The primary arteriovenous fistula failure-a comparison between diabetic and non-diabetic patients: glycemic control matters

Objectives Presence of diabetes mellitus has been shown to be related with the occurrence of primary arteriovenous fistula (AVF) failure in some but not in all studies. In the current study, we examined whether glycemic control as evaluated by HbA1c is independently related with primary AVF failure. Methods We recorded sociodemographic, clinical, and laboratory parameters of the patients from medical records and hospital charts prior to AVF surgery. Primary AVF failure was described as a complication of the AVF before the first successful cannulation for HD treatment. Results Our study comprised of 160 non-diabetic (Group1) and 73 diabetic patients. Among diabetic patients, 37 had HbA1c values <7% (Group 2) and 36 patients had HbA1c values >= 7% (Group 3). In total, 74 (31.8%) patients had a history of primary AVF failure. The percentages of primary AVF failure were 27.5, 29.7, and 52.8% in Group 1, Group 2, and Group 3, respectively (P: 0.013). The percentage of patients with primary AVF failure was significantly lower in Group 1 and Group 2 than in Group 3 (P: 0.003 and P: 0.045, respectively). There was no difference with respect to primary AVF failure between Group 1 and Group 2 patients. Conclusions We suggest that poor glycemic control as assessed by HbA1c may be an important factor for the development of primary AVF failure among diabetic subjects. It is possible that differences with respect to AVF failure between diabetic and nondiabetic patients may be partly attributed to glycemic control.

Dergi Adı INTERNATIONAL UROLOGY AND NEPHROLOGY
Dergi Cilt Bilgisi 44
Dergi Sayısı 2
Sayfalar 575 - 581
Yayın Yılı 2012
Eser Adı
[dc.title]
The primary arteriovenous fistula failure-a comparison between diabetic and non-diabetic patients: glycemic control matters
Yazar
[dc.contributor.author]
Afsar, Baris
Yazar
[dc.contributor.author]
Elsurer, Rengin
Yayın Yılı
[dc.date.issued]
2012
Yayıncı
[dc.publisher]
SPRINGER
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objectives Presence of diabetes mellitus has been shown to be related with the occurrence of primary arteriovenous fistula (AVF) failure in some but not in all studies. In the current study, we examined whether glycemic control as evaluated by HbA1c is independently related with primary AVF failure. Methods We recorded sociodemographic, clinical, and laboratory parameters of the patients from medical records and hospital charts prior to AVF surgery. Primary AVF failure was described as a complication of the AVF before the first successful cannulation for HD treatment. Results Our study comprised of 160 non-diabetic (Group1) and 73 diabetic patients. Among diabetic patients, 37 had HbA1c values <7% (Group 2) and 36 patients had HbA1c values >= 7% (Group 3). In total, 74 (31.8%) patients had a history of primary AVF failure. The percentages of primary AVF failure were 27.5, 29.7, and 52.8% in Group 1, Group 2, and Group 3, respectively (P: 0.013). The percentage of patients with primary AVF failure was significantly lower in Group 1 and Group 2 than in Group 3 (P: 0.003 and P: 0.045, respectively). There was no difference with respect to primary AVF failure between Group 1 and Group 2 patients. Conclusions We suggest that poor glycemic control as assessed by HbA1c may be an important factor for the development of primary AVF failure among diabetic subjects. It is possible that differences with respect to AVF failure between diabetic and nondiabetic patients may be partly attributed to glycemic control.
Açıklama
[dc.description]
WOS: 000304403500032
Açıklama
[dc.description]
PubMed: 21553113
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Arteriovenous fistula
Konu Başlıkları
[dc.subject]
Chronic renal failure
Konu Başlıkları
[dc.subject]
Diabetes mellitus
Konu Başlıkları
[dc.subject]
HbA1c
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0301-1623
İlk Sayfa Sayısı
[dc.identifier.startpage]
575
Son Sayfa Sayısı
[dc.identifier.endpage]
581
Dergi Adı
[dc.relation.journal]
INTERNATIONAL UROLOGY AND NEPHROLOGY
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
44
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s11255-011-9978-x
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3636
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
20
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
08 Şubat 2024 10:55
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failure patients primary diabetic control glycemic respect between (Group values related respectively history percentages Objectives assessed attributed partly nondiabetic differences possible subjects development factor important percentage suggest Conclusions difference respectively) significantly comprised clinical sociodemographic recorded
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