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Author Spotlight: Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model
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The vascular access questionnaire: a single centre UK experience.

M Field1, A Z Khawaja2, J Ellis2

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Patient satisfaction with vascular access for haemodialysis improves with age and access duration. Arteriovenous fistulas (AVF) generally yield better satisfaction scores than other access types.

Keywords:
Patient experiencePatient reported outcomesVascular accessVascular access questionnaire

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Patient-Reported Outcomes

Background:

  • Haemodialysis prolongs life for end-stage renal disease patients but negatively impacts quality of life.
  • Vascular access (VA) is a critical, daily concern for haemodialysis patients.
  • The Vascular Access Questionnaire (VAQ) assesses factors affecting quality of life and therapy perception.

Purpose of the Study:

  • To evaluate patient satisfaction with different types of vascular access for haemodialysis.
  • To identify factors influencing patient perception of vascular access.

Main Methods:

  • The VAQ was administered to prevalent haemodialysis patients across 10 West Midlands units.
  • Structured interviews were conducted between April 2017 and 2018.
  • 749 patients completed the survey.

Main Results:

  • Mean VAQ scores improved significantly with patient age and longer access duration.
  • Arteriovenous fistulas (AVF) showed better average scores (5.1) compared to arteriovenous grafts (AVG, 7.2) and central venous catheters (CVC, 6.6).
  • No significant difference in scores was found for AVF on dominant versus non-dominant arms (mean 5.2).

Conclusions:

  • Overall patient satisfaction is higher with AVF.
  • AVF on the non-dominant arm did not negatively impact patient satisfaction.
  • Several factors influence VAQ satisfaction scores, highlighting areas for potential intervention.