{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T14:57:28Z","timestamp":1784127448211,"version":"3.55.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T00:00:00Z","timestamp":1467158400000},"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":[[2016,9]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> Dialysis settings have generally improved over the last decades, but the vascular access setting did not see significant advances and experienced a progressive worsening in epidemiology and clinical features. The aim of the study was to describe and compare evolution of vascular access in Italy over time. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> A national survey implemented in Italy last year is presented and compared to a previous survey performed in 1998. Present survey collected data from almost 50% of centers involved in vascular access. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The nephrologist participates in the management of vascular access in 97% of centers. Almost 40% of centers declare more than 40% of central venous catheters (CVCs) at first dialysis with maximum value being 60%. Prevalence of CVCs is greater than 20% in chronic prevalent patients in 38.8% of centers. According to the 2013 survey, CVCs account for 51.6% of procedures, while arteriovenous fistulae (AVF) and prostheses represent 42.4% and 6%, respectively. Nephrologists perform 73% of procedures on CVCs. From 1998 to 2013, a sharp increase in CVC prevalence was seen, in both incident and prevalent dialysis patients. This activity, mostly due to CVC management, is almost completely carried by nephrologists. <\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p> The variability in CVC utilization among centers suggests the lack of a shared policy in patients and access coupling. Quantitative criteria should be used to reduce inappropriate strategy in vascular access creation. Since this activity in Italy is organized at a local level without a shared organizational model, we should inquire whether a system managed so well in the past should now be rebuilt on the model of organ transplantation. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.5000575","type":"journal-article","created":{"date-parts":[[2016,7,5]],"date-time":"2016-07-05T08:14:28Z","timestamp":1467706468000},"page":"401-404","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Vascular Access Scenario in Italy: Evolution and Comparison by Two Surveys (1998-2013)"],"prefix":"10.1177","volume":"17","author":[{"given":"Decenzio","family":"Bonucchi","sequence":"first","affiliation":[{"name":"Nefrologia Area Nord, Carpi (MO), AUSL Modena, Modena - Italy"},{"name":"Vascular Access Study Group, Italian Society of Nephrology, Roma - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Palmieri","sequence":"additional","affiliation":[{"name":"Nephrology, Dialysis and Renal Transplantation, University Hospital, Modena - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Arletti","sequence":"additional","affiliation":[{"name":"Nefrologia Area Nord, Carpi (MO), AUSL Modena, Modena - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianni","family":"Cappelli","sequence":"additional","affiliation":[{"name":"Nephrology, Dialysis and Renal Transplantation, University Hospital, Modena - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Lomonte","sequence":"additional","affiliation":[{"name":"Vascular Access Study Group, Italian Society of Nephrology, Roma - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Lodi","sequence":"additional","affiliation":[{"name":"Vascular Access Study Group, Italian Society of Nephrology, Roma - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Meola","sequence":"additional","affiliation":[{"name":"Vascular Access Study Group, Italian Society of Nephrology, Roma - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Spina","sequence":"additional","affiliation":[{"name":"Vascular Access Study Group, Italian Society of Nephrology, Roma - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Napoli","sequence":"additional","affiliation":[{"name":"Vascular Access Study Group, Italian Society of Nephrology, Roma - Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,6,29]]},"reference":[{"key":"bibr1-jva.5000575","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2012070643"},{"key":"bibr2-jva.5000575","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2013111236"},{"key":"bibr3-jva.5000575","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfn261"},{"key":"bibr4-jva.5000575","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2014.15.3.364"},{"key":"bibr5-jva.5000575","doi-asserted-by":"publisher","DOI":"10.5414\/CN106525"},{"key":"bibr6-jva.5000575","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/14.9.2116"},{"key":"bibr7-jva.5000575","unstructured":"ANED Registry - Associazione Nazionale Emodializzati Dialisi e Trapianto \u2013 Onlus. 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