title: Status of initiating pattern of hemodialysis: a multi-center study.
abstract: This study was to evaluate the status of initiating pattern of hemodialysis (HD). Five hundred-three patients in 8 University Hospitals were included. Presentation mode (planned vs. unplanned), and access type (central venous catheters [CVC] vs. permanent access) at initiation of HD were evaluated, and the influence of predialysis care on determining the mode of HD and access type was also assessed. Most patients started unplanned HD (81.9%) and the most common initial access type was CVC (86.3%). The main reason for unplanned HD and high rate of CVC use was patient-related factors such as refusal of permanent access creation and failure to attend scheduled clinic appointments. Predialysis care was performed in 57.9% of patients and only 24.1% of these patients started planned HD and 18.9% used permanent accesses initially. Only a minority of patients initiated planned HD with permanent accesses in spite of predialysis care. To overcome this, efforts to improve the quality of predialysis care are needed.
authors.affiliation: Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Hye Eun
authors.initials: HE
authors.lastname: Yoon
authors.forename: Sungjin
authors.initials: S
authors.lastname: Chung
authors.forename: Hyun Wha
authors.initials: HW
authors.lastname: Chung
authors.forename: Mi Jung
authors.initials: MJ
authors.lastname: Shin
authors.forename: Sang Ju
authors.initials: SJ
authors.lastname: Lee
authors.forename: Young Soo
authors.initials: YS
authors.lastname: Kim
authors.forename: Hyung Wook
authors.initials: HW
authors.lastname: Kim
authors.forename: Ho Cheol
authors.initials: HC
authors.lastname: Song
authors.forename: Chul Woo
authors.initials: CW
authors.lastname: Yang
authors.forename: Dong Chan
authors.initials: DC
authors.lastname: Jin
authors.forename: Yong Soo
authors.initials: YS
authors.lastname: Kim
authors.forename: Suk Young
authors.initials: SY
authors.lastname: Kim
authors.forename: Euy Jin
authors.initials: EJ
authors.lastname: Choi
authors.forename: Yoon Sik
authors.initials: YS
authors.lastname: Chang
authors.forename: Young Ok
authors.initials: YO
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001164:Arteriovenous Fistula; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000401:mortality / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009398:Nephrology / Q000379:methods*; D006435:Renal Dialysis / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome