Resolved: Fistulas are preferred to grafts as initial vascular access for dialysis. Pro.
There is growing concern that the Fistula First Initiative, KDOQI guidelines, and subsequent pressure from the Centers for Medicare and Medicaid Services lack reasonableness regarding likely success for fistula maturation in a heterogeneous, new-onset dialysis population. Here the various positions are examined from multiple perspectives.
Besarab
Anatole
A
Division of Nephrology and Hypertension, Department of Medicine, Henry Ford Hospital, Detroit, MI 48301, USA. abesara1@hfhs.org
D001164:Arteriovenous Fistula; D002408:Catheters, Indwelling; D006801:Humans; D006435:Renal Dialysis; D019737:Transplants