Decision Tree Analysis
Conditions
Keywords
Arteriovenous Fistula, AV graft, Hemodialysis, decision tree analysis
Brief summary
Our study aim was to utilize a decision tree analysis (DTA) model to gain insight into the decision-making process within a multiple-center cohort.
Detailed description
Scientific research focuses on limited parameters, aims to confirm hypotheses, and has minor uncertainties. In contrast, medical decisions involve many unknowns. Physicians must use all available knowledge to make the best decisions. However, decision-making can become unpredictable when limited evidence exists, leading to non-reproducible outcomes. According to clinical guidelines, patients who need pre-kidney replacement therapy (pre-KRT) and opt for hemodialysis (HD) with a reasonable life expectancy should have arteriovenous (AV) access created. Nevertheless, constructing an AVF has limitations. \[Additionally, the maturation rate of AVF is suboptimal. Therefore, after careful consideration of the patient's end-stage kidney disease (ESKD) life plan, the suggested order of AV access types and locations starts a native distal forearm radiocephalic AVF, followed by a native proximal forearm AVF, a forearm arteriovenous graft (AVG), then an upper arm AVG creation.\[Lok et al., 2020\] However, the decision-making process for selecting hemodialysis access is shared between patients, physicians, and the surgeon's discretion. Therefore, clinical kidney practice requires effective decision-making to address ESKD life plan and AV access concerns while minimizing harm. Decision analysis models can bridge the gap between research and decision-making. Our study aim was to utilize a decision tree analysis (DTA) model to gain insight into the decision-making process within a multiple-center cohort.
Interventions
OTHERNo intervention
No intervention
Sponsors
National Taiwan University Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
\- adult patients between the ages of 18 and 80 who were referred for primary hemodialysis (HD) AV access creation. We included those in the pre-kidney replacement therapy (pre-KRT) stage and those who in the early end-stage kidney disease (ESKD) urgently started HD without sufficient time to plan for AV access
Exclusion criteria
\- patients who underwent a secondary AV access surgery, like a transposed radiobasilic AVF or a revision of AVG.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| predicted AV access choices | postoperativ 3 -12 months | identifying parameters that predicted AV access choices among the four types |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| to determine factors affecting clinical use of the targeted AV access over a variable timeframe | postoperativ 3 -12 months | The secondary objective was to determine factors affecting clinical use of the targeted AV access over a variable timeframe |
Countries
Taiwan
Contacts
Primary ContactChih-Yang Chan, phd
Outcome results
None listed