caa a22 4500 445883405 CHVBK 20180317145551.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10157-011-0472-7 doi (NATIONALLICENCE)springer-10.1007/s10157-011-0472-7 Nephrologist care for 12months or more increases hemodialysis initiation with permanent vascular access [Elektronische Daten] [Daijo Inaguma, Ryoichi Ando, Masato Ikeda, Nobuhiko Joki, Fumihiko Koiwa, Yasuhiro Komatsu, Toshihumi Sakaguchi, Toshio Shinoda, Toshihiko Yamaka, Takashi Shigematsu] Background: The objective of this study was to evaluate the effect of early referral (ER) to nephrologists on the type of vascular access (VA) available for use at the time of initiation of maintenance hemodialysis (HD). In patients who have been followed by nephrologists for less than 3months, management before the initiation of HD is often insufficient and urgent initiation of HD is often necessary; therefore, patients in this study were limited to those who had been followed for at least 3months by nephrologists. Methods: Nine hundred and forty patients at 9 institutions affiliated to our study group were enrolled in this retrospective observational study. We defined patients followed up by nephrologists for at least 12months as the early referral (ER) group and those followed for between 3 and 12months as the late referral (LR) group. The type of VA available for use at the initiation of maintenance HD was compared between the groups. Results: Early referral was found to be significantly associated with the availability of a permanent VA, which included an arteriovenous fistula or arteriovenous graft, at the time of initiation of HD (odds ratio [OR] 1.705; P=0.001). Multivariate analysis also revealed ER to be significantly associated with the availability of a permanent VA (OR 1.509; P=0.023). Conclusion: Early referral was shown to be advantageous for increasing the likelihood of availability of a permanent VA, even after patients who had been followed up for less than 3months by nephrologists were excluded. Japanese Society of Nephrology, 2011 Early referral nationallicence Hemodialysis nationallicence Vascular access nationallicence Inaguma Daijo Department of Nephrology, Nagoya Daini Red Cross Hospital, Myoken-cho 2-9, Showa-Ku, 466-8650, Nagoya, Aichi, Japan aut Ando Ryoichi Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Ikeda Masato Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Joki Nobuhiko Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Koiwa Fumihiko Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Komatsu Yasuhiro Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Sakaguchi Toshihumi Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Shinoda Toshio Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Yamaka Toshihiko Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Shigematsu Takashi Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut Clinical and Experimental Nephrology Springer Japan 15/5(2011-10-01), 738-744 1342-1751 15:5<738 2011 15 10157 https://doi.org/10.1007/s10157-011-0472-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10157-011-0472-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Inaguma Daijo Department of Nephrology, Nagoya Daini Red Cross Hospital, Myoken-cho 2-9, Showa-Ku, 466-8650, Nagoya, Aichi, Japan aut NATIONALLICENCE 700 1- Ando Ryoichi Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 700 1- Ikeda Masato Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 700 1- Joki Nobuhiko Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 700 1- Koiwa Fumihiko Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 700 1- Komatsu Yasuhiro Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 700 1- Sakaguchi Toshihumi Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 700 1- Shinoda Toshio Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 700 1- Yamaka Toshihiko Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 700 1- Shigematsu Takashi Study Group for Assessing Initiation of Renal Replacement Therapy, Tokyo, Japan aut NATIONALLICENCE 773 0- Clinical and Experimental Nephrology Springer Japan 15/5(2011-10-01), 738-744 1342-1751 15:5<738 2011 15 10157 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer