{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:01:53Z","timestamp":1792083713291,"version":"4.4.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","funder":[{"name":"Proteon Therapeutics Inc."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kidney360"],"published-print":{"date-parts":[[2020,9]]},"abstract":"\n Background<\/jats:title>\n Arteriovenous fistulas (AVFs) for hemodialysis (HD) are often associated with better outcomes than arteriovenous grafts (AVGs). We aimed to investigate vascular access (VA) outcomes and assessed if AVF nonmaturation outweighs long-term complications of AVGs.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this multicenter, retrospective cohort study in The Netherlands, 1- and 3-year primary, primary assisted, secondary, and functional patency rates were calculated, and the incidence of adverse events and procedures was assessed. Functional patency of RCAVFs, upper arm AVFs, and AVGs was compared using Cox analyses.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In total, 1041 patients who received their first VA were included, of whom 863 had VAs that successfully matured. These patients were analyzed with a median follow-up of 25 months. The 1-year functional patency rates were 67%\u00b12.0% for RCAVFs, 83%\u00b12.0% for upper arm AVFs, and 85%\u00b13.5% for AVGs. Three-year functional patency rates were 62%\u00b12.0% for RCAVFs, 74%\u00b12.0% for upper arm AVFs, and 69%\u00b15% for AVGs. AVGs required more procedures per year (3.3 per year) of functional patency when compared with upper arm AVFs (1.8 per year).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The functional patency of AVFs and AVGs is comparable, although AVGs required more interventions to maintain usability for HD. The choice of VA is a trade-off between short-term advantages, favoring AVGs, and long-term advantages, favoring AVFs. Which VA is most appropriate depends on the patient\u2019s prognosis and preferences.<\/jats:p>\n <\/jats:sec>","DOI":"10.34067\/kid.0000462020","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T17:55:28Z","timestamp":1595526928000},"page":"916-924","source":"Crossref","is-referenced-by-count":50,"title":["Patency Outcomes of Arteriovenous Fistulas and Grafts for Hemodialysis Access: A Trade-Off between Nonmaturation and Long-Term Complications"],"prefix":"10.34067","volume":"1","author":[{"given":"Bram M.","family":"Voorzaat","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia J.","family":"Janmaat","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koen E.A.","family":"van der Bogt","sequence":"additional","affiliation":[{"name":"Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands"},{"name":"Department of Surgery, Haaglanden Medical Center, The Hague, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedo W.","family":"Dekker","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joris I.","family":"Rotmans","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,9,24]]},"reference":[{"issue":"Suppl 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(2000-2010)","volume":"8","author":"Lok","year":"2013","journal-title":"Clin J Am Soc Nephrol"},{"key":"B5-20230821","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1046\/j.1523-1755.2002.00117.x","article-title":"Vascular access use in Europe and the United States: Results from the DOPPS","volume":"61","author":"Pisoni","year":"2002","journal-title":"Kidney Int"},{"key":"B6-20230821","doi-asserted-by":"crossref","first-page":"1895","DOI":"10.1007\/s00268-017-4382-z","article-title":"Arteriovenous fistula maturation failure in a large cohort of hemodialysis patients in The Netherlands","volume":"42","author":"Voorzaat","year":"2018","journal-title":"World J Surg"},{"key":"B7-20230821","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1067\/mva.2002.122025","article-title":"Recommended standards for reports dealing with arteriovenous hemodialysis accesses","volume":"35","author":"Sidawy","year":"2002","journal-title":"J Vasc 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Access"},{"key":"B12-20230821","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/j.jvs.2010.09.057","article-title":"Creating functional autogenous vascular access in older patients","volume":"53","author":"Jennings","year":"2011","journal-title":"J Vasc Surg"},{"key":"B13-20230821","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1111\/sdi.12037","article-title":"Optimal hemodialysis vascular access in the elderly patient","volume":"25","author":"Moist","year":"2012","journal-title":"Semin Dial"},{"key":"B14-20230821","doi-asserted-by":"crossref","first-page":"786","DOI":"10.2215\/CJN.00860207","article-title":"Current management of vascular access","volume":"2","author":"Allon","year":"2007","journal-title":"Clin J Am Soc Nephrol"}],"container-title":["Kidney360"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.34067\/KID.0000462020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T19:57:07Z","timestamp":1786478227000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.34067\/KID.0000462020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.34067\/kid.0000462020","relation":{},"ISSN":["2641-7650"],"issn-type":[{"value":"2641-7650","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}