{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T07:07:06Z","timestamp":1784531226385,"version":"3.55.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>While arteriovenous fistulas (AVFs) are preferred for hemodialysis access, the impact of prior central venous catheter (CVC) use on AVF outcomes and health-related quality of life (HRQoL) remain unclear. This study compared composite AVF non-use and complications between patients with prior CVC use and those with preemptive AVF creation over 24\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective longitudinal study consecutively enrolled patients with chronic kidney disease (CKD) referral for attended long-term vascular access planning consultations at two tertiary hospitals in northern Thailand (2016\u20132017). Eligible participants (\u2a7e18\u2009years) undergoing first-time AVF creation were categorized into CVC (first hemodialysis via CVC) and non-CVC (preemptive AVF) groups. Baseline characteristics were compared between groups. Multivariable logistic regression with backward stepwise selection identified predictors of composite AVF non-use in an exploratory analysis. Outcomes included composite AVF non-use (AVF non-use, hemodialysis suitability failure, and early mortality within 12\u2009months), complications, and HRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 167 patients (73 CVC, 94 non-CVC), AVF non-use at 12\u2009months was significantly higher in the non-CVC group (32.9% vs 4.7%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), resulting in lower composite AVF non-use in the CVC group (19.2% vs 47.9%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Each 1\u2009mL\/min\/1.73\u2009m\u00b2 eGFR increase raised composite non-use risk by 7%, while prior CVC use reduced it by 22%. The CVC group had more symptomatic central vein stenosis (11.0% vs 3.2%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.060) but similar mortality rates. HRQoL improved physically in the CVC group by 18\u2009months, with mental improvements in both groups by 24\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Prior CVC use was associated with lower AVF non-use, reflecting better timing of AVF creation based on established dialysis need rather than CVC benefits. High preemptive AVF non-use often resulted from delayed dialysis initiation or changing preferences. These findings support kidney failure risk prediction tools and individualized ESRD life-planning to optimize AVF timing. For patients requiring urgent dialysis initiation, sequential CVC-to-AVF management may represent clinically appropriate care. Optimal results require individualized timing, ongoing reassessment, and strong multidisciplinary coordination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251396194","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T10:09:56Z","timestamp":1767348596000},"page":"1553-1564","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Arteriovenous fistula non-use: Insights from Thailand\u2019s healthcare experience"],"prefix":"10.1177","volume":"27","author":[{"given":"Kochaphan","family":"Phirom","sequence":"first","affiliation":[{"name":"Environmental - Occupational Health Sciences and Non Communicable Diseases Research Center, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"},{"name":"Office of Research Administration (ORA), Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amaraporn","family":"Rerkasem","sequence":"additional","affiliation":[{"name":"Environmental - Occupational Health Sciences and Non Communicable Diseases Research Center, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chanawit","family":"Sitthisombat","sequence":"additional","affiliation":[{"name":"Department of Surgery, Chiang Rai Prachanukroh Hospital, Chiang Rai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supachok","family":"Maspakorn","sequence":"additional","affiliation":[{"name":"Department of Surgery, Chiang Rai Prachanukroh Hospital, Chiang Rai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puntapong","family":"Taruangsri","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Nakornping Hospital, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasinat","family":"Pongtam","sequence":"additional","affiliation":[{"name":"Environmental - Occupational Health Sciences and Non Communicable Diseases Research Center, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0784-2449","authenticated-orcid":false,"given":"Kittipan","family":"Rerkasem","sequence":"additional","affiliation":[{"name":"Environmental - Occupational Health Sciences and Non Communicable Diseases Research Center, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"},{"name":"Department of Surgery, Maharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61601-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-13-8871-2_1"},{"key":"e_1_3_3_4_2","unstructured":"UAdrcA. 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