This study aimed to assess the relationship between arteriovenous fistula (AVF) functional status and quality of life and to identify influencing factors.
Method:
Data for this cross-sectional study were collected from 221 chronic hemodialysis patients between May and September 2024.
Results:
AVF functional status was significantly lower in male patients who had undergone four or more AVF operations, had an AVF at the elbow site, or had two to three temporary catheter insertions. There was a moderate negative correlation between the SF-12 Physical Composite and age and a positive correlation between Kt/V. There was a moderate negative correlation between the SF-12 Physical Composite and AVF-AS. The regression analysis revealed that the blood pump speed, Kt/V, and the SF-12 Physical Composite significantly affected the AVF-AS scores, explaining 21.5% of the total variance.
Conclusion:
In our study, we founded that a well-functioning AVF provided adequate dialysis, improving the patients’ physical quality of life.
ObeidatKSaadehRHammouriH, et al. Outcomes of arteriovenous fistula creation: a Jordanian experience. J Vasc Access2020; 21: 977–982.
2.
SoYChoiYHOhS, et al. Thrombosed native hemodialysis fistulas: technical and clinical outcomes of endovascular recanalization and factors influencing patency. J Vasc Access2019; 20: 725–732.
3.
QianJLeeTThamerM, et al. Racial disparities in the arteriovenous fistula care continuum in hemodialysis patients. Clin J Am Soc Nephrol2020; 15: 1796–1803.
4.
TakahashiEAHarmsenWSMisraS.Endovascular arteriovenous dialysis fistula intervention: outcomes and factors contributing to fistula failure. Kidney Med2020; 2: 326–331.
5.
PfisterM.Long-term patency of arteriovenous fistulas for hemodialysis: a decade’s experience in a transplant unit. Hemodial Int2023; 27: 388–399.
6.
MahakalkarCC.Brachiobasalic versus brachiocephalic arteriovenous fistula for vascular access during hemodialysis: a review. Indian J Forensic Med Toxicol2021; 15: 889–893.
7.
LinY-CHuangY-YLinM-Y, et al. Long-term outcomes of lateral tunneled transposed brachiobasilic arteriovenous fistulas in elderly hemodialysis patient. J Vasc Access2019; 20: 557–562.
8.
YuksekdagSAhmetTUnalE.A retrospective analysis of arteriovenous fistulas as hemodialysis access surgery in the perspective of KDOQI (Kidney Disease Outcomes Quality Initiative) guidelines. Int J Transplant Res Med2019; 5(1): 38.
9.
LewSQNguyenBNIngTS.Hemodialysis vascular access construction in the upper extremity: a review. J Vasc Access2014; 16: 87–92.
10.
SarıoğluOÇaparAEBeletÜ.Relationship of arteriovenous fistula stenosis and thrombosis with the platelet–lymphocyte ratio in hemodialysis patients. J Vasc Access2019; 21: 630–635.
11.
ZouaghiMKLammouchiMAHassanM, et al. Determinants of patency of arteriovenous fistula in hemodialysis patients. Saudi J Kidney Dis Transpl2018; 29: 615.
12.
CohenDELeeASibbelS, et al. Use of the KDQOL-36™ for assessment of health-related quality of life among dialysis patients in the United States. BMC Nephrol2019; 20: 112.
13.
HaysRDKallichJDMapesDL, et al. Kidney Disease Quality of Life Short Form (KDQOL-SF™), version 1.3: a manual for use and scoring. Santa Monica, CA: RAND, 1997, p.7994.
14.
BulbulEEncN.Construction and validation of a scale for assessing arteriovenous fistulas. J Vasc Access2021; 22: 178–183.
15.
KarydisNBevisPBeckittT, et al. An implanted blood vessel support device for arteriovenous fistulas: a randomized controlled trial. Am J Kidney Dis2020; 75: 45–53.
16.
KimYChungBHChoiBS, et al. Outcome of endovascular salvage of immature hemodialysis arteriovenous fistulas. J Vasc Access2018; 20: 397–403.
GünalaySÖztürkYKAkarH, et al. The relationship between malnutrition and quality of life in haemodialysis and peritoneal dialysis patients. Rev Assoc Med Bras2018; 64: 845–852.
21.
Masià-PlanaASitjar-SuñerMMantas-JiménezS, et al. The influence of emotional intelligence on quality of life in patients undergoing chronic hemodialysis focused on age and gender. Behav Sci2024; 14: 220.
22.
AlmulhimMYAlkuwaitiAAAlhabratiAY, et al. Relationship between nutritional parameters and quality of life in patients with end-stage kidney disease on in-centre haemodialysis in Al-Ahsa, Saudi Arabia. Cureus2022; 14(12): e32146.
23.
VanholderRVan BiesenWLameireN.A swan song for Kt/Vurea. Semin Dial2019; 32: 424–437.
24.
RavaniPPalmerSCOliverMJ, et al. Associations between hemodialysis access type and clinical outcomes: a systematic review. J Am Soc Nephrol2013; 24: 465–473.
25.
KimDLeeJPKimY-L, et al. The effects of vascular access types on the survival and quality of life and depression in the incident hemodialysis patients. Ren Fail2020; 42: 30–39.
26.
SikoraKZwolakAŁuczykRJ, et al. Vascular access perception and quality of life of haemodialysis patients. J Clin Med2024; 13: 2425.
27.
BrownRSPatibandlaBKGoldfarb-RumyantzevAS.The survival benefit of “fistula first, catheter last” in hemodialysis is primarily due to patient factors. J Am Soc Nephrol2017; 28: 645–652.
28.
ObiYStrejaERheeCM, et al. Incremental hemodialysis, residual kidney function, and mortality risk in incident dialysis patients: a cohort study. Am J Kidney Dis2016; 68: 256–265.
29.
BalamuthusamySMillerLEClynesD, et al. American Association of Kidney Patients survey of patient preferences for hemodialysis vascular access. J Vasc Access2020; 21: 230–236.
30.
Domenick SridharanNFishLYuL, et al. The associations of hemodialysis access type and access satisfaction with health-related quality of life. J Vasc Surg2018; 67: 229–235.
