{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T18:19:52Z","timestamp":1773339592096,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T00:00:00Z","timestamp":1766275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T00:00:00Z","timestamp":1766275200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1103241"],"award-info":[{"award-number":["APP1103241"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100025520","name":"Medical Research Future Fund","doi-asserted-by":"publisher","award":["MRF1150335"],"award-info":[{"award-number":["MRF1150335"]}],"id":[{"id":"10.13039\/501100025520","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015629","name":"Chinook Therapeutics","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100015629","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012737","name":"Department of Health, State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Approximately 80% of the incident haemodialysis (HD) population in Aotearoa New Zealand relies on HD catheters for vascular access; however, utilisation patterns and outcomes remain poorly characterised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We described the incidence and outcomes of HD catheters in Aotearoa New Zealand from the prospective data collected as part of the REDUcing the burden of dialysis Catheter ComplicaTIOns: a National approach (REDUCCTION) trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We prospectively collected patient and catheter characteristics from adults (\u226518\u2009years) commencing acute or maintenance HD with an incident catheter between August 2018 and March 2020 across six Aotearoa New Zealand nephrology services. The primary outcome was adjudicated\u2010confirmed HD catheter\u2010related bloodstream infections (CRBSIs). Survival analysis using a Cox proportional hazards regression model was performed to determine independent risk factors for HD CRBSI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 894 patients (59\u2009years (IQR 48\u201368), 58% male, 32% M\u0101ori), 1337 HD catheters were inserted corresponding to 157\u2009142 catheter days. The confirmed HD CRBSI rate was 0.42\/1000 catheter days (66 events). In the multivariable Cox regression, advancing age (HR 0.87 (95% CI 0.80, 0.95),\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.001) and tunnelled catheter use (HR 0.31 (0.13, 0.73),\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.007) were independently associated with lower HD CRBSI risk, while catheters inserted in operating theatres (HR 2.72 (1.08, 6.83),\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.03) were associated with increased infection risk. Methicillin\u2010sensitive\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      (39%) was the predominant pathogen in confirmed HD CRBSI events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study represents the first prospective analysis of HD CRBSI rates in Aotearoa New Zealand nephrology services, revealing encouragingly low rates. Tunnelled catheters and advancing age demonstrated an independent protective factor against HD CRBSI, a finding that may be relevant when considering HD access in older patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/imj.70279","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T06:32:02Z","timestamp":1766385122000},"page":"72-82","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Haemodialysis catheter utilisation and factors associated with catheter\u2010related bloodstream infection in Aotearoa New Zealand: Report from the binational, prospective, cluster\u2010randomised trial"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2841-6513","authenticated-orcid":false,"given":"Jayson","family":"Catiwa","sequence":"first","affiliation":[{"name":"The George Institute for Global Health University of New South Wales  Sydney New South Wales Australia"},{"name":"St George Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sradha","family":"Kotwal","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Prince of Wales Hospital University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Gallagher","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health University of New South Wales  Sydney New South Wales Australia"},{"name":"South Western Sydney Clinical School University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Cass","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research Charles Darwin University  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Olsen","sequence":"additional","affiliation":[{"name":"StatCentral University of New South Wales  New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharen","family":"Supershad","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Health New Zealand Te Tai Tokerau  Whangarei New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Semple","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Te Whatu Ora Te Toka Tumai Auckland  Auckland New Zealand"},{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the REDUCCTION Investigators and Steering Committee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,21]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Australia and New Zealand Dialysis and Transplant Registry","author":"Roberts M","year":"2024"},{"key":"e_1_2_7_3_1","unstructured":"UK Renal Registry.UK Renal Registry 26th Annual Report \u2013 data to 31\/12\/2022. 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