Evidence map›Paper›PMID 39962635›Full record

ArticleRenal failure2025

Using a plastic cannula prevents arteriovenous fistula failure in early cannulation.

Dongjuan Zhang, Deyang Kong, Lu Ma, Yang Yang

Abstract read
In one paragraph

Article in Renal failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Dongjuan ZhangHaemodialysis Centre, The 981th Hospital of Joint Logistic Support Force, Chengde, China.
Deyang KongDepartment of Nephrology, Shenzhen Bao'an District Song Gang People's Hospital, Shenzhen, China.
Lu MaDepartment of Nephrology, Beidaihe Rehabilitation and Recuperation Center of the Chinese People's Liberation Army, Qinhuangdao, China.
Yang YangHaemodialysis Centre, The 981th Hospital of Joint Logistic Support Force, Chengde, China.ORCID 0000-0003-4347-0064

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo study the effect of early arteriovenous fistula (AVF) cannulation and the usage of plastic cannulas on short- and long-term AVF primary patency.

methodsA database of 1,127 access operations from 1 November 2009 to 1 January 2011 was retrospectively analyzed. In total, 765 AVFs used for dialysis with follow-up until 1 December 2015 were included in the study. The period between operation and the initial cannulation, termed first cannulation time (FCT), was classified into intervals of 1-2 weeks, 3-4 weeks, 5-6 weeks, and 7-12 weeks. Primary patency was the interval between AVF creation and the first re-intervention for access dysfunction or thrombosis, the time of measurement of patency or the of its abandonment.

resultsThe AVF primary patency was 98.1% after 1 year and decreased to 80.1% after 2 years. Among patients using metal needles for the first puncture, those with an FCT of 1-2 weeks experienced significantly decreased AVF primary patency compared to other groups. Conversely, in patients using plastic cannulas at the first puncture, no significant differences were observed among groups with AVF primary patency in 6, 12, and 24 months. FCT and the application of plastic cannulas were significantly associated with primary patency at 12 and 24 months after adjusting for age, sex, hemodialysis (HD) frequency, and HD duration per session. Combination of six variables including age, sex, FCT, application of plastic cannulas, hemodialysis (HD) frequency, and HD duration per session could accurately predict 6-month primary patency with area under ROC curve of 0.89, 95% CI: 0.80-0.99.

conclusionsEarly AVF cannulation, within 1-2 weeks of creation, using plastic cannulas, does not increase the risk of access failure and offers an alternative to reduce reliance on catheters.

Indexed as

Arteriovenous Shunt, SurgicalCannulaCatheterizationKidney Failure, ChronicRenal DialysisAdultAgedFemaleHumansMaleMiddle AgedPlasticsRetrospective StudiesTime FactorsVascular PatencyPlasticsArteriovenous fistulacannulation deviceearly cannulationfailure

Identifiers

PMID39962635
PMCPMC11837944

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.