Association of Medicaid Expansion with Tunneled Dialysis Catheter Use at the Time of First Arteriovenous Access Creation

The impact of neighborhood social disadvantage on presentation and management of first-time hemodialysis access surgery patients

“…Health insurance access and housing status have been shown to impact patients' pre-HD care and readmission rates for AV access creation. 12,13 Despite autogenous AV fistulas having superior outcomes to tunneled dialysis catheters (TDCs) and AV grafts for HD, patients of low SES have been found to be less likely to initiate HD via autogenous AV access than patients of higher SES. [14][15][16][17][18][19] Patients who identify as Black or Hispanic are also less likely to initiate HD via autogenous AV access.…”