| Title: |
Differential Impact of Central Venous Catheters versus Arteriovenous Fistulae on Quality of Life among Irish Haemodialysis Patients |
| Authors: |
Maguire, I. Caoimhe; Browne, Leonard D.; Dawood, Mina; Leahy, Fiona; Ryan, Maria C; White, Eoin; O’Sullivan, Aidan; O’Sullivan, Leonard; Stack, Austin G. |
| Contributors: |
Enterprise Ireland |
| Source: |
Kidney360 ; volume 3, issue 6, page 1065-1072 ; ISSN 2641-7650 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2022 |
| Description: |
Key Points The study compares the effect of vascular access (arteriovenous fistula versus central venous catheter) on health-related quality of life. Arteriovenous fistula users were more satisfied with their access but dissatisfied with physical complications of access type, including bruising, bleeding, and pain. Central venous catheter users were more dissatisfied with social aspects of access care such as showering and bathing. Background Arteriovenous fistulae (AVF) have superior clinical outcomes compared with central venous catheters (CVC) among patients undergoing hemodialysis (HD). Yet, there is increasing recognition that health-related quality of life (HRQoL) may be more important to patients than survival and that differences may exist between AVF and CVCs in this regard. This study compared HRQoL between AVF and CVC in an Irish cohort. Methods We conducted a cross-sectional survey among prevalent patients undergoing hemodialysis ( N =119) dialyzing with either an AVF or CVC at a regional program. The Short Form 36 (SF-36) and a validated Vascular Access Questionnaire (SF-VAQ) compared QoL between AVF and CVC in domains of physical functioning, social functioning, and dialysis complications. Multivariable logistic regression compared differences between groups for outcomes of physical functioning, social functioning, and dialysis complications expressed as adjusted odds ratios and 95% CI. Results Mean age was 66.6 years; 52% were using an AVF and 48% had a CVC. Patients dialyzing with an AVF were more satisfied with their access when asked directly (6.2 versus 5.0; P |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.34067/kid.0006622021 |
| DOI: |
10.34067/KID.0006622021 |
| Availability: |
https://doi.org/10.34067/kid.0006622021; https://journals.lww.com/10.34067/KID.0006622021 |
| Accession Number: |
edsbas.40BFBA28 |
| Database: |
BASE |