Hemodialysis Access in the Elderly: Outcomes among XXXX Older than Seventy.

@entity1 @entity2758 @entity715 @entity2548 @entity204 @entity454
BACKGROUND: @entity2548 ( @entity2548 ) are the preferred access for hemodialysis, however, there continues to be limited data guiding the surgical management of primary dialysis access creation in elderly @entity454 @entity1 . METHODS: This is an 8-year retrospective institutional study evaluating the operative and clinical characteristics of @entity1 70  years or above who underwent primary, first-ever, @entity2548 or @entity2758 ( @entity2758 ) creation. RESULTS: There was no overall significant difference in @entity2548 and @entity2758 primary (P  =  0.127) and secondary (P  =  0.870) patency. @entity2758 had higher graft loss secondary to infection (P  =  0.0002) and @entity715 (P  =  0.0213). Survival was less than 50% at 2  years for @entity2548 and @entity2758 @entity1 . An equal number of @entity2548 and @entity2758 @entity1 who died had functional access at the time of @entity204 (P  =  1.0000) with more @entity2758 @entity1 using their graft (initiating dialysis) before @entity204 (P  =  0.0118). CONCLUSIONS: Elderly @entity1 patency rates for @entity2548 and @entity2758 are satisfactory and support surgical access creation; however, overall 2-year survival is low. An equal number of @entity2548 and @entity2758 @entity1 died with functioning surgical access, however, more @entity2758 @entity1 initiated dialysis and successfully used their access. Accordingly, special consideration needs to be given with regard to estimated timing until dialysis and predicted @entity1 longevity. Delaying access creation until dialysis is needed and proceeding with @entity2758 creation appears to be justified.
