{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T07:17:04Z","timestamp":1765178224817,"version":"3.33.0"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,13]],"date-time":"2024-10-13T00:00:00Z","timestamp":1728777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>It is unclear if cannulation\u2010associated variables such as timing of first cannulation, access creation method, cannulation technique, or needle type are associated with the outcomes of arteriovenous fistulas. We conducted a meta\u2010analysis to investigate such potential associations with 1\u2010year primary patency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010eight publications with titles that included \u201carteriovenous fistula,\u201d \u201cpatency,\u201d \u201ccannulation,\u201d \u201cmetric,\u201d \u201cfirst cannulation,\u201d \u201chemodialysis,\u201d \u201ccomplication,\u201d \u201cvascular,\u201d \u201cnursing,\u201d and \u201cpuncture\u201d were retrieved and reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The 1\u2010year primary patency rates ranged from 0.32 to 0.93. Primary patency rates were significantly lower in patients in whom initial cannulation was done less than 1.5\u2009months after fistula creation compared to fistulas first cannulated more than 1.5\u2009months after anastomosis (odds ratio [OR]\u2009=\u20090.41, 95% confidence interval [CI]: 0.32\u20130.52). The effect of cannulation timing on primary patency rate was attenuated when plastic cannulas were used during the first two to three puncture weeks compared to metal needles (OR\u2009=\u20090.62 vs. 0.34; <jats:italic>p<\/jats:italic>\u2009=\u20090.032). Fistulas in the upper arm did not have a higher 1\u2010year primary patency compared to those in the forearm (OR\u2009=\u20091.05, 95% CI: 0.93\u20131.19). Primary patency of upper arm arteriovenous fistulas was higher in reports from the Americas or Europe compared to reports from Asia. Buttonhole cannulation was not associated with higher patency rates at 1\u2009year compared to rope\u2010ladder cannulation (OR\u2009=\u20091.14, 95% CI: 0.75\u20131.71).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Early cannulation was associated with reduced 1\u2010year arteriovenous fistula patency. This association was reduced when plastic cannulas were used during the initial 2\u20133\u2009weeks.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hdi.13183","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T02:39:49Z","timestamp":1728873589000},"page":"31-46","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Features associated with arteriovenous fistula patency. 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