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논문분류	춘계학술대회 초록집
제목	Native Arteriovenous Fistula Placement Is the Best Option for Patients` Survival Benefit Regardless Age
저자	Hoon Suk Park* 1, Min Seok Choi2, Youn Hee Lee1, Woo Jeong Kim1, Byung Ha Chung2, Hyung Wook Kim1, Bum Soon Choi2, Young Ok Kim3, Cheol Whee Park2, Chul Woo Yang2, Dong Chan Jin1
출판정보	2016; 2016(1):
키워드	Vascular access, arteriovenous fistula, arteriovenous graft, catheter, survival
초록	Background: Arteriovenous fistula (AVF) is the ideal vascular access (VA) because its use is known to be associated with the favorable patient`s survival. However, the survival benefits by AVF use may be compromised due to the limited life expectancy of elderly hemodialysis (HD) patients. Methods: A total of 49735 HD patients were analyzed in the current study from Korean Society Nephrology registry. Patients` survivals of AVF, arteriovenous graft (AVG) and catheter were compared. Results: AVF use was associated with better patient`s survival compared with AVG and catheter use (p <0.001 and p <0.001 respectively). Even in octogenarian population (≥80 years old, n = 2956), AVF use was associated with better patient`s survival compared with AVG use (p <0.001). Catheter use was also associated with worse patient`s survival even only compared with selected complicated AVG such as femoro-femoral or axillo-axillary ones (p <0.001). Conclusion: Our study suggested AVF use is associated with better patient`s outcome regardless age compared with AVG use and catheter should be the last resort for HD patients.
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