Cargando…
Development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study
PURPOSE: To develop and validate a clinical scoring model to predict 1-year access survival among end-stage renal disease (ESRD) patients who received a new arteriovenous fistula (AVF). METHODS: The data of 195 ESRD patients in the development cohort who underwent first-time AVF creation between Jan...
Autor principal: | |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940426/ https://www.ncbi.nlm.nih.gov/pubmed/31909049 http://dx.doi.org/10.4174/astr.2020.98.1.44 |
_version_ | 1783484351489507328 |
---|---|
author | Wongmahisorn, Yuthapong |
author_facet | Wongmahisorn, Yuthapong |
author_sort | Wongmahisorn, Yuthapong |
collection | PubMed |
description | PURPOSE: To develop and validate a clinical scoring model to predict 1-year access survival among end-stage renal disease (ESRD) patients who received a new arteriovenous fistula (AVF). METHODS: The data of 195 ESRD patients in the development cohort who underwent first-time AVF creation between January 2009 and June 2013 and who had successful cannulation for dialysis use were reviewed. The clinical features that were significantly associated with 1-year AVF survival were incorporated into a clinical scoring model. The validity of this clinical score was then tested in a validation cohort of 204 ESRD patients who received a new AVF between July 2013 and December 2017. RESULTS: Of the 195 patients in the development cohort, 168 patients (86.2%) had a well-functioning AVF at 1 year. Absence of diabetes mellitus, no previous history of central venous catheter insertion, and absence of intervention performed to achieve access maturation were positively associated with 1-year AVF survival. These 3 factors were incorporated into a clinical scoring model, which ranged from 0 to 4 points. For a cutoff score of ≥3, the sensitivity, specificity and area under the receiver operating characteristic curve to predict 1-year AVF survival were 81.5%, 70.4%, and 0.760, respectively. The predictive performance of the clinical score was confirmed in the validation cohort, with a sensitivity of 76.1%, a specificity of 64.4% and an area under the curve of 0.703. CONCLUSION: The scoring model using clinical data yielded acceptable performance in predicting 1-year access survival among patients receiving a new AVF. |
format | Online Article Text |
id | pubmed-6940426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-69404262020-01-06 Development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study Wongmahisorn, Yuthapong Ann Surg Treat Res Original Article PURPOSE: To develop and validate a clinical scoring model to predict 1-year access survival among end-stage renal disease (ESRD) patients who received a new arteriovenous fistula (AVF). METHODS: The data of 195 ESRD patients in the development cohort who underwent first-time AVF creation between January 2009 and June 2013 and who had successful cannulation for dialysis use were reviewed. The clinical features that were significantly associated with 1-year AVF survival were incorporated into a clinical scoring model. The validity of this clinical score was then tested in a validation cohort of 204 ESRD patients who received a new AVF between July 2013 and December 2017. RESULTS: Of the 195 patients in the development cohort, 168 patients (86.2%) had a well-functioning AVF at 1 year. Absence of diabetes mellitus, no previous history of central venous catheter insertion, and absence of intervention performed to achieve access maturation were positively associated with 1-year AVF survival. These 3 factors were incorporated into a clinical scoring model, which ranged from 0 to 4 points. For a cutoff score of ≥3, the sensitivity, specificity and area under the receiver operating characteristic curve to predict 1-year AVF survival were 81.5%, 70.4%, and 0.760, respectively. The predictive performance of the clinical score was confirmed in the validation cohort, with a sensitivity of 76.1%, a specificity of 64.4% and an area under the curve of 0.703. CONCLUSION: The scoring model using clinical data yielded acceptable performance in predicting 1-year access survival among patients receiving a new AVF. The Korean Surgical Society 2020-01 2019-12-30 /pmc/articles/PMC6940426/ /pubmed/31909049 http://dx.doi.org/10.4174/astr.2020.98.1.44 Text en Copyright © 2020, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/4.0/ Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Wongmahisorn, Yuthapong Development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study |
title | Development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study |
title_full | Development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study |
title_fullStr | Development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study |
title_full_unstemmed | Development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study |
title_short | Development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study |
title_sort | development and validation of a clinical score to predict 1-year survival of arteriovenous fistula access: a diagnostic study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940426/ https://www.ncbi.nlm.nih.gov/pubmed/31909049 http://dx.doi.org/10.4174/astr.2020.98.1.44 |
work_keys_str_mv | AT wongmahisornyuthapong developmentandvalidationofaclinicalscoretopredict1yearsurvivalofarteriovenousfistulaaccessadiagnosticstudy |