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Wilmink, Teun, Powers, Sarah and Baharani, Jyoti (2015) UK organisation of access care. The journal of vascular access, 16 Sup. pp. 5-10. ISSN 1724-6032. This article is accessible to all HEFT staff and students via NICE Evidence www.evidence.nhs.uk by using their HEFT Athens login ID's.
Full text not available from this repository.Abstract
National UK audits show that 73% of patients start renal replacement therapy (RRT) with haemodialysis (HD). However, 59% of those start HD on non-permanent access in the form of a tunnelled line (TL) or a non-tunnelled line (NTL), 40% on an arteriovenous fistula (AVF) and 1% on an arteriovenous graft (AVG). After 3 months, the number of patients dialysing on AVF was only 41%. Late referrals, within 90 days of starting dialysis to the renal service, occur in one-fifth of all incident HD patients. Referral to a surgeon was an important determinant of mode of access at first dialysis. However, referral to a surgeon occurred in 67% of patients who were known to the nephrologist for over a year and in 46% of patients who were known to nephrology less than a year but more than 90 days. Best practice tariffs of the National Health Service (NHS) payment by results program have set a target of 75% of prevalent HD occurring via an AVF or AVG in 2011/2012, rising to 85% in 2013/2014. We suggest that this target is best achieved by increasing timely referral to a surgeon for creation of access before HD is needed.
| Item Type: | Article |
|---|---|
| Additional Information: | This article is accessible to all HEFT staff and students via NICE Evidence www.evidence.nhs.uk by using their HEFT Athens login ID's. |
| Subjects: | WJ Urogenital system. Urology |
| Divisions: | Emergency Services > Renal Planned IP Care > General Surgery |
| Related URLs: | |
| Depositing User: | Mrs Adele Creak |
| Date Deposited: | 30 May 2015 06:36 |
| Last Modified: | 30 May 2015 06:36 |
| URI: | http://www.repository.uhblibrary.co.uk/id/eprint/819 |
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