title: [Vascular access guidelines for hemodialysis].
abstract: Quality of vascular access (VA) has a remarkable influence in hemodialysis patients outcomes. Dysfunction of VA represents a capital cause of morbi-mortality of these patients as well an increase in economical. Spanish Society of Neprhology, aware of the problem, has decided to carry out a revision of the issue with the aim of providing help in comprehensión and treatment related with VA problems, and achieving an homogenization of practices in three mayor aspects: to increase arteriovenous fistula utilization as first vascular access, to increment vascular access monitoring practice and rationalise central catheters use. We present a consensus document elaborated by a multidisciplinar group composed by nephrologists, vascular surgeons, interventional radiologysts, infectious diseases specialists and nephrological nurses. Along six chapters that cover patient education, creation of VA, care, monitoring, complications and central catheters, we present the state of the art and propose guidelines for the best practice, according different evidence based degrees, with the intention to provide help at the professionals in order to make aproppiate decissions. Several quality standars are also included.
authors.affiliation: Sociedad Española de Nefrología, Hospital Vall d'Hebron, Barcelona.
authors.forename: J A
authors.initials: JA
authors.lastname: Rodríguez Hernández
authors.forename: E
authors.initials: E
authors.lastname: González Parra
authors.forename: J M
authors.initials: JM
authors.lastname: Julián Gutiérrez
authors.forename: A
authors.initials: A
authors.lastname: Segarra Medrano
authors.forename: B
authors.initials: B
authors.lastname: Almirante
authors.forename: M T
authors.initials: MT
authors.lastname: Martínez
authors.forename: J
authors.initials: J
authors.lastname: Arrieta
authors.forename: C
authors.initials: C
authors.lastname: Fernández Rivera
authors.forename: A
authors.initials: A
authors.lastname: Galera
authors.forename: J
authors.initials: J
authors.lastname: Gallego Beuter
authors.forename: J L
authors.initials: JL
authors.lastname: Górriz
authors.forename: J A
authors.initials: JA
authors.lastname: Herrero
authors.forename: R
authors.initials: R
authors.lastname: López Menchero
authors.forename: A
authors.initials: A
authors.lastname: Ochando
authors.forename: V
authors.initials: V
authors.lastname: Pérez Bañasco
authors.forename: J R
authors.initials: JR
authors.lastname: Polo
authors.forename: J
authors.initials: J
authors.lastname: Pueyo
authors.forename: Camps I
authors.initials: CI
authors.lastname: Ruiz
authors.forename: R
authors.initials: R
authors.lastname: Segura Iglesias
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000592:standards*; D002408:Catheters, Indwelling / Q000592:standards*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D006435:Renal Dialysis / Q000295:instrumentation / Q000592:standards*; D014654:Vascular Patency