Publication:
Global variability of vascular and peritoneal access for chronic dialysis

dc.contributor.authorGhimire A.
dc.contributor.authorShah S.
dc.contributor.authorOkpechi I. G.
dc.contributor.authorYe F.
dc.contributor.authorTungsanga S.
dc.contributor.authorVachharajani T.
dc.contributor.authorLevin A.
dc.contributor.authorJohnson D.
dc.contributor.authorRavani P.
dc.contributor.authorTonelli M.
dc.contributor.authoret al.
dc.contributor.institutionauthorKAZANCIOĞLU, RÜMEYZA
dc.date.accessioned2023-12-25T21:50:33Z
dc.date.available2023-12-25T21:50:33Z
dc.date.issued2023-01-01
dc.description.abstractAim: Vascular and peritoneal access are essential elements for sustainability of chronic dialysis programs. Data on availability, patterns of use, funding models, and workforce for vascular and peritoneal accesses for dialysis at a global scale is limited. Methods: An electronic survey of national leaders of nephrology societies, consumer representative organizations, and policymakers was conducted from July to September 2018. Questions focused on types of accesses used to initiate dialysis, funding for services, and availability of providers for access creation. Results: Data from 167 countries were available. In 31 countries (25% of surveyed countries), >75% of patients initiated haemodialysis (HD) with a temporary catheter. Seven countries (5% of surveyed countries) had >75% of patients initiating HD with arteriovenous fistulas or grafts. Seven countries (5% of surveyed countries) had >75% of their patients starting HD with tunnelled dialysis catheters. 57% of low-income countries (LICs) had >75% of their patients initiating HD with a temporary catheter compared to 5% of high-income countries (HICs). Shortages of surgeons to create vascular access were reported in 91% of LIC compared to 46% in HIC. Approximately 95% of participating countries in the LIC category reported shortages of surgeons for peritoneal dialysis (PD) access compared to 26% in HIC. Public funding was available for central venous catheters, fistula/graft creation, and PD catheter surgery in 57%, 54% and 54% of countries, respectively. Conclusion: There is a substantial variation in the availability, funding, workforce, and utilization of vascular and peritoneal access for dialysis across countries regions, with major gaps in low-income countries. (Figure presented.).
dc.identifier.citationGhimire A., Shah S., Okpechi I. G., Ye F., Tungsanga S., Vachharajani T., Levin A., Johnson D., Ravani P., Tonelli M., et al., "Global variability of vascular and peritoneal access for chronic dialysis", Nephrology, 2023
dc.identifier.doi10.1111/nep.14259
dc.identifier.issn1320-5358
dc.identifier.pubmed38018697
dc.identifier.scopus85178215476
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85178215476&origin=inward
dc.identifier.urihttps://hdl.handle.net/20.500.12645/38861
dc.relation.ispartofNephrology
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectNefroloji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectInternal Diseases
dc.subjectNephrology
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectÜROLOJİ VE NEFROLOJİ
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectUROLOGY & NEPHROLOGY
dc.subjectdialysis
dc.subjectglobal health
dc.subjectkidney failure
dc.subjectperitoneal access
dc.subjectvascular access
dc.titleGlobal variability of vascular and peritoneal access for chronic dialysis
dc.typearticle
dspace.entity.typePublication
local.avesis.id8a26a001-6cb3-4e4c-bdb0-9518230afc60
relation.isAuthorOfPublicationeca7bd30-6b6e-444d-96ae-2961c39f2107
relation.isAuthorOfPublication.latestForDiscoveryeca7bd30-6b6e-444d-96ae-2961c39f2107
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