Application of glomerular filtration rate decline rate to Optimize Timing of Pre-emptive Arteriovenous fistula Creation for Chronic Kidney Disease Patients
- Conditions
- CKD G5, eGFR below 15 ml/min/1.73 m2 which plan for AVF operations.Pre-emptive arteriovenous fistula, Chronic kidney disease, GFR trajectory
- Registration Number
- TCTR20240326006
- Lead Sponsor
- aresuan University
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 71
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.
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.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 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 Outcome Measures
Name Time Method 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