{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:48:47Z","timestamp":1773254927312,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2025,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n In recent years, advances in medical care have expanded the boundaries of aging, leading to an increasing number of elderly individuals requiring hemodialysis (HD). The use of arteriovenous (AV) fistulas for HD in elderly patients remains controversial due to concerns about life expectancy, vascular aging, and comorbidities. This study aimed to compare AVF outcomes in patients aged \u2265\u200970\u2009years with those aged <\u200970\u2009years to evaluate the safety and efficacy of AVFs in elderly patients.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n \n This retrospective, single\u2010center study included 202 patients who underwent AVF creation for end\u2010stage kidney disease between 2022 and 2024. Patients were divided into two groups: \u2265\u200970\u2009years (\n n<\/jats:italic>\n \u2009=\u200976) and <\u200970\u2009years (\n n<\/jats:italic>\n \u2009=\u2009126). AVF maturation, complication rates, the need for new AVF, and primary and secondary patency rates were compared. Kaplan\u2013Meier analysis and the log\u2010rank test were used to assess patency outcomes.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n AVF maturation rates were comparable between the \u2265\u200970\u2009years group (50.0%) and the <\u200970\u2009years group (56.9%) (\n p<\/jats:italic>\n \u2009=\u20090.330). The need for a new AVF within 6\u2009months was 11.2% in the \u2265\u200970\u2009years group and 17.6% in the <\u200970\u2009years group (\n p<\/jats:italic>\n \u2009=\u20090.387). There were no significant differences in late complications (\n p<\/jats:italic>\n \u2009=\u20090.157), AVF location preferences (\n p<\/jats:italic>\n \u2009=\u20090.450), or secondary intervention rates (\n p<\/jats:italic>\n \u2009=\u20090.967). Kaplan\u2013Meier analysis revealed no significant difference in primary (\n p<\/jats:italic>\n \u2009=\u20090.411) or secondary (\n p<\/jats:italic>\n \u2009=\u20090.432) patency between the two groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Despite age\u2010related concerns, AVF outcomes in elderly patients were comparable to those in younger individuals. AVFs should be considered a viable vascular access option for HD in elderly patients, provided that patient\u2010specific factors are taken into account.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/hdi.13247","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T01:34:11Z","timestamp":1747100051000},"page":"544-550","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experience with Arteriovenous Fistula in Elderly Patients with Chronic Kidney Disease"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2000-3845","authenticated-orcid":false,"given":"G\u00fcler G\u00fclsen","family":"Ersoy","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Faculty of Medicine Kastamonu University Kastamonu Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7605-9952","authenticated-orcid":false,"given":"Burak","family":"Tamtekin","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Faculty of Medicine Kastamonu University Kastamonu Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6278-7863","authenticated-orcid":false,"given":"\u0130smail","family":"Ta\u015fkent","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Medicine Kastamonu University Kastamonu Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"issue":"2","key":"e_1_2_9_2_1","first-page":"173","article-title":"Primary Patency Rate of Native AV Fistula: Long Term Follow Up","volume":"5","author":"Gh K.","year":"2012","journal-title":"International Journal of Clinical and Experimental Medicine"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2023.2241923"},{"issue":"2","key":"e_1_2_9_4_1","first-page":"67","article-title":"Native Arterio\u2010Venous Fistula Is the Vascular Access of Choice for Hemodialysis in End Stage Renal Disease","volume":"7","author":"Ganie F. A.","year":"2013","journal-title":"International Cardiovascular Research Journal"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.0535"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-139X.2002.00036.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfac256"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2014090938"},{"issue":"3","key":"e_1_2_9_9_1","first-page":"103","article-title":"Hemodiyaliz Tedavisi Uygulanan Ya\u015fl\u0131 Hastalarda Damara Eri\u015fim ve Hem\u015firelik Bak\u0131m\u0131","volume":"14","author":"Karada\u011f E.","year":"2019","journal-title":"Nefroloji Hem\u015fireli\u011fi Dergisi"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-016-0263-z"},{"key":"e_1_2_9_11_1","volume-title":"The Principles and Practice of Medicine: Designed for the Use of Practitioners and Students of Medicine","author":"Osler W.","year":"1910"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.10.035"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18073471"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2006030190"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000090518"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2025.02.020"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.07.005"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12037"},{"key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/978-3-031-44557-6_5","volume-title":"Complications in Dialysis: A Clinical Guide","author":"Sharma S.","year":"2023"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1201\/b14828-2"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000033984"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2015.08.005"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.09.046"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2007.00370.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nefro.2024.10.005"},{"key":"e_1_2_9_26_1","volume-title":"Geriatric Nephrology Curriculum","author":"Wright S.","year":"2009"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.13247","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hdi.13247","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.13247","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T01:31:30Z","timestamp":1773192690000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.13247"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,12]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/hdi.13247"],"URL":"https:\/\/doi.org\/10.1111\/hdi.13247","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,12]]},"assertion":[{"value":"2024-12-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}