Proactive surveillance approach to guarantee a functional XXXX at first dialysis is worth.

@entity1 @entity15285 @entity292 @entity2548 @entity454
PURPOSE: To evaluate the impact of a proactive surveillance program on functional access rate at the time of first dialysis. METHODS: In January 2010, a proactive surveillance program to intercept failures to mature was set up at the University Hospitals Leuven. @entity1 receiving an @entity2548 ( @entity2548 ) for pre-dialysis @entity454 between January 2010 and May 2013 were retrospectively analyzed. The primary end-point was a functional @entity2548 at first dialysis. Also, @entity2548 - associated complications and reinterventions were analyzed. Furthermore, primary, assisted primary and secondary patency rates were estimated using Kaplan-Meier survival curves. RESULTS: One hundred sixty-four @entity1 were included in the study. @entity1 were followed until first dialysis. Median follow-up time was 287 days (interquartile range, 108-551 days). During follow-up, 40 @entity1 (24.4%) needed one or more additional interventions, resulting in 60 reinterventions. Ten @entity1 needed dialysis within the minimal accepted maturation period of the @entity2548 (4 weeks). Of the 154 @entity1 who could await the maturation period of the @entity2548 , 145 (94.2%) appeared ready for use at the time of dialysis or at the end of the study period. In 34 of them (22%), this was thanks to one or more interventions during follow-up. CONCLUSIONS: A dedicated surveillance program of @entity1 with AVFs in the pre-dialysis stadium detects failure to mature. Close @entity15285 and proactive intervention can aid the @entity1 in his own " @entity292 first" project.
