{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:18:00Z","timestamp":1761059880576,"version":"3.38.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T00:00:00Z","timestamp":1425254400000},"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":[[2015,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Vascular access problems are one of the main concerns in the diabetic end-stage kidney disease (ESKD) population. However, the optimal strategy for the establishment of vascular access in this population remains to be solved. We performed a systematic review in order to clarify the most advisable approach of vascular access planning in diabetic patients with ESKD. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> MEDLINE, EMBASE and CENTRAL databases were searched for English-language articles without time restriction through focused, high-sensitive search strategies. We included all studies providing outcome data on diabetics starting chronic haemodialysis treatment on the basis of the type of primary placed vascular access. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> A total of 13 studies comprising over 2,800 participants with diabetes were reviewed in detail and included in the review. We found that diabetic patients using a dialysis catheter apparently experience a higher risk of death and infection compared with patients who successfully achieved and maintained an arteriovenous fistula as dialysis access. The comparison between the use of a graft or an autogenous fistula as dialysis access generated conflicting results. Primary patency rates appeared to be lower in diabetics versus non-diabetics. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Our study suggests that diabetic ESKD patients with dialysis catheters incur a higher risk of death in comparison to those who achieve an arteriovenous access. It is however unclear whether this is caused by residual selection bias or by a true advantage of native vascular access. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.5000323","type":"journal-article","created":{"date-parts":[[2015,2,6]],"date-time":"2015-02-06T12:31:41Z","timestamp":1423225901000},"page":"259-264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Preferred Haemodialysis Vascular Access for Diabetic Chronic Kidney Disease Patients: A Systematic Literature Review"],"prefix":"10.1177","volume":"16","author":[{"given":"Lu\u00eds","family":"Coentr\u00e3o","sequence":"first","affiliation":[{"name":"Nephrology and Infectious Diseases Research and Development Group, INEB-(I3S), University of Porto, Porto - Portugal"}]},{"given":"Wim","family":"Van Biesen","sequence":"additional","affiliation":[{"name":"Renal Division, Ghent University Hospital, Ghent - Belgium"},{"name":"Methods Support Team European Renal Best Practice, Ghent University Hospital, Ghent - Belgium"}]},{"given":"Inout","family":"Nistor","sequence":"additional","affiliation":[{"name":"Methods Support Team European Renal Best Practice, Ghent University Hospital, Ghent - Belgium"},{"name":"Nephrology Department, Gr. T. Popa University of Medicine and Pharmacy, Lasi - Romania"}]},{"given":"Jan","family":"Tordoir","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maastricht University, Maastricht - The Netherlands"}]},{"given":"Maurizio","family":"Gallieni","sequence":"additional","affiliation":[{"name":"Nephrology and Dialysis Unit, Ospedale San Carlo Borromeo, Department of Biomedical and Clinical Sciences \u2018L. Sacco\u2019, University of Milan, Milan - Italy"}]},{"given":"Anna","family":"Marti Monros","sequence":"additional","affiliation":[{"name":"Nephrology Department, Consorcio Hospital General, Valencia - Spain"}]},{"given":"Davide","family":"Bolignano","sequence":"additional","affiliation":[{"name":"Methods Support Team European Renal Best Practice, Ghent University Hospital, Ghent - Belgium"},{"name":"CNR- Institute of Clinical Physiology, Reggio Calabria - Italy"}]}],"member":"179","published-online":{"date-parts":[[2015,3,2]]},"reference":[{"doi-asserted-by":"publisher","key":"bibr1-jva.5000323","DOI":"10.1093\/ndt\/gfn261"},{"unstructured":"USRDS. 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