Timing of referral for vascular access placement: a systematic review.
OBJECTIVE
This review was conducted to determine the optimal timing for referring patients with end-stage renal disease to vascular surgery for access placement.


METHODS
A systematic review of the electronic databases (MEDLINE, EMBASE, Current Contents, Cochrane CENTRAL and Web of Science) was conducted through March 2007. Randomized and observational studies were eligible if they compared an early referral cohort with a late referral cohort in terms of patient-important outcomes such as death, access-related sepsis, and hospitalization related to access complications.


RESULTS
We found no studies that fulfilled eligibility criteria.


CONCLUSIONS
At the present time, the optimal timing for referral to vascular surgery for vascular access placement is based on expert opinion and choices made by patients and physicians.
Murad
M Hassan
MH
Division of Preventive Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA. Murad.Mohammad@mayo.edu
Sidawy
Anton N
AN
Elamin
Mohamed B
MB
Rizvi
Adnan Z
AZ
Flynn
David N
DN
McCausland
Finnian R
FR
McGrath
Martina M
MM
Vo
Danny H
DH
El-Zoghby
Ziad
Z
Casey
Edward T
ET
Duncan
Audra A
AA
Tracz
Michal J
MJ
Erwin
Patricia J
PJ
Montori
Victor M
VM
D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D006801:Humans; D012017:Referral and Consultation / Q000592:standards*; D006435:Renal Dialysis / Q000379:methods / Q000592:standards; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000379:methods*