Permanent vascular access in patients with end-stage renal disease, Brazil
OBJECTIVE: To assess factors associated with the establishment of permanent vascular access for patients with end-stage renal disease. METHODS: Cross-sectional study conducted in a nationally representative sample of Brazilian end-stage renal disease patients in dialysis and transplant centers durin...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universidade de São Paulo
2011-04-01
|
| Series: | Revista de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102011000200002&lng=en&tlng=en |
| _version_ | 1818418257254678528 |
|---|---|
| author | Gisele Macedo da Silva Isabel Cristina Gomes Eli Iola Gurgel Andrade Eleonora Moreira Lima Francisco de Assis Acurcio Mariângela Leal Cherchiglia |
| author_facet | Gisele Macedo da Silva Isabel Cristina Gomes Eli Iola Gurgel Andrade Eleonora Moreira Lima Francisco de Assis Acurcio Mariângela Leal Cherchiglia |
| author_sort | Gisele Macedo da Silva |
| collection | DOAJ |
| description | OBJECTIVE: To assess factors associated with the establishment of permanent vascular access for patients with end-stage renal disease. METHODS: Cross-sectional study conducted in a nationally representative sample of Brazilian end-stage renal disease patients in dialysis and transplant centers during 2007. The sample comprised only patients who received hemodialysis as a primary therapy modality and reported the type of vascular access for their primary hemodialysis treatment (N=2,276). Data were from the TRS Project - "Economic and Epidemiologic Evaluation of Modalities of Renal Replacement Therapy in Brazil". Multiple logistic regression analysis was used to assess factors associated with the establishment of permanent vascular access in these patients. RESULTS: About 30% of the patients studied had an arteriovenous vascular access. The following factors were associated with a lower likelihood of having an arteriovenous vascular access as a primary type of access: time of hemodialysis start since the diagnosis of chronic renal failure < 1 year; shorter dialysis therapy; having no private health insurance; living in the central-western, northeastern and southeastern regions of Brazil; and living in the northern region plus having no private health insurance. In the final model there was found a positive association between the outcome and pre-dialysis care and no were association with socioeconomic and comorbidity variables. CONCLUSIONS: The study results showed that the focus should on pre-dialysis care to increase the establishment of an arteriovenous vascular access before starting hemodialysis in Brazil. |
| first_indexed | 2024-12-14T12:19:48Z |
| format | Article |
| id | doaj.art-af427424a3664f04965903cd40f62f75 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-12-14T12:19:48Z |
| publishDate | 2011-04-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-af427424a3664f04965903cd40f62f752022-12-21T23:01:32ZengUniversidade de São PauloRevista de Saúde Pública1518-87872011-04-0145224124810.1590/s0034-89102011005000005S0034-89102011000200002Permanent vascular access in patients with end-stage renal disease, BrazilGisele Macedo da Silva0Isabel Cristina Gomes1Eli Iola Gurgel Andrade2Eleonora Moreira Lima3Francisco de Assis Acurcio4Mariângela Leal Cherchiglia5Universidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisOBJECTIVE: To assess factors associated with the establishment of permanent vascular access for patients with end-stage renal disease. METHODS: Cross-sectional study conducted in a nationally representative sample of Brazilian end-stage renal disease patients in dialysis and transplant centers during 2007. The sample comprised only patients who received hemodialysis as a primary therapy modality and reported the type of vascular access for their primary hemodialysis treatment (N=2,276). Data were from the TRS Project - "Economic and Epidemiologic Evaluation of Modalities of Renal Replacement Therapy in Brazil". Multiple logistic regression analysis was used to assess factors associated with the establishment of permanent vascular access in these patients. RESULTS: About 30% of the patients studied had an arteriovenous vascular access. The following factors were associated with a lower likelihood of having an arteriovenous vascular access as a primary type of access: time of hemodialysis start since the diagnosis of chronic renal failure < 1 year; shorter dialysis therapy; having no private health insurance; living in the central-western, northeastern and southeastern regions of Brazil; and living in the northern region plus having no private health insurance. In the final model there was found a positive association between the outcome and pre-dialysis care and no were association with socioeconomic and comorbidity variables. CONCLUSIONS: The study results showed that the focus should on pre-dialysis care to increase the establishment of an arteriovenous vascular access before starting hemodialysis in Brazil.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102011000200002&lng=en&tlng=enFístula ArteriovenosaAccesibilidad a los Servicios de SaludDiálisis RenalInsuficiencia Renal CrónicaEstudios Transversales |
| spellingShingle | Gisele Macedo da Silva Isabel Cristina Gomes Eli Iola Gurgel Andrade Eleonora Moreira Lima Francisco de Assis Acurcio Mariângela Leal Cherchiglia Permanent vascular access in patients with end-stage renal disease, Brazil Revista de Saúde Pública Fístula Arteriovenosa Accesibilidad a los Servicios de Salud Diálisis Renal Insuficiencia Renal Crónica Estudios Transversales |
| title | Permanent vascular access in patients with end-stage renal disease, Brazil |
| title_full | Permanent vascular access in patients with end-stage renal disease, Brazil |
| title_fullStr | Permanent vascular access in patients with end-stage renal disease, Brazil |
| title_full_unstemmed | Permanent vascular access in patients with end-stage renal disease, Brazil |
| title_short | Permanent vascular access in patients with end-stage renal disease, Brazil |
| title_sort | permanent vascular access in patients with end stage renal disease brazil |
| topic | Fístula Arteriovenosa Accesibilidad a los Servicios de Salud Diálisis Renal Insuficiencia Renal Crónica Estudios Transversales |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102011000200002&lng=en&tlng=en |
| work_keys_str_mv | AT giselemacedodasilva permanentvascularaccessinpatientswithendstagerenaldiseasebrazil AT isabelcristinagomes permanentvascularaccessinpatientswithendstagerenaldiseasebrazil AT eliiolagurgelandrade permanentvascularaccessinpatientswithendstagerenaldiseasebrazil AT eleonoramoreiralima permanentvascularaccessinpatientswithendstagerenaldiseasebrazil AT franciscodeassisacurcio permanentvascularaccessinpatientswithendstagerenaldiseasebrazil AT mariangelalealcherchiglia permanentvascularaccessinpatientswithendstagerenaldiseasebrazil |