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Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine

In the dialysis center in Ramallah, we investigated the attitudes and perceived barriers to having arteriovenous fistula (AVF) in 156 patients. The current method of HD access was AVF in 52% and central venous catheter in 47%. Perceived causes of no or delayed AVF were: patient’s refusal of AVF in 5...

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Autores principales: Shamasneh, Ala O., Atieh, Anwar S., Gharaibeh, Kamel A., Hamadah, Abdurrahman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241481/
https://www.ncbi.nlm.nih.gov/pubmed/32338112
http://dx.doi.org/10.1080/0886022X.2020.1748650
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author Shamasneh, Ala O.
Atieh, Anwar S.
Gharaibeh, Kamel A.
Hamadah, Abdurrahman
author_facet Shamasneh, Ala O.
Atieh, Anwar S.
Gharaibeh, Kamel A.
Hamadah, Abdurrahman
author_sort Shamasneh, Ala O.
collection PubMed
description In the dialysis center in Ramallah, we investigated the attitudes and perceived barriers to having arteriovenous fistula (AVF) in 156 patients. The current method of HD access was AVF in 52% and central venous catheter in 47%. Perceived causes of no or delayed AVF were: patient’s refusal of AVF in 54.5%, late referral to a surgical evaluation in 31.3% and too long to surgical appointments in 14.2%. Among those who refused AVF, reasons were: concern about the surgical procedure in 42.5%, poor understanding of disease/access in 23.3%, fear of needles in 15.1%, denial of disease or need for HD in 17.8%, and cosmetic reasons in 1.4%. Forty six percent of patients believed they received education about AVF prior to the creation of HD access, and 73.7% would recommend AVF as the method of access due to the lower risk of infection (96%), easier to care for (16%), easier showering (14%), and better-associated hygiene (3%). In conclusion, the majority would recommend an AVF as the mode of vascular access for HD. The most common barrier to having an AVF was patient’s refusal to undergo AVF creation because of their concern about the surgical procedure. A systematic evaluation of the process that precedes the creation of AVF may allow for better utilization.
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spelling pubmed-72414812020-06-01 Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine Shamasneh, Ala O. Atieh, Anwar S. Gharaibeh, Kamel A. Hamadah, Abdurrahman Ren Fail Clinical Study In the dialysis center in Ramallah, we investigated the attitudes and perceived barriers to having arteriovenous fistula (AVF) in 156 patients. The current method of HD access was AVF in 52% and central venous catheter in 47%. Perceived causes of no or delayed AVF were: patient’s refusal of AVF in 54.5%, late referral to a surgical evaluation in 31.3% and too long to surgical appointments in 14.2%. Among those who refused AVF, reasons were: concern about the surgical procedure in 42.5%, poor understanding of disease/access in 23.3%, fear of needles in 15.1%, denial of disease or need for HD in 17.8%, and cosmetic reasons in 1.4%. Forty six percent of patients believed they received education about AVF prior to the creation of HD access, and 73.7% would recommend AVF as the method of access due to the lower risk of infection (96%), easier to care for (16%), easier showering (14%), and better-associated hygiene (3%). In conclusion, the majority would recommend an AVF as the mode of vascular access for HD. The most common barrier to having an AVF was patient’s refusal to undergo AVF creation because of their concern about the surgical procedure. A systematic evaluation of the process that precedes the creation of AVF may allow for better utilization. Taylor & Francis 2020-04-25 /pmc/articles/PMC7241481/ /pubmed/32338112 http://dx.doi.org/10.1080/0886022X.2020.1748650 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Shamasneh, Ala O.
Atieh, Anwar S.
Gharaibeh, Kamel A.
Hamadah, Abdurrahman
Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine
title Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine
title_full Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine
title_fullStr Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine
title_full_unstemmed Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine
title_short Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine
title_sort perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in palestine
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241481/
https://www.ncbi.nlm.nih.gov/pubmed/32338112
http://dx.doi.org/10.1080/0886022X.2020.1748650
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