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The arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis(HD), and fistula-first is the general recommendation for all HD patients. But in clinical practice in China, quite a few patients start HD before AVF maturation due to various situations. Whether HD initiation with mature AVF will influence the patency and complications is controversial. This study is aim to compare the AVF patency in incident HD patients with mature or immature AVF on HD initiation, and to compare other clinical outcomes, including abandonment without use, infection, and other AVF complications occurrence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mature AVF | Patients initiate HD with mature AVF. |
| |
| immature AVF | Patients initiate HD with immature AVF. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AVF puncture | Procedure | For patients with mature/immature AVF on HD initiation, AVF puncture will be conducted. |
|
| Measure | Description | Time Frame |
|---|---|---|
| AVF patency | A functional AVF was defined as allowing at least six adequate HD sessions without any AVF-related complications. Primary AVF patency was defined as the interval from HD initiation via a functional AVF to any intervention designed for maintenance or reestablishment of AVF function, AVF failure, or study end, whichever occurred first, and secondary AVF patency was defined as the interval from HD initiation via an AVF until the termination of HD via AVF due to any cause, regardless of the number of subsequent interventions. | June 2020 to June 2021 |
| Measure | Description | Time Frame |
|---|---|---|
| Abandonment without use, infection, and other complications of AVF creation. | Abandonment without use, infection, and other complications of AVF creation. | June 2020 to June 2021 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| bo shen, MD | Contact | +86-13795307471 | shen.bo@zs-hospital.sh.cn |
| Name | Affiliation | Role |
|---|---|---|
| bo shen, MD | Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| No.180, Fenglin Road, Xuhui District | Recruiting | Shanghai | Shanghai Municipality | 200032 | China |
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