{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:09:17Z","timestamp":1788815357563,"version":"build-2803163510"},"reference-count":33,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"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":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Establishing reliable vascular access is vital for end-stage renal disease (ESRD) patients. This study evaluated autogenous arteriovenous fistula (AVF) patency rates and identified independent factors associated with dysfunction to optimize postoperative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively analyzed 186 patients undergoing their first AVF creation between 2021 and 2023, with follow-up through July 20, 2025. Statistical methods included multivariate Cox regression (treating Hb and TG as continuous variables), restricted cubic spline (RCS) analysis for non-linear trends, and Fine-Gray competing risk models to differentiate dysfunction subtypes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The primary patency rates at 6, 12, and 24\u2009months were 85.48%, 79.57%, and 76.34%, respectively. During follow-up, 28.0% (52\/186) of patients experienced dysfunction, primarily due to thrombosis (46.2%) and stenosis (34.6%). Multivariate Cox analysis identified relatively higher baseline Hb (HR\u2009=\u20091.017\u2009per 1\u2009g\/L increase, 95% CI: 1.001\u20131.033,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.033) and TG (HR\u2009=\u20091.850\u2009per 1\u2009mmol\/L increase, 95% CI: 1.048\u20133.265,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.034) as independent risk factors. Conversely, larger preoperative vessel diameters and senior surgeon experience served as significant protective factors (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). RCS analysis confirmed a near-linear increase in dysfunction risk as Hb levels rose within the ESRD-prevalent range (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      for non-linearity\u2009=\u20090.412). ROC analysis yielded AUCs of 0.718 for Hb (cut-off &gt;101.5\u2009g\/L) and 0.677 for TG (cut-off &gt;1.915\u2009mmol\/L).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Relatively higher baseline Hb and TG levels are independently associated with increased AVF dysfunction risk, alongside anatomical and technical determinants. Individualized metabolic monitoring and optimized surgical selection are recommended to enhance fistula longevity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261443398","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:12:49Z","timestamp":1778501569000},"page":"2232-2245","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patency and survival analysis of hemodialysis arteriovenous fistula and influencing factors of fistula dysfunction"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8897-1589","authenticated-orcid":false,"given":"Jianwei","family":"Liu","sequence":"first","affiliation":[{"name":"Urology Department, Beijing You An Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Urology Department, Beijing You An Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingnan","family":"Xie","sequence":"additional","affiliation":[{"name":"Urology Department, Beijing You An Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaowen","family":"Hu","sequence":"additional","affiliation":[{"name":"Urology Department, Beijing You An Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/wjs.12335"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14764"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2022.05.032"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2022.06.082"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.2214-23"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2023.09.023"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951123003645"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nefroe.2022.03.001"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-020-02169-x"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S273450"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2022.12.022"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000037737"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2024.2402515"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.15537\/1658-3175.2003"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.13955"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.13145"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000771"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.7150\/thno.87317"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfad040"},{"issue":"1","key":"e_1_3_2_21_2","first-page":"32","article-title":"A cross-sectional study on characteristics of patients with pneumoconiosis complicated with chronic obstructive pulmonary disease","volume":"43","author":"Chen Y","year":"2025","unstructured":"Chen Y, Song PP, Wei YN, et al. A cross-sectional study on characteristics of patients with pneumoconiosis complicated with chronic obstructive pulmonary disease. Chin J Ind Hyg Occup Dis 2025; 43(1): 32\u201337. (in Chinese)","journal-title":"Chin J Ind Hyg Occup Dis"},{"issue":"6","key":"e_1_3_2_22_2","first-page":"393","article-title":"Analysis of influencing factors for dysfunction of autogenous arteriovenous fistula in maintenance hemodialysis patients","volume":"19","author":"Xu Y","year":"2020","unstructured":"Xu Y, Xu Y, Hao DD, et al. Analysis of influencing factors for dysfunction of autogenous arteriovenous fistula in maintenance hemodialysis patients. Chin J Blood Purif 2020; 19(6): 393\u2013397. (in Chinese)","journal-title":"Chin J Blood Purif"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2010.08.011"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-44551"},{"issue":"2","key":"e_1_3_2_25_2","article-title":"The role of blood viscosity in infectious diseases","volume":"12","author":"Sloop GD","year":"2020","unstructured":"Sloop GD, De Mast Q, Pop G, et al. The role of blood viscosity in infectious diseases. Cureus 2020; 12(2): e7090.","journal-title":"Cureus"},{"key":"e_1_3_2_26_2","article-title":"KDIGO 2026 clinical practice guideline for the management of anemia in chronic kidney disease (CKD)","volume":"109","author":"Kidney Disease: Improving Global Outcomes (KDIGO) Anemia Work Group","year":"2026","unstructured":"Kidney Disease: Improving Global Outcomes (KDIGO) Anemia Work Group. KDIGO 2026 clinical practice guideline for the management of anemia in chronic kidney disease (CKD). Kidney Int 2026; 109(1S): S1\u2013S99.","journal-title":"Kidney Int"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfac254"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminhematol.2019.11.006"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2023.05.024"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2025.03.503"},{"issue":"8","key":"e_1_3_2_31_2","article-title":"Hypoxia-inducible factor stabilisers for the anaemia of chronic kidney disease","volume":"8","author":"Natale P","year":"2022","unstructured":"Natale P, Palmer SC, Jaure A, et al. Hypoxia-inducible factor stabilisers for the anaemia of chronic kidney disease. Cochrane Database Syst Rev 2022; 8(8): CD013751.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2018.01.034"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.018418"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-20-2196"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261443398","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298261443398","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261443398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T20:47:49Z","timestamp":1788814069000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298261443398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,11]]},"references-count":33,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/11297298261443398"],"URL":"https:\/\/doi.org\/10.1177\/11297298261443398","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,11]]}}}