The Impact of Tunnelled Vascular Catheters on Time to Arteriovenous Fistula Creation
Purpose The purpose of this study is to examine the effect of the presence of tunnelled vascular catheter (TVC) on physician referral and surgeon review and operating patterns and ultimately time of creation of permanent haemodialysis (HD) access. Methods A retrospective analysis of TVC and arteriov...
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| Veröffentlicht in: | The journal of vascular access 2016-01, Vol.17 (1), p.63-66 |
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| container_title | The journal of vascular access |
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| creator | Nandakoban, Hareeshan Aravindan, Ananthakrishnapuram Spicer, Tim Narayanan, Govind Gonzalez, Noemir Suranyi, Michael Wong, Jeffrey K.W. |
| description | Purpose
The purpose of this study is to examine the effect of the presence of tunnelled vascular catheter (TVC) on physician referral and surgeon review and operating patterns and ultimately time of creation of permanent haemodialysis (HD) access.
Methods
A retrospective analysis of TVC and arteriovenous fistulae (AVF) databases in 2010. Physician referral time and surgical time to operation were compared between patients commencing HD with TVC and a control group who commenced HD with AVF.
Results
The AVF group (n = 27) commenced HD with an AVF and TVC group (n = 49) commenced HD via a TVC. Time from physician referral to surgeon review in the AVF vs. TVC group was 29 vs. 35 days (p = 0.6). Time from surgeon review to access creation was 43 vs. 50 days (p = 0.4). However, in the TVC group, the time from TVC insertion to physician referral to a surgeon was an additional 109 ± 20 days. Subgroup analysis of 11 TVC patients (23%) presenting at end stage without AVF (crash starters) had a TVC to physician referral time of 103 ± 75 days, physician referral to surgeon review of 14.4 ± 4 days and surgeon review to AVF of 67 ± 23 days.
Conclusions
The presence of a TVC is associated with a significant delay (>3 months) before physicians make a referral for surgeon review. There was no surgeon-related delay to access creation related to the presence of a TVC. |
| doi_str_mv | 10.5301/jva.5000454 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1765110835</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.5301_jva.5000454</sage_id><sourcerecordid>1765110835</sourcerecordid><originalsourceid>FETCH-LOGICAL-c322t-306dabb710cb57a9b7d6c442a3ab97f91aeb2eda0de5495e626b227f39a060af3</originalsourceid><addsrcrecordid>eNptkE1Lw0AQhhdRbK2evMseBUndj-wmeyzFqlDwEr2GSTKxKUm27iYF_70rrXrxNMPw8M7MQ8g1Z3MlGb_f7mGuGGOxik_IlCcijjST4jT0XJgoESadkAvvt4wJo3h8TiZCy9ikKZ-SLNsgfe52UA7U1jQb-x7bFiv6Br4cW3B0CcMGB3Se2p5mTYd0sHThwqSxe-zt6Omq8UNg6dIhDI3tL8lZDa3Hq2OdkdfVQ7Z8itYvj8_LxToqpRBDJJmuoCgSzspCJWCKpNJlHAuQUJikNhywEFgBq1DFRqEWuhAiqaUBphnUckZuD7k7Zz9G9EPeNb4M90OP4a6cJ1pxzlKpAnp3QEtnvXdY5zvXdOA-c87yb4150JgfNQb65hg8Fh1Wv-yPt7_NHt4x39rR9eHRf7O-ABhWer0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1765110835</pqid></control><display><type>article</type><title>The Impact of Tunnelled Vascular Catheters on Time to Arteriovenous Fistula Creation</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><creator>Nandakoban, Hareeshan ; Aravindan, Ananthakrishnapuram ; Spicer, Tim ; Narayanan, Govind ; Gonzalez, Noemir ; Suranyi, Michael ; Wong, Jeffrey K.W.</creator><creatorcontrib>Nandakoban, Hareeshan ; Aravindan, Ananthakrishnapuram ; Spicer, Tim ; Narayanan, Govind ; Gonzalez, Noemir ; Suranyi, Michael ; Wong, Jeffrey K.W.</creatorcontrib><description>Purpose
The purpose of this study is to examine the effect of the presence of tunnelled vascular catheter (TVC) on physician referral and surgeon review and operating patterns and ultimately time of creation of permanent haemodialysis (HD) access.
Methods
A retrospective analysis of TVC and arteriovenous fistulae (AVF) databases in 2010. Physician referral time and surgical time to operation were compared between patients commencing HD with TVC and a control group who commenced HD with AVF.
Results
The AVF group (n = 27) commenced HD with an AVF and TVC group (n = 49) commenced HD via a TVC. Time from physician referral to surgeon review in the AVF vs. TVC group was 29 vs. 35 days (p = 0.6). Time from surgeon review to access creation was 43 vs. 50 days (p = 0.4). However, in the TVC group, the time from TVC insertion to physician referral to a surgeon was an additional 109 ± 20 days. Subgroup analysis of 11 TVC patients (23%) presenting at end stage without AVF (crash starters) had a TVC to physician referral time of 103 ± 75 days, physician referral to surgeon review of 14.4 ± 4 days and surgeon review to AVF of 67 ± 23 days.
Conclusions
The presence of a TVC is associated with a significant delay (>3 months) before physicians make a referral for surgeon review. There was no surgeon-related delay to access creation related to the presence of a TVC.</description><identifier>ISSN: 1129-7298</identifier><identifier>EISSN: 1724-6032</identifier><identifier>DOI: 10.5301/jva.5000454</identifier><identifier>PMID: 26349881</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arteriovenous Shunt, Surgical ; Catheterization, Central Venous - adverse effects ; Catheterization, Central Venous - instrumentation ; Catheters, Indwelling ; Central Venous Catheters ; Equipment Design ; Female ; Humans ; Kidney Diseases - diagnosis ; Kidney Diseases - therapy ; Male ; Middle Aged ; Practice Patterns, Physicians ; Referral and Consultation ; Renal Dialysis ; Retrospective Studies ; Time Factors ; Time-to-Treatment ; Treatment Outcome ; Young Adult</subject><ispartof>The journal of vascular access, 2016-01, Vol.17 (1), p.63-66</ispartof><rights>2016 SAGE Publications</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c322t-306dabb710cb57a9b7d6c442a3ab97f91aeb2eda0de5495e626b227f39a060af3</citedby><cites>FETCH-LOGICAL-c322t-306dabb710cb57a9b7d6c442a3ab97f91aeb2eda0de5495e626b227f39a060af3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.5301/jva.5000454$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.5301/jva.5000454$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21817,27922,27923,43619,43620</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26349881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nandakoban, Hareeshan</creatorcontrib><creatorcontrib>Aravindan, Ananthakrishnapuram</creatorcontrib><creatorcontrib>Spicer, Tim</creatorcontrib><creatorcontrib>Narayanan, Govind</creatorcontrib><creatorcontrib>Gonzalez, Noemir</creatorcontrib><creatorcontrib>Suranyi, Michael</creatorcontrib><creatorcontrib>Wong, Jeffrey K.W.</creatorcontrib><title>The Impact of Tunnelled Vascular Catheters on Time to Arteriovenous Fistula Creation</title><title>The journal of vascular access</title><addtitle>J Vasc Access</addtitle><description>Purpose
The purpose of this study is to examine the effect of the presence of tunnelled vascular catheter (TVC) on physician referral and surgeon review and operating patterns and ultimately time of creation of permanent haemodialysis (HD) access.
Methods
A retrospective analysis of TVC and arteriovenous fistulae (AVF) databases in 2010. Physician referral time and surgical time to operation were compared between patients commencing HD with TVC and a control group who commenced HD with AVF.
Results
The AVF group (n = 27) commenced HD with an AVF and TVC group (n = 49) commenced HD via a TVC. Time from physician referral to surgeon review in the AVF vs. TVC group was 29 vs. 35 days (p = 0.6). Time from surgeon review to access creation was 43 vs. 50 days (p = 0.4). However, in the TVC group, the time from TVC insertion to physician referral to a surgeon was an additional 109 ± 20 days. Subgroup analysis of 11 TVC patients (23%) presenting at end stage without AVF (crash starters) had a TVC to physician referral time of 103 ± 75 days, physician referral to surgeon review of 14.4 ± 4 days and surgeon review to AVF of 67 ± 23 days.
Conclusions
The presence of a TVC is associated with a significant delay (>3 months) before physicians make a referral for surgeon review. There was no surgeon-related delay to access creation related to the presence of a TVC.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arteriovenous Shunt, Surgical</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Catheters, Indwelling</subject><subject>Central Venous Catheters</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Diseases - diagnosis</subject><subject>Kidney Diseases - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Practice Patterns, Physicians</subject><subject>Referral and Consultation</subject><subject>Renal Dialysis</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Time-to-Treatment</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1129-7298</issn><issn>1724-6032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE1Lw0AQhhdRbK2evMseBUndj-wmeyzFqlDwEr2GSTKxKUm27iYF_70rrXrxNMPw8M7MQ8g1Z3MlGb_f7mGuGGOxik_IlCcijjST4jT0XJgoESadkAvvt4wJo3h8TiZCy9ikKZ-SLNsgfe52UA7U1jQb-x7bFiv6Br4cW3B0CcMGB3Se2p5mTYd0sHThwqSxe-zt6Omq8UNg6dIhDI3tL8lZDa3Hq2OdkdfVQ7Z8itYvj8_LxToqpRBDJJmuoCgSzspCJWCKpNJlHAuQUJikNhywEFgBq1DFRqEWuhAiqaUBphnUckZuD7k7Zz9G9EPeNb4M90OP4a6cJ1pxzlKpAnp3QEtnvXdY5zvXdOA-c87yb4150JgfNQb65hg8Fh1Wv-yPt7_NHt4x39rR9eHRf7O-ABhWer0</recordid><startdate>201601</startdate><enddate>201601</enddate><creator>Nandakoban, Hareeshan</creator><creator>Aravindan, Ananthakrishnapuram</creator><creator>Spicer, Tim</creator><creator>Narayanan, Govind</creator><creator>Gonzalez, Noemir</creator><creator>Suranyi, Michael</creator><creator>Wong, Jeffrey K.W.</creator><general>SAGE Publications</general><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>201601</creationdate><title>The Impact of Tunnelled Vascular Catheters on Time to Arteriovenous Fistula Creation</title><author>Nandakoban, Hareeshan ; Aravindan, Ananthakrishnapuram ; Spicer, Tim ; Narayanan, Govind ; Gonzalez, Noemir ; Suranyi, Michael ; Wong, Jeffrey K.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-306dabb710cb57a9b7d6c442a3ab97f91aeb2eda0de5495e626b227f39a060af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arteriovenous Shunt, Surgical</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Catheters, Indwelling</topic><topic>Central Venous Catheters</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Diseases - diagnosis</topic><topic>Kidney Diseases - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Practice Patterns, Physicians</topic><topic>Referral and Consultation</topic><topic>Renal Dialysis</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Time-to-Treatment</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nandakoban, Hareeshan</creatorcontrib><creatorcontrib>Aravindan, Ananthakrishnapuram</creatorcontrib><creatorcontrib>Spicer, Tim</creatorcontrib><creatorcontrib>Narayanan, Govind</creatorcontrib><creatorcontrib>Gonzalez, Noemir</creatorcontrib><creatorcontrib>Suranyi, Michael</creatorcontrib><creatorcontrib>Wong, Jeffrey K.W.</creatorcontrib><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>The journal of vascular access</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nandakoban, Hareeshan</au><au>Aravindan, Ananthakrishnapuram</au><au>Spicer, Tim</au><au>Narayanan, Govind</au><au>Gonzalez, Noemir</au><au>Suranyi, Michael</au><au>Wong, Jeffrey K.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Tunnelled Vascular Catheters on Time to Arteriovenous Fistula Creation</atitle><jtitle>The journal of vascular access</jtitle><addtitle>J Vasc Access</addtitle><date>2016-01</date><risdate>2016</risdate><volume>17</volume><issue>1</issue><spage>63</spage><epage>66</epage><pages>63-66</pages><issn>1129-7298</issn><eissn>1724-6032</eissn><abstract>Purpose
The purpose of this study is to examine the effect of the presence of tunnelled vascular catheter (TVC) on physician referral and surgeon review and operating patterns and ultimately time of creation of permanent haemodialysis (HD) access.
Methods
A retrospective analysis of TVC and arteriovenous fistulae (AVF) databases in 2010. Physician referral time and surgical time to operation were compared between patients commencing HD with TVC and a control group who commenced HD with AVF.
Results
The AVF group (n = 27) commenced HD with an AVF and TVC group (n = 49) commenced HD via a TVC. Time from physician referral to surgeon review in the AVF vs. TVC group was 29 vs. 35 days (p = 0.6). Time from surgeon review to access creation was 43 vs. 50 days (p = 0.4). However, in the TVC group, the time from TVC insertion to physician referral to a surgeon was an additional 109 ± 20 days. Subgroup analysis of 11 TVC patients (23%) presenting at end stage without AVF (crash starters) had a TVC to physician referral time of 103 ± 75 days, physician referral to surgeon review of 14.4 ± 4 days and surgeon review to AVF of 67 ± 23 days.
Conclusions
The presence of a TVC is associated with a significant delay (>3 months) before physicians make a referral for surgeon review. There was no surgeon-related delay to access creation related to the presence of a TVC.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26349881</pmid><doi>10.5301/jva.5000454</doi><tpages>4</tpages></addata></record> |
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| ispartof | The journal of vascular access, 2016-01, Vol.17 (1), p.63-66 |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adolescent Adult Aged Aged, 80 and over Arteriovenous Shunt, Surgical Catheterization, Central Venous - adverse effects Catheterization, Central Venous - instrumentation Catheters, Indwelling Central Venous Catheters Equipment Design Female Humans Kidney Diseases - diagnosis Kidney Diseases - therapy Male Middle Aged Practice Patterns, Physicians Referral and Consultation Renal Dialysis Retrospective Studies Time Factors Time-to-Treatment Treatment Outcome Young Adult |
| title | The Impact of Tunnelled Vascular Catheters on Time to Arteriovenous Fistula Creation |
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