Permanent vascular access in patients with end-stage renal disease, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102011000200002 |
Resumo: | OBJECTIVE: To assess factors associated with the establishment of permanent vascular access for patients with end-stage renal disease. METHODS: Cross-sectional study conducted in a nationally representative sample of Brazilian end-stage renal disease patients in dialysis and transplant centers during 2007. The sample comprised only patients who received hemodialysis as a primary therapy modality and reported the type of vascular access for their primary hemodialysis treatment (N=2,276). Data were from the TRS Project - "Economic and Epidemiologic Evaluation of Modalities of Renal Replacement Therapy in Brazil". Multiple logistic regression analysis was used to assess factors associated with the establishment of permanent vascular access in these patients. RESULTS: About 30% of the patients studied had an arteriovenous vascular access. The following factors were associated with a lower likelihood of having an arteriovenous vascular access as a primary type of access: time of hemodialysis start since the diagnosis of chronic renal failure < 1 year; shorter dialysis therapy; having no private health insurance; living in the central-western, northeastern and southeastern regions of Brazil; and living in the northern region plus having no private health insurance. In the final model there was found a positive association between the outcome and pre-dialysis care and no were association with socioeconomic and comorbidity variables. CONCLUSIONS: The study results showed that the focus should on pre-dialysis care to increase the establishment of an arteriovenous vascular access before starting hemodialysis in Brazil. |
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Permanent vascular access in patients with end-stage renal disease, BrazilArteriovenous FistulaHealth Services AccessibilityRenal Dialysis/instrumentationRenal Insufficiency, ChronicCross-Sectional StudiesOBJECTIVE: To assess factors associated with the establishment of permanent vascular access for patients with end-stage renal disease. METHODS: Cross-sectional study conducted in a nationally representative sample of Brazilian end-stage renal disease patients in dialysis and transplant centers during 2007. The sample comprised only patients who received hemodialysis as a primary therapy modality and reported the type of vascular access for their primary hemodialysis treatment (N=2,276). Data were from the TRS Project - "Economic and Epidemiologic Evaluation of Modalities of Renal Replacement Therapy in Brazil". Multiple logistic regression analysis was used to assess factors associated with the establishment of permanent vascular access in these patients. RESULTS: About 30% of the patients studied had an arteriovenous vascular access. The following factors were associated with a lower likelihood of having an arteriovenous vascular access as a primary type of access: time of hemodialysis start since the diagnosis of chronic renal failure < 1 year; shorter dialysis therapy; having no private health insurance; living in the central-western, northeastern and southeastern regions of Brazil; and living in the northern region plus having no private health insurance. In the final model there was found a positive association between the outcome and pre-dialysis care and no were association with socioeconomic and comorbidity variables. CONCLUSIONS: The study results showed that the focus should on pre-dialysis care to increase the establishment of an arteriovenous vascular access before starting hemodialysis in Brazil.Faculdade de Saúde Pública da Universidade de São Paulo2011-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102011000200002Revista de Saúde Pública v.45 n.2 2011reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-89102011005000005info:eu-repo/semantics/openAccessSilva,Gisele Macedo daGomes,Isabel CristinaAndrade,Eli Iola GurgelLima,Eleonora MoreiraAcurcio,Francisco de AssisCherchiglia,Mariângela Lealeng2011-03-04T00:00:00Zoai:scielo:S0034-89102011000200002Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2011-03-04T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Permanent vascular access in patients with end-stage renal disease, Brazil |
title |
Permanent vascular access in patients with end-stage renal disease, Brazil |
spellingShingle |
Permanent vascular access in patients with end-stage renal disease, Brazil Silva,Gisele Macedo da Arteriovenous Fistula Health Services Accessibility Renal Dialysis/instrumentation Renal Insufficiency, Chronic Cross-Sectional Studies |
title_short |
Permanent vascular access in patients with end-stage renal disease, Brazil |
title_full |
Permanent vascular access in patients with end-stage renal disease, Brazil |
title_fullStr |
Permanent vascular access in patients with end-stage renal disease, Brazil |
title_full_unstemmed |
Permanent vascular access in patients with end-stage renal disease, Brazil |
title_sort |
Permanent vascular access in patients with end-stage renal disease, Brazil |
author |
Silva,Gisele Macedo da |
author_facet |
Silva,Gisele Macedo da Gomes,Isabel Cristina Andrade,Eli Iola Gurgel Lima,Eleonora Moreira Acurcio,Francisco de Assis Cherchiglia,Mariângela Leal |
author_role |
author |
author2 |
Gomes,Isabel Cristina Andrade,Eli Iola Gurgel Lima,Eleonora Moreira Acurcio,Francisco de Assis Cherchiglia,Mariângela Leal |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Gisele Macedo da Gomes,Isabel Cristina Andrade,Eli Iola Gurgel Lima,Eleonora Moreira Acurcio,Francisco de Assis Cherchiglia,Mariângela Leal |
dc.subject.por.fl_str_mv |
Arteriovenous Fistula Health Services Accessibility Renal Dialysis/instrumentation Renal Insufficiency, Chronic Cross-Sectional Studies |
topic |
Arteriovenous Fistula Health Services Accessibility Renal Dialysis/instrumentation Renal Insufficiency, Chronic Cross-Sectional Studies |
description |
OBJECTIVE: To assess factors associated with the establishment of permanent vascular access for patients with end-stage renal disease. METHODS: Cross-sectional study conducted in a nationally representative sample of Brazilian end-stage renal disease patients in dialysis and transplant centers during 2007. The sample comprised only patients who received hemodialysis as a primary therapy modality and reported the type of vascular access for their primary hemodialysis treatment (N=2,276). Data were from the TRS Project - "Economic and Epidemiologic Evaluation of Modalities of Renal Replacement Therapy in Brazil". Multiple logistic regression analysis was used to assess factors associated with the establishment of permanent vascular access in these patients. RESULTS: About 30% of the patients studied had an arteriovenous vascular access. The following factors were associated with a lower likelihood of having an arteriovenous vascular access as a primary type of access: time of hemodialysis start since the diagnosis of chronic renal failure < 1 year; shorter dialysis therapy; having no private health insurance; living in the central-western, northeastern and southeastern regions of Brazil; and living in the northern region plus having no private health insurance. In the final model there was found a positive association between the outcome and pre-dialysis care and no were association with socioeconomic and comorbidity variables. CONCLUSIONS: The study results showed that the focus should on pre-dialysis care to increase the establishment of an arteriovenous vascular access before starting hemodialysis in Brazil. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102011000200002 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102011000200002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0034-89102011005000005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.45 n.2 2011 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936500458815488 |