Long-term outcomes of a fistula initiative: sustaining "fistula culture"

J Vasc Access. Apr-Jun 2006;7(2):83-6. doi: 10.1177/112972980600700208.


From 1998 to 2003, a low cost fistula initiative at Allegheny General Hospital increased the rate of AV fistulas from 32% to 72%. We present an additional 25 months of vascular access data, with stratification of results by gender and long-term patient survival data. These data show the self-sustaining nature of 'fistula culture' in an urban hemodialysis unit, and the survival benefits that result from increased fistula rates.

MeSH terms

  • Arteriovenous Shunt, Surgical / statistics & numerical data*
  • Blood Vessel Prosthesis Implantation / statistics & numerical data
  • Catheterization / statistics & numerical data
  • Female
  • Hemodialysis Units, Hospital*
  • Hospitals, Urban*
  • Humans
  • Male
  • Outcome Assessment, Health Care
  • Pennsylvania
  • Postoperative Complications