{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T22:47:08Z","timestamp":1774392428768,"version":"3.50.1"},"reference-count":69,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,2]],"date-time":"2017-11-02T00:00:00Z","timestamp":1509580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Since the publication of the first vascular access clinical practice guidelines in 1997, the global nephrology community has dedicated significant time and resources toward increasing the prevalence of arteriovenous fistulas and decreasing the prevalence of central venous catheters for hemodialysis. These efforts have been bolstered by observational studies showing an association between catheter use and increased patient morbidity and mortality. To date, however, no randomized comparisons of the outcomes of different forms of vascular access have been conducted. There is mounting evidence that much of the difference in patient outcomes may be explained by patient factors, rather than choice of vascular access. Some have called into question the appropriateness of fistula creation for certain patient populations, such as those with limited life expectancy and those at high risk of fistula\u2010related complications. In this review, we explore the extent to which catheters and fistulas exhibit the characteristics of the \u201cideal\u201d vascular access and highlight the significant knowledge gaps that exist in the current literature. Further studies, ideally randomized comparisons of different forms of vascular access, are required to better inform shared decision making.<\/jats:p>","DOI":"10.1111\/sdi.12655","type":"journal-article","created":{"date-parts":[[2017,11,3]],"date-time":"2017-11-03T05:09:52Z","timestamp":1509685792000},"page":"3-10","source":"Crossref","is-referenced-by-count":11,"title":["Central venous catheters for chronic hemodialysis: Is \u201clast choice\u201d never the \u201cright choice\u201d?"],"prefix":"10.1111","volume":"31","author":[{"given":"Chance S.","family":"Dumaine","sequence":"first","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Calgary Calgary Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert S.","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of Nephrology Beth Israel Deaconess Medical Center and Harvard Medical School Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer M.","family":"MacRae","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Calgary Calgary Canada"},{"name":"Libin Cardiovascular Institute of Alberta University of Calgary Calgary Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Oliver","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Toronto Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Ravani","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Calgary Calgary Canada"},{"name":"Libin Cardiovascular Institute of Alberta University of Calgary Calgary Canada"},{"name":"Department of Community Health Sciences University of Calgary Calgary Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert R.","family":"Quinn","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Calgary Calgary Canada"},{"name":"Libin Cardiovascular Institute of Alberta University of Calgary Calgary Canada"},{"name":"Department of Community Health Sciences University of Calgary Calgary Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,2]]},"reference":[{"issue":"4","key":"e_1_2_10_2_1","first-page":"S150","article-title":"NKF\u2010DOQI clinical practice guidelines for vascular access","volume":"30","author":"National Kidney Foundation: Dialysis Outcomes Quality Initiative","year":"1997","journal-title":"Am J Kidney Dis"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01080307"},{"issue":"1","key":"e_1_2_10_4_1","first-page":"S1","article-title":"KDOQI clinical practice guidelines and clinical practice recommendations for 2006 updates: hemodialysis adequacy, peritoneal dialysis adequacy, and vascular access","volume":"48","author":"National Kidney Foundation","year":"2006","journal-title":"Am J Kidney Dis"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"S1","article-title":"Hemodialysis clinical practice guidelines for the Canadian Society of Nephrology","volume":"17","author":"Jindal K","year":"2006","journal-title":"J Am Soc Nephrol"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm021"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12132"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2014060594"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2007.06.006"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gft497"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2012070643"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2016020151"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2016010019"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01560214"},{"key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/s40697-016-0125-6","article-title":"Willingness to participate in a randomized trial comparing catheters to fistulas for vascular access in incident hemodialysis patients: an international survey of nephrologists","volume":"3","author":"Poinen K","year":"2016","journal-title":"Can J Kidney Health Dis"},{"key":"e_1_2_10_16_1","unstructured":"DumaineC KiaiiM MillerL et\u00a0al.Vascular access practice patterns in Canada: A national survey. 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