title: Dialysis: 'catheter last' not 'fistula first' in elderly patients.
abstract: New data suggest that arteriovenous fistulas compared with prosthetic grafts may not be a superior predialysis approach to vascular access for haemodialysis in patients aged ≥80 years. However, the use of catheters as the first vascular access was associated with significantly increased mortality in these patients and should be avoided.
authors.affiliation: Service de Néphrologie Transplantation Dialyse, Hôpital Pellegrin, Centre Hospitalier Universitaire de Bordeaux, Université de Bordeaux, 33076 Bordeaux, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Combe
authors.forename: Xavier
authors.initials: X
authors.lastname: Bérard
mesh_terms: D000369:Aged, 80 and over; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000401:mortality*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality* / Q000628:therapy*; D006435:Renal Dialysis / Q000401:mortality*; D012307:Risk Factors