{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:01:25Z","timestamp":1747188085343,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T00:00:00Z","timestamp":1703203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003621","name":"Ministry of Science, ICT and Future Planning","doi-asserted-by":"publisher","award":["2022R1A5A2018865"],"award-info":[{"award-number":["2022R1A5A2018865"]}],"id":[{"id":"10.13039\/501100003621","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002701","name":"Ministry of Education","doi-asserted-by":"publisher","award":["2022R1I1A3072966"],"award-info":[{"award-number":["2022R1I1A3072966"]}],"id":[{"id":"10.13039\/501100002701","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Results on the association between the use of renin\u2013angiotensin system blockades (RASBs) and vascular access\u2010related outcomes are inconsistent. We aimed to compare vascular access\u2010related outcomes according to the use of RASBs in hemodialysis patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study used data from a national hemodialysis quality assessment program of the Republic of Korea (<jats:italic>n<\/jats:italic>\u2009=\u200954,903). Group 1 was not prescribed any blood pressure\u2010lowering drugs (<jats:italic>n<\/jats:italic>\u2009=\u200928,521). Group 2 was prescribed other blood pressure\u2010lowering agents except for RASBs (<jats:italic>n<\/jats:italic>\u2009=\u20099571). Group 3 was prescribed RASBs (<jats:italic>n<\/jats:italic>\u2009=\u200916,811). Vascular access\u2010related outcomes were classified into intervention\u2010free survival (IFS), thrombosis\u2010free survival (TFS), and vascular access survival (VAS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant difference in the three access survival rates was identified among the three groups. The multivariate Cox regression analyses indicated that Group 3 had better outcomes in IFS and TFS than Group 1. The numbers of angioplasties performed were significantly greater in Group 1 than in the other two groups. The numbers of thrombectomies performed were significantly the lowest in Group 3 among all the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study revealed different results according to types of access survival in univariate or multivariate analyses. The association of RASBs with favorable outcomes in vascular access remains unclear.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sdi.13189","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T06:14:15Z","timestamp":1703312055000},"page":"220-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of renin\u2013angiotensin system blockades on vascular access survival in patients on maintenance hemodialysis"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1023-0195","authenticated-orcid":false,"given":"Seok Hui","family":"Kang","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, College of Medicine Yeungnam University  Daegu Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo Yeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Healthcare Review and Assessment Committee Health Insurance Review and Assessment Service  Wonju Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Jung","family":"Son","sequence":"additional","affiliation":[{"name":"Quality Assessment Department Health Insurance Review and Assessment Service  Wonju Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gui Ok","family":"Kim","sequence":"additional","affiliation":[{"name":"Quality Assessment Department Health Insurance Review and Assessment Service  Wonju Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Young","family":"Do","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, College of Medicine Yeungnam University  Daegu Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,22]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"ESRD Registry Committee: Korean Society of Nephrology.Current renal replacement therapy in Korea.2021. 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