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We identified 14 eligible sources (5 randomized trials, 1 cohort study, 3 retrospective studies, 3 guidelines, and 2 consensus articles), which were summarized across three main areas, namely patient-related factors, clinical and vascular factors, and care and compliance factors. The results showed that low serum protein\/poor nutrition, infection and thrombosis were associated with AVF failure, while standardized nursing care, appropriate drug management, surgical technique and good adherence to postoperative instructions led to better patency. Pooled results suggested a higher failure risk with hypoproteinemia and older age. Overall, AVF patency is influenced by multiple factors, several of which are modifiable through nutrition support, infection prevention, thrombosis surveillance, and structured follow-up care.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Registration:<\/jats:bold>\n                    CRD420251039785\n                  <\/jats:p>","DOI":"10.1177\/11297298261420928","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T11:32:52Z","timestamp":1771932772000},"page":"1503-1514","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An exploratory evidence-mapping review of factors influencing the patency of autogenous arteriovenous fistula in hemodialysis patients"],"prefix":"10.1177","volume":"27","author":[{"given":"Qin","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Critical Care Medicine, Department of Emergency Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0996-3575","authenticated-orcid":false,"given":"Jieling","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangting","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Department of Emergency Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Department of Emergency Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huaru","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Department of Emergency Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuangcheng","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"881","article-title":"Perioperative management of new-built autogenous arteriovenous fistula: a consensus of Chinese experts","volume":"22","author":"Expert Consensus Working Group of Nephrology and Blood Purification Branch of Beijing Perioperative Medical Research Society","year":"2023","unstructured":"Expert Consensus Working Group of Nephrology and Blood Purification Branch of Beijing Perioperative Medical Research Society, Zhang D, Yang T, et al. 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