteriovenous fistula , surgery , confidence interval
People receiving hemodialysis to treat kidney failure need a vascular access (a fistula, a graft, or a central venous catheter) to connect to the blood purification machine. Higher rates of access complications are considered the mechanism responsible for the excess mortality observed among catheter or graft users versus fistula users. We tested this hypothesis using mediation analysis.
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