Choice of dialysis access: Catheter, peritoneal, or hemodialysis.

Autor: Lubitz A; Department of Surgery, Division of Vascular and Endovascular Surgery, Lewis Katz School of Medicine at Temple University Hospital, Philadelphia, PA., Woo K; Department of Surgery, Division of Vascular Surgery, David Geffen School of Medicine at UCLA, 200 UCLA Medical Plaza, Suite 526, Los Angeles, CA 90077. Electronic address: kwoo@mednet.ucla.edu.
Jazyk: angličtina
Zdroj: Seminars in vascular surgery [Semin Vasc Surg] 2024 Dec; Vol. 37 (4), pp. 369-374. Date of Electronic Publication: 2024 Sep 30.
DOI: 10.1053/j.semvascsurg.2024.09.003
Abstrakt: The most recent National Kidney Foundation Kidney Disease Outcomes Quality Initiative guidelines shifted emphasis to kidney replacement modality selection and vascular access planning and creation of the Endstage Kidney Disease Life-Plan, which promotes a patient-centered approach. The Life-Plan is intended to be created through discussions between the patient and their multidisciplinary care team to ultimately develop a lifelong kidney replacement therapy strategy. The focus of the Life-Plan is to engage the patient in a multidisciplinary patient-centered approach. The Life-Plan includes selection of the most suitable treatment modality (eg, hemodialysis, peritoneal dialysis, or transplantation), setting (home or center), and type of vascular access. Ultimately, this approach considers overall patient health, preferences, and anatomic factors. Patients choose between hemodialysis, which can be performed either in center or at home, and peritoneal dialysis. When considering vascular access, options consist of tunneled dialysis catheter, arteriovenous fistula, and arteriovenous graft. Each modality and vascular access type has benefits and disadvantages that should be weighed carefully with the patient and their supportive team to arrive at a decision that aligns as closely as possible with each individual patient's circumstances.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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