{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T18:56:56Z","timestamp":1774724216114,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T00:00:00Z","timestamp":1695600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to evaluate the effectiveness of a tracking program on the functional maturation rate of arteriovenous fistula (AVF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two major clinical outcomes (commencement of cannulation and functional maturation) of created AVFs were compared between two cohorts. (i) Cohort 1: historical cohort; (ii) Cohort 2: AVFs created after implementation of the tracking project. Multivariable Cox regression models were used to assess the association between cohort allocation and the two major clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data of 114 and 141 patients were analyzed respectively from Cohorts 1 (historical data) and 2 (with AVF tracking). After adjustment of covariates in the multivariable analysis, the AVFs created in Cohort 2 were more likely to be cannulated earlier (adjusted HR: 2.82; 95% CI: 1.97\u20134.05; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), compared to those in Cohort 1. Similarly, the AVFs of Cohort 2 patients had significantly higher probability of functional maturation (adjusted HR: 1.81; 95% CI: 1.31\u20132.48; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) than fistulas in Cohort 1. Cannulation was commenced for half of the AVFs by 4.1\u2009months post\u2010creation in the historical cohort (Cohort 1), whereas in the post\u2010tracking cohort, 50% of the AVFs were cannulated by 2.3\u2009months after creation (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). It took 5.5 and 4.3\u2009months for 50% of the AVFs created in Cohort 1 and Cohort 2 patients to achieve catheter\u2010free functional maturation, respectively (<jats:italic>p<\/jats:italic>\u2009=\u20090.06).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An AVF tracking program with maturation target for the access surgeons, together with a standardized tracking, feedback, and clinical strategy adjustment system is able to improve the AVF functional maturation rate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sdi.13179","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T23:58:25Z","timestamp":1695686305000},"page":"161-171","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of a native vein arteriovenous fistula tracking system"],"prefix":"10.1111","volume":"37","author":[{"given":"Lingyan","family":"Meng","sequence":"first","affiliation":[{"name":"Department of Surgery, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"},{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Jie","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"},{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew Mark Tze Liang","family":"Choong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"},{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh Babu","family":"Dharmaraj","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raj","family":"Menon","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian Chi Leung","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Ching","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yen Feng","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaqueline","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"},{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Health System  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.11.020"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010017\u20104382\u2010z"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02950707"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr063"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12728"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.02.033"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.12.057"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.13.11277"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12603"},{"issue":"6","key":"e_1_2_8_12_1","first-page":"655","article-title":"An 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