A patient centered decision making dialysis access algorithm.
Much controversy surrounds the establishment of proper planning, placement and management (the best practice pattern) of dialysis access. These include the dialysis type and modality selection, timing of access placement and who places the access. The lack of and the difficulty of performing randomized studies with multiple confounding factors, in an extremely heterogeneous and rapidly changing ESRD population demographics, only partly explains the dialysis access conundrum. Add to this the rapidly developing and competing technologies, the wide spectrum of the professional experience, bias and socio-economic forces to make the ESRD problems as multivariate and complex as life itself. This overview describes a dialysis access algorithm approach to the patient needing renal replacement therapy, considering long-term improved patient outcome as the ultimate objective.
Davidson
I
I
Division of Transplant, Department of Surgery, Parkland Memorial Hospital, University of Texas Southwestern Medical Center, Dallas TX 75235-8567, USA. ingemar.davidson@UTSouthwestern.edu
Gallieni
M
M
Saxena
R
R
Dolmatch
B
B
D000465:Algorithms; D001166:Arteriovenous Shunt, Surgical; D019917:Blood Vessel Prosthesis Implantation; D002405:Catheterization, Central Venous / Q000009:adverse effects; D002983:Clinical Competence; D003657:Decision Making; D003663:Decision Trees; D006801:Humans; D007676:Kidney Failure, Chronic / Q000000981:diagnostic imaging / Q000628:therapy*; D018579:Patient Selection; D018802:Patient-Centered Care; D010530:Peritoneal Dialysis / Q000379:methods; D017410:Practice Guidelines as Topic; D006435:Renal Dialysis / Q000379:methods*; D018616:Ultrasonography, Doppler, Duplex; D018084:Ultrasonography, Interventional; D034941:Upper Extremity / Q000098:blood supply*; D014656:Vascular Surgical Procedures / Q000009:adverse effects; D014680:Veins / Q000000981:diagnostic imaging