CKD G5, eGFR below 15 ml/min/1.73 m2 which plan for AVF operations. Pre-emptive arteriovenous fistula, Chronic kidney disease, GFR trajectory
Conditions
Interventions
CKD G5 patients who were candidate for preemptive AVF creation
Diagnostic
CKD G5 patients
Sponsors
Naresuan University
Eligibility
Sex/Gender
All
Age
20 Years to 90 Years
Inclusion criteria
Inclusion criteria: encompassed subjects without peripheral artery disease in the upper extremity and with sufficient vein quality confirmed through duplex ultrasonography prior to AVF creation. A uniform pre-operative assessment of vessel quality was carried out using duplex ultrasound in both institutions. The assessment followed the criteria set forth in the KDOQI guideline 2006, which specifies that vessel quality is determined by an arterial diameter exceeding 2.5 mm with a detectable distal pulse, and a superficial vein diameter of over 3 mm with consistent integrity. These criteria establish the suitability for autogenous arteriovenous fistula (AVF) creation.
Exclusion criteria
Exclusion criteria: patients with incomplete eGFR data within the 12 months preceding referral for AVF creation, those who passed away before initiating hemodialysis, and individuals with acute illness and acute kidney injury without recovery to baseline GFR.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time remaining before the initiation of hemodialysis until 31st Dec 2022 days at baseline, 2 mo, 4 mo, 6 mo, 8 mo, 10 mo, and 12 mo before starting hemodialysis | — |
Secondary
| Measure | Time frame |
|---|---|
| A functioning arteriovenous fistula (AVF) until 31st Dec 2022 Binary outcome (Yes/No) at baseline, 2 mo, 4 mo, 6 mo, 8 mo, 10 mo, and 12 mo before starting hemodialysis | — |
Countries
Thailand
Contacts
Public ContactPanuwat Chuemor
Faculty of Medicine, Naresuan University
Outcome results
None listed