New Frontiers in Vascular Access Practice: From Standardized to Patient-tailored Care and Shared Decision Making.
age
dialysis
hemodialysis
patient-centered care
patient-reported
race
reference standards
sex
vascular access
Journal
Kidney360
ISSN: 2641-7650
Titre abrégé: Kidney360
Pays: United States
ID NLM: 101766381
Informations de publication
Date de publication:
26 08 2021
26 08 2021
Historique:
received:
28
04
2021
accepted:
07
06
2021
entrez:
4
4
2022
pubmed:
5
4
2022
medline:
8
4
2022
Statut:
epublish
Résumé
Vascular access planning is critical in the management of patients with advanced kidney disease who elect for hemodialysis for RRT. Policies put in place more than two decades ago attempted to standardize vascular access care around the model of optimal, namely arteriovenous fistula, and least preferred, namely central venous catheter, type of access. This homogenized approach to vascular access care emerged ineffective in the increasingly heterogeneous and complex dialysis population. The most recent vascular access guidelines acknowledge the limitations of standardized care and encourage tailoring vascular access care on the basis of patient and disease characteristics. In this article, we discuss available literature in support of patient-tailored access care on the basis of differences in vascular access outcomes by biologic and social factors-age, sex, and race. Further, we draw attention to the overlooked dimension of patient-reported preferences and shared decision making in the practice of vascular access planning. We discuss milestones to overcome as requisite steps to implement effective shared decision making in vascular access care. Finally, we take into consideration local practice cofactors as major players in vascular access fate. We conclude that a personalized approach to hemodialysis vascular access will require dynamic care specifically relevant to the individual on the basis of biologic factors, fluctuating clinical needs, values, and preferences.
Identifiants
pubmed: 35369664
doi: 10.34067/KID.0002882021
pii: 02200512-202108000-00019
pmc: PMC8676387
doi:
Types de publication
Journal Article
Review
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1380-1389Subventions
Organisme : NIA NIH HHS
ID : R03 AG060178
Pays : United States
Organisme : NIDDK NIH HHS
ID : K08 DK107934
Pays : United States
Informations de copyright
Copyright © 2021 by the American Society of Nephrology.
Déclaration de conflit d'intérêts
M. Murea reports receiving research funding from Vifor Inc.; and reports being a scientific advisor or member as Subject Editor, BMC Nephrology and Nephrology (Carlton). K. Woo reports being a scientific advisor or member of Laminate Data Safety Monitoring Board, and the Journal of Vascular Surgery Editorial Board.
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