Evidence mapPaperPMID 41784686Full record

ArticleInternational urology and nephrology2026

Effect of perivascular adipose tissue on patency and maturation rate of arteriovenous fistula in hemodialysis patients.

Han Lv, Guocun Hou, Fenfen Zhu, Ping Dong, Jiaying Wang, Jia Zhi, Jie Li

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Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Han LvSuzhou Vocational Health College, Suzhou, 215000, China.
Guocun HouDepartment of Nephrology, Suzhou Research Center of Medical School, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, 215000, China.
Fenfen ZhuSuzhou Vocational Health College, Suzhou, 215000, China.
Ping DongDepartment of Nephrology, Suzhou Research Center of Medical School, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, 215000, China.
Jiaying WangDepartment of Nephrology, Suzhou Research Center of Medical School, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, 215000, China.
Jia ZhiDepartment of Nephrology, Suzhou Research Center of Medical School, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, 215000, China.
Jie LiDepartment of Nephrology, Suzhou Research Center of Medical School, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, 215000, China. 865619448@qq.com.

Funding

Suzhou Vocational Health College SZWZY202509
6 · The paper itself

Abstract

purposeThis prospective observational study aimed to examine the effects of the volume of perivascular adipose tissue (PVAT) and the fat attenuation index (FAI) on maturation and primary patency following the formation of an initial arteriovenous fistula (AVF).

methodsThis study enrolled 106 patients who underwent first-time upper limb AVF creation. PVAT volume and FAI were quantified using non-contrast computed tomography (CT) within 2 weeks postoperatively. Patients were monitored for 12 months to evaluate primary patency and maturation. Statistical analyses included receiver operating characteristic (ROC) curve analysis to determine optimal cutoff values for group stratification, Kaplan-Meier survival analysis with the Log-rank tests, and multivariable Cox proportional hazards regression to identify independent risk factors.

resultsA total of 33 patients (31.1%) exhibited adverse events within 1 year. ROC analysis determined the optimal cutoffs for group stratification of 4.32 cm

conclusionsIn this prospective cohort, lower PVAT volume and higher FAI were independently associated with an increased risk of adverse events and decreased primary patency following AVF formation. According to these findings, AVF outcomes may be influenced by the perivascular adipose microenvironment, and PVAT volume and FAI may be useful imaging biomarkers for risk assessment.

Indexed as

Arteriovenous fistulaFat attenuation indexFat volumeHemodialysisPerivascular adipose tissue

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Registered trials

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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.