지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.98 No.1
- 발행연도
- 2020.1
- 수록면
- 44 - 50 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: To develop and validate a clinical scoring model to predict 1-year access survival among end-stage renal disease (ESRD) patients who received a new arteriovenous fistula (AVF).
Methods: The data of 195 ESRD patients in the development cohort who underwent first-time AVF creation between January 2009 and June 2013 and who had successful cannulation for dialysis use were reviewed. The clinical features that were significantly associated with 1-year AVF survival were incorporated into a clinical scoring model. The validity of this clinical score was then tested in a validation cohort of 204 ESRD patients who received a new AVF between July 2013 and December 2017.
Results: Of the 195 patients in the development cohort, 168 patients (86.2%) had a well-functioning AVF at 1 year. Absence of diabetes mellitus, no previous history of central venous catheter insertion, and absence of intervention performed to achieve access maturation were positively associated with 1-year AVF survival. These 3 factors were incorporated into a clinical scoring model, which ranged from 0 to 4 points. For a cutoff score of ≥3, the sensitivity, specificity and area under the receiver operating characteristic curve to predict 1-year AVF survival were 81.5%, 70.4%, and 0.760, respectively. The predictive performance of the clinical score was confirmed in the validation cohort, with a sensitivity of 76.1%, a specificity of 64.4% and an area under the curve of 0.703.
Conclusion: The scoring model using clinical data yielded acceptable performance in predicting 1-year access survival among patients receiving a new AVF.
Methods: The data of 195 ESRD patients in the development cohort who underwent first-time AVF creation between January 2009 and June 2013 and who had successful cannulation for dialysis use were reviewed. The clinical features that were significantly associated with 1-year AVF survival were incorporated into a clinical scoring model. The validity of this clinical score was then tested in a validation cohort of 204 ESRD patients who received a new AVF between July 2013 and December 2017.
Results: Of the 195 patients in the development cohort, 168 patients (86.2%) had a well-functioning AVF at 1 year. Absence of diabetes mellitus, no previous history of central venous catheter insertion, and absence of intervention performed to achieve access maturation were positively associated with 1-year AVF survival. These 3 factors were incorporated into a clinical scoring model, which ranged from 0 to 4 points. For a cutoff score of ≥3, the sensitivity, specificity and area under the receiver operating characteristic curve to predict 1-year AVF survival were 81.5%, 70.4%, and 0.760, respectively. The predictive performance of the clinical score was confirmed in the validation cohort, with a sensitivity of 76.1%, a specificity of 64.4% and an area under the curve of 0.703.
Conclusion: The scoring model using clinical data yielded acceptable performance in predicting 1-year access survival among patients receiving a new AVF.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
Santoro D / 2014 / Vascular access for hemodialysis : current perspectives / Int J Nephrol Renovasc Dis 7:281~294
Vascular Access Work Group / 2006 / Clinical practice guidelines for vascular access / Am J Kidney Dis 48(Suppl 1):S248~S273
2001 / III. NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: update 2000 / Am J Kidney Dis 37(1 Suppl 1):S137~S181
Bashar K / 2016 / Arteriovenous fistula in dialysis patients : factors implicated in early and late AVF maturation failure / Surgeon 14:294~300
Chisci E / 2017 / Outcomes of three types of native arteriovenous fistula in a single center / J Vasc Access 18:379~383
Vascular Access Work Group / 2006 / Clinical practice guidelines for vascular access / Am J Kidney Dis 48(Suppl 1):S248~S273
2001 / III. NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: update 2000 / Am J Kidney Dis 37(1 Suppl 1):S137~S181
Bashar K / 2016 / Arteriovenous fistula in dialysis patients : factors implicated in early and late AVF maturation failure / Surgeon 14:294~300
Chisci E / 2017 / Outcomes of three types of native arteriovenous fistula in a single center / J Vasc Access 18:379~383
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Balloon-assisted maturation for arteriovenous fistula maturation failure : an early period experience
Annals of Surgical Treatment and Research
2016 .05
-
The Important Factor associated with Patients in AVF First Policy
대한외과학회 학술대회 초록집
2022 .05
-
Hyperphosphatemia is associated with patency loss of arteriovenous fistula after 1 year of hemodialysis
Kidney Research and Clinical Practice
2015 .01
-
혈액투석 유지 환자에서 혈청 인 수치와 동정맥루 기능부전의 상관관계
대한내과학회지
2020 .02
-
Impact of a preoperative evaluation on the outcomes of an arteriovenous fistula
Annals of Surgical Treatment and Research
2016 .04
-
On Postoperative Day Balloon Angioplasty for Salvage of Newly-Placed, Flow-Limiting Native Arteriovenous Fistula
Vascular Specialist International
2015 .01
-
Comparative Outcomes of Vascular Access in Older Patients with End-Stage Renal Disease between AVG and AVF
대한외과학회 학술대회 초록집
2018 .11
-
Predictive parameters of arteriovenous fistula maturation in patients with end-stage renal disease
Kidney Research and Clinical Practice
2018 .01
-
Administration of a High-Dose Erythropoietin-Stimulating Agent in Hemodialysis Patients is Associated with Late Arteriovenous Fistula Failure
Yonsei Medical Journal
2017 .07
-
Hemodialysis Patients with High-Flow Arteriovenous Fistulas: An Evaluation of the Impact on Cardiac Function
Vascular Specialist International
2024 .03
-
Inferior mesenteric arteriovenous fistula
Annals of Surgical Treatment and Research
2017 .10
-
Pulmonary Thromboembolism - A Complication after Surgical Repair of a Chronic Femoral Arteriovenous Fistula
대한내과학회지
2015 .01
-
Brain Abscesses Associated with Asymptomatic Pulmonary Arteriovenous Fistulas
대한신경외과학회지
2017 .01
-
Maturation of arteriovenous fistula: Analysis of key factors
Kidney Research and Clinical Practice
2017 .01
-
동정맥루 혈관성형술 후 발생한피부괴사를 동반한 심한 도류증후군 1예
대한내과학회지
2015 .01
-
A Rare Case of Subarachnoid Hemorrhage caused by Ruptured Venous Varix Due to Dural Arteriovenous Fistula at the Foramen Magnum Fed Solely by the Ascending Pharyngeal Artery
Journal of Cerebrovascular and Endovascular Neurosurgery
2018 .01
-
혈액투석 환자의 동정맥루 천자 방향과 천자 간격이 재순환율에 미치는 영향
중환자간호학회지
2018 .02
-
Usefulness of sectional images in dural AVF for the interpretation of venous anatomy
Journal of Cerebrovascular and Endovascular Neurosurgery
2024 .07
-
Effects of thermomechanical stimulation intervention during arteriovenous fistula puncture in patients on hemodialysis
성인간호학회 학술대회
2021 .08
-
Survival Estimates after Stopping Sorafenib in Patients with Hepatocellular Carcinoma: NEXT Score Development and Validation
Gut and Liver
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2020-514-000260409