The Vascular Access Questionnaire: Assessing Patient-Reported Views of Vascular Access

Quinn, Robert R.; Lamping, Donna L.; Meyer, Rachel; Hiller, Joyce A.; Lee, J; Richardson, E. P.; Kiss, Alex; Oliver, Matthew J.

doi:10.1177/112972980800900208

Cited by 85 publications

(97 citation statements)

References 27 publications

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“…A minority of patients (12% to 22%) dialyzing through an AVF were at least moderately bothered by pain, bleeding, bruising, and/or appearance. Older patients were more likely to report more symptoms with catheters than younger patients (22). As many as 9% of patients offered an AVF consistently refused surgery, and hesitancy to undergo access surgery in the face of failed prior accesses also deters patients from having a fistula created or revised (23).…”

Section: Are Patient Choices Contributing To Tcc Use?mentioning

confidence: 99%

Ethical and Legal Obligation to Avoid Long-Term Tunneled Catheter Access

Rehman

Schmidt

Moss

2009

Clinical Journal of the American Society of Nephrology

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Despite recent national initiatives promoting the arteriovenous fistula as the initial, primary, and sole vascular access to be used by hemodialysis patients and recommending a decrease in the prevalence of tunneled cuffed catheters to less than 10%, the prevalence of tunneled cuffed catheters as hemodialysis access is increasing. This study describes the risks of tunneled cuffed catheters, explores the reasons why they remain prevalent, and presents the stance that nephrologists have an obligation to offer tunneled cuffed catheters only for temporary use and not as an acceptable alternative for long-term vascular access to patients for whom a properly functioning arteriovenous fistula or graft is possible. Recommendations for tunneled cuffed catheter use were based on dialysis clinical practice guidelines and the medical evidence regarding outcomes of use of arteriovenous fistulas and tunneled cuffed catheters. The authors found that compared with dialysis with arteriovenous fistulas, long-term dialysis with tunneled cuffed catheters is associated with (1) two to threefold increased risk of death, (2) a five to 10-fold increased risk of serious infection, (3) increased hospitalization, (4) a decreased likelihood of adequate dialysis, and (5) an increased number of vascular access procedures. To adequately inform patients about access options, nephrologists are ethically obligated to systematically explain to patients the harms of tunneled cuffed catheters. If catheters must be used to initiate dialysis, nephrologists should present catheters only as "temporary" measures and "unsafe for long-term use."

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Section: Are Patient Choices Contributing To Tcc Use?mentioning

confidence: 99%

Ethical and Legal Obligation to Avoid Long-Term Tunneled Catheter Access

Rehman

Schmidt

Moss

2009

Clinical Journal of the American Society of Nephrology

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“…7 The results of a study conducted in 2008 showed that hemodialysis patients collectively suffer from needle pain, which is one of the factors causing patients over 65 years to give up hemodialysis. 8 McCaffery argues that pain is whatever the person experiencing it describes it to be and exists whenever the person experiencing it says that it does. 9 The perception of pain includes different mental processes, such as the individual's feelings and beliefs about pain.…”

Section: Introductionmentioning

confidence: 98%

The effect of topical application of lavender essential oil on the intensity of pain caused by the insertion of dialysis needles in hemodialysis patients: A randomized clinical trial

Ghods

Abforosh

Ghorbani

et al. 2015

Complementary Therapies in Medicine

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“…In addition, pain and compressive symptoms can decrease quality of life in these patients. 2,6 There are several proposed etiologies of aneurysmal degeneration of AVF, including repeated cannulation of a particular segment of vein and venous hypertension due to central vein stenosis. It is also proposed that some veins are of weaker tissue quality, and thus, can explain those aneurysmal changes in patients before dialysis access.…”

Section: Discussionmentioning

confidence: 99%