Influence of Surgeons’ Specialty on the Selection of Vascular Access for Hemodialysis Treatment
Background/Aim: Various patient-related factors could not explain the variability of access types across facilities in the published literature. The aim of this study was to investigate the influence of surgeons’ specialty on access type selection for hemodialysis treatment. Methods: The directors (...
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| Veröffentlicht in: | Blood purification 2002-01, Vol.20 (4), p.338-341 |
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| container_title | Blood purification |
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| creator | Lazarides, M.K. Iatrou, C. Tzilalis, V.D. Ekonomou, C.S. Afentakis, N. Fragedaki, E.J. Simopoulos, C.E. |
| description | Background/Aim: Various patient-related factors could not explain the variability of access types across facilities in the published literature. The aim of this study was to investigate the influence of surgeons’ specialty on access type selection for hemodialysis treatment. Methods: The directors (nephrologists) of all renal units in Greece (n = 92) were surveyed by a closed questionnaire. Results: The response rate was 75%. There was no statistically significant difference in the percentage of patients predominantly with autologous arteriovenous fistulae between units where only vascular surgeons were performing access surgery and those where either general surgeons or transplant surgeons were operating (mean value in all renal units 80.8% , range 43–97%). However, the difference between the three groups of renal units regarding their surgeons’ ability to create complex access procedures and to correct complications (as an index of surgeons’ skill) was statistically significant (p < 0.001). Conclusion: The general surgeons of the new generation are not often using vascular surgical techniques and may have less opportunities to develop expertise in vascular access creation. |
| doi_str_mv | 10.1159/000063101 |
| format | Article |
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The aim of this study was to investigate the influence of surgeons’ specialty on access type selection for hemodialysis treatment. Methods: The directors (nephrologists) of all renal units in Greece (n = 92) were surveyed by a closed questionnaire. Results: The response rate was 75%. There was no statistically significant difference in the percentage of patients predominantly with autologous arteriovenous fistulae between units where only vascular surgeons were performing access surgery and those where either general surgeons or transplant surgeons were operating (mean value in all renal units 80.8% , range 43–97%). However, the difference between the three groups of renal units regarding their surgeons’ ability to create complex access procedures and to correct complications (as an index of surgeons’ skill) was statistically significant (p < 0.001). Conclusion: The general surgeons of the new generation are not often using vascular surgical techniques and may have less opportunities to develop expertise in vascular access creation.</description><identifier>ISSN: 0253-5068</identifier><identifier>EISSN: 1421-9735</identifier><identifier>DOI: 10.1159/000063101</identifier><identifier>PMID: 12169842</identifier><identifier>CODEN: BLPUDO</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Arteriovenous Shunt, Surgical ; Biological and medical sciences ; Blood Vessel Prosthesis - statistics & numerical data ; Catheterization, Central Venous - statistics & numerical data ; Catheters, Indwelling - statistics & numerical data ; Catheters, Indwelling - utilization ; Clinical Competence ; Emergency and intensive care: renal failure. Dialysis management ; Greece ; Humans ; Intensive care medicine ; Medical sciences ; Original Paper ; Renal Dialysis - methods ; Renal Dialysis - statistics & numerical data ; Specialties, Surgical - methods ; Surveys and Questionnaires ; Transplants - statistics & numerical data</subject><ispartof>Blood purification, 2002-01, Vol.20 (4), p.338-341</ispartof><rights>2002 S. Karger AG, Basel</rights><rights>2002 INIST-CNRS</rights><rights>Copyright 2002 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-3ecd3e13e6d166d67d9e584a3a5b15a6306ed777d5bbb2e2fb08f68b1a1d37f3</citedby><cites>FETCH-LOGICAL-c358t-3ecd3e13e6d166d67d9e584a3a5b15a6306ed777d5bbb2e2fb08f68b1a1d37f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13858801$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12169842$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lazarides, M.K.</creatorcontrib><creatorcontrib>Iatrou, C.</creatorcontrib><creatorcontrib>Tzilalis, V.D.</creatorcontrib><creatorcontrib>Ekonomou, C.S.</creatorcontrib><creatorcontrib>Afentakis, N.</creatorcontrib><creatorcontrib>Fragedaki, E.J.</creatorcontrib><creatorcontrib>Simopoulos, C.E.</creatorcontrib><title>Influence of Surgeons’ Specialty on the Selection of Vascular Access for Hemodialysis Treatment</title><title>Blood purification</title><addtitle>Blood Purif</addtitle><description>Background/Aim: Various patient-related factors could not explain the variability of access types across facilities in the published literature. The aim of this study was to investigate the influence of surgeons’ specialty on access type selection for hemodialysis treatment. Methods: The directors (nephrologists) of all renal units in Greece (n = 92) were surveyed by a closed questionnaire. Results: The response rate was 75%. There was no statistically significant difference in the percentage of patients predominantly with autologous arteriovenous fistulae between units where only vascular surgeons were performing access surgery and those where either general surgeons or transplant surgeons were operating (mean value in all renal units 80.8% , range 43–97%). However, the difference between the three groups of renal units regarding their surgeons’ ability to create complex access procedures and to correct complications (as an index of surgeons’ skill) was statistically significant (p < 0.001). Conclusion: The general surgeons of the new generation are not often using vascular surgical techniques and may have less opportunities to develop expertise in vascular access creation.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Arteriovenous Shunt, Surgical</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis - statistics & numerical data</subject><subject>Catheterization, Central Venous - statistics & numerical data</subject><subject>Catheters, Indwelling - statistics & numerical data</subject><subject>Catheters, Indwelling - utilization</subject><subject>Clinical Competence</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Greece</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>Original Paper</subject><subject>Renal Dialysis - methods</subject><subject>Renal Dialysis - statistics & numerical data</subject><subject>Specialties, Surgical - methods</subject><subject>Surveys and Questionnaires</subject><subject>Transplants - statistics & numerical data</subject><issn>0253-5068</issn><issn>1421-9735</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0M1qGzEUBWBRUmrHyaLrQBCFBLqYVHdkaTRL17SxIZCC3WwHjXTVTDI_rjSz8K6vkdfLk1SJTbyJNkLw6ejqEPIZ2BWAyL-xuCQHBh_IGKYpJHnGxREZs1TwRDCpRuQ4hAfGYCpF_omMIAWZq2k6JnrZunrA1iDtHF0N_g92bXj-90RXGzSVrvst7Vra3yNdYY2mr-IpyjsdzFBrT2fGYAjUdZ4usOlsvLINVaBrj7pvsO1PyEen64Cn-31C1j9_rOeL5Ob2ejmf3SSGC9UnHI3lCBylBSmtzGyOQk0116IEoSVnEm2WZVaUZZli6kqmnFQlaLA8c3xCLnexG9_9HTD0RVMFg3WtW-yGUGSQKyUZj_DrDhrfheDRFRtfNdpvC2DFS53FW53Rnu9Dh7JBe5D7_iK42IPYh66d162pwsFxJZR6Dfqyc486NuzfwPdfv19fKjb25Qtn76LdLP8B2mySiw</recordid><startdate>20020101</startdate><enddate>20020101</enddate><creator>Lazarides, M.K.</creator><creator>Iatrou, C.</creator><creator>Tzilalis, V.D.</creator><creator>Ekonomou, C.S.</creator><creator>Afentakis, N.</creator><creator>Fragedaki, E.J.</creator><creator>Simopoulos, C.E.</creator><general>Karger</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020101</creationdate><title>Influence of Surgeons’ Specialty on the Selection of Vascular Access for Hemodialysis Treatment</title><author>Lazarides, M.K. ; Iatrou, C. ; Tzilalis, V.D. ; Ekonomou, C.S. ; Afentakis, N. ; Fragedaki, E.J. ; Simopoulos, C.E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-3ecd3e13e6d166d67d9e584a3a5b15a6306ed777d5bbb2e2fb08f68b1a1d37f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Arteriovenous Shunt, Surgical</topic><topic>Biological and medical sciences</topic><topic>Blood Vessel Prosthesis - statistics & numerical data</topic><topic>Catheterization, Central Venous - statistics & numerical data</topic><topic>Catheters, Indwelling - statistics & numerical data</topic><topic>Catheters, Indwelling - utilization</topic><topic>Clinical Competence</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Greece</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>Original Paper</topic><topic>Renal Dialysis - methods</topic><topic>Renal Dialysis - statistics & numerical data</topic><topic>Specialties, Surgical - methods</topic><topic>Surveys and Questionnaires</topic><topic>Transplants - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lazarides, M.K.</creatorcontrib><creatorcontrib>Iatrou, C.</creatorcontrib><creatorcontrib>Tzilalis, V.D.</creatorcontrib><creatorcontrib>Ekonomou, C.S.</creatorcontrib><creatorcontrib>Afentakis, N.</creatorcontrib><creatorcontrib>Fragedaki, E.J.</creatorcontrib><creatorcontrib>Simopoulos, C.E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Blood purification</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lazarides, M.K.</au><au>Iatrou, C.</au><au>Tzilalis, V.D.</au><au>Ekonomou, C.S.</au><au>Afentakis, N.</au><au>Fragedaki, E.J.</au><au>Simopoulos, C.E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Surgeons’ Specialty on the Selection of Vascular Access for Hemodialysis Treatment</atitle><jtitle>Blood purification</jtitle><addtitle>Blood Purif</addtitle><date>2002-01-01</date><risdate>2002</risdate><volume>20</volume><issue>4</issue><spage>338</spage><epage>341</epage><pages>338-341</pages><issn>0253-5068</issn><eissn>1421-9735</eissn><coden>BLPUDO</coden><abstract>Background/Aim: Various patient-related factors could not explain the variability of access types across facilities in the published literature. The aim of this study was to investigate the influence of surgeons’ specialty on access type selection for hemodialysis treatment. Methods: The directors (nephrologists) of all renal units in Greece (n = 92) were surveyed by a closed questionnaire. Results: The response rate was 75%. There was no statistically significant difference in the percentage of patients predominantly with autologous arteriovenous fistulae between units where only vascular surgeons were performing access surgery and those where either general surgeons or transplant surgeons were operating (mean value in all renal units 80.8% , range 43–97%). However, the difference between the three groups of renal units regarding their surgeons’ ability to create complex access procedures and to correct complications (as an index of surgeons’ skill) was statistically significant (p < 0.001). Conclusion: The general surgeons of the new generation are not often using vascular surgical techniques and may have less opportunities to develop expertise in vascular access creation.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>12169842</pmid><doi>10.1159/000063101</doi><tpages>4</tpages></addata></record> |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Arteriovenous Shunt, Surgical Biological and medical sciences Blood Vessel Prosthesis - statistics & numerical data Catheterization, Central Venous - statistics & numerical data Catheters, Indwelling - statistics & numerical data Catheters, Indwelling - utilization Clinical Competence Emergency and intensive care: renal failure. Dialysis management Greece Humans Intensive care medicine Medical sciences Original Paper Renal Dialysis - methods Renal Dialysis - statistics & numerical data Specialties, Surgical - methods Surveys and Questionnaires Transplants - statistics & numerical data |
| title | Influence of Surgeons’ Specialty on the Selection of Vascular Access for Hemodialysis Treatment |
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