Causes of the delay in creating permanent vascular access in hemodialysis patients
Joint Authors
al-Sayari, Abd Allah
al-Farhan, Maha A.
al-Matrafi, Shahd A.
al-Qasir, Sumayyah M.
al-Bakiri, Yara A.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 31, Issue 6 (31 Dec. 2020), pp.1217-1224, 8 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2020-12-31
Country of Publication
Saudi Arabia
No. of Pages
8
Main Subjects
Abstract EN
Majority of the chronic kidney disease (CKD) patients undergo hemodialysis (HD) with central venous catheter which has multiple complications.
This study aims to identify the physicians’ perspectives regarding the reasons of delayed arteriovenous fistula (AVF) creation in the Kingdom of Saudi Arabia to improve the quality of CKD patients’ care and prognosis and prevent complications.
A cross-sectional descriptive study was conducted on KSA nephrologists using a questionnaire which includes factors associated with delay in AVF creation, which were categorized into patient, physician, and hospital factors.
The optimal timing of starting dialysis was also assessed.
In a total of 212 participants, 131 (61.8%) were of consultant level, with the largest numbers being from the Central region (52.4%).
The most important patient factors associated with delay in AVF creation were denial of kidney disease or the need of AVF (76.4%), dialysis fears and practical concern (75.9%), and patient refusal (73.1%).
The most important physician and hospital factors were insufficient conduction of predialysis care and education (63.7%) and late referral to a nephrologist (56.6%).
Participants would create AVF when the patient reaches Stage 4 CKD (69.3%) or Stage 5 (27.4%), and 88.7% of the participants would do so 3–6 months before the anticipated start of HD.
Over two-thirds of the participants (68.4%) chose patient as the main factor contributing to the delay of permanent vascular access.
A validated approach to patient selection, patient-centered predialysis care, and referral to vascular access creation that could be applied on different types of patients in different regions is required.
American Psychological Association (APA)
al-Farhan, Maha A.& al-Matrafi, Shahd A.& al-Qasir, Sumayyah M.& al-Bakiri, Yara A.& al-Sayari, Abd Allah. 2020. Causes of the delay in creating permanent vascular access in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation،Vol. 31, no. 6, pp.1217-1224.
https://search.emarefa.net/detail/BIM-1242005
Modern Language Association (MLA)
al-Farhan, Maha A.…[et al.]. Causes of the delay in creating permanent vascular access in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation Vol. 31, no. 6 (Nov. / Dec. 2020), pp.1217-1224.
https://search.emarefa.net/detail/BIM-1242005
American Medical Association (AMA)
al-Farhan, Maha A.& al-Matrafi, Shahd A.& al-Qasir, Sumayyah M.& al-Bakiri, Yara A.& al-Sayari, Abd Allah. Causes of the delay in creating permanent vascular access in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation. 2020. Vol. 31, no. 6, pp.1217-1224.
https://search.emarefa.net/detail/BIM-1242005
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1223-1224
Record ID
BIM-1242005