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Hemodialysis vascular access and subsequent transplantation: a report from the ESPN/ERA-EDTA Registry

dc.rights.licenseopenen_US
dc.contributor.authorBOEHM, M.
dc.contributor.authorBONTHUIS, M.
dc.contributor.authorNOORDZIJ, M.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHARAMBAT, Jerome
IDREF: 110567358
dc.contributor.authorGROOTHOFF, J. W.
dc.contributor.authorMELGAR, A. A.
dc.contributor.authorBUTUROVIC, J.
dc.contributor.authorDUSUNSEL, R.
dc.contributor.authorFILA, M.
dc.contributor.authorJANDER, A.
dc.contributor.authorKOSTER-KAMPHUIS, L.
dc.contributor.authorNOVLJAN, G.
dc.contributor.authorORTEGA, P. J.
dc.contributor.authorPAGLIALONGA, F.
dc.contributor.authorSARAVO, M. T.
dc.contributor.authorSTEFANIDIS, C. J.
dc.contributor.authorAUFRICHT, C.
dc.contributor.authorJAGER, K. J.
dc.contributor.authorSCHAEFER, F.
dc.date.accessioned2020-05-20T08:12:36Z
dc.date.available2020-05-20T08:12:36Z
dc.date.issued2019
dc.identifier.issn1432-198X (Electronic) 0931-041X (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/7642
dc.description.abstractEnBACKGROUND: Current guidelines advocate use of arteriovenous fistula (AVF) over central venous catheter (CVC) for children starting hemodialysis (HD). European data on current practice, determinants of access choice and switches, patient survival, and access to transplantation are limited. METHODS: We included incident patients from 18 European countries who started HD from 2000 to 2013 for whom vascular access type was reported to the ESPN/ERA-EDTA Registry. Data were evaluated using descriptive statistics, logistic and Cox regression models, and cumulative incidence competing risk analysis. RESULTS: Three hundred ninety-three (55.1%) of 713 children started HD with a CVC and were more often females, younger, had more often an unknown diagnosis, glomerulonephritis, or vasculitis, and lower hemoglobin and height-SDS at HD initiation. AVF patients were 91% less likely to switch to a second access, and two-year patient survival was 99.6% (CVC, 97.2%). Children who started with an AVF were less likely to receive a living donor transplant (adjusted HR, 0.30; 95% CI, 0.16-0.54) and more likely to receive a deceased donor transplant (adjusted HR, 1.50; 95% CI, 1.17-1.93), even after excluding patients who died or were transplanted in the first 6 months. CONCLUSIONS: CVC remains the most frequent type of vascular access in European children commencing HD. Our results suggest that the choice for CVC is influenced by the time of referral, rapid onset of end-stage renal disease, young age, and an expected short time to transplantation. The role of vascular access type on the pattern between living and deceased donation in subsequent transplantation requires further study.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/us/
dc.subject.enLEHA
dc.title.enHemodialysis vascular access and subsequent transplantation: a report from the ESPN/ERA-EDTA Registry
dc.title.alternativePediatr Nephrolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s00467-018-4129-6en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed30588548en_US
bordeaux.journalPediatric Nephrologyen_US
bordeaux.page713-721en_US
bordeaux.volume34en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue4en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamLEHA_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03209859
hal.version1
hal.date.transferred2021-04-27T13:01:52Z
hal.exporttrue
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