{"id":"https://openalex.org/W4397040885","doi":"https://doi.org/10.1681/asn.20233411s1538c","title":"Initial Vascular Access Flow Rate for Early Prediction of Need for Intervention: A Retrospective Cohort Study","display_name":"Initial Vascular Access Flow Rate for Early Prediction of Need for Intervention: A Retrospective Cohort Study","publication_year":2023,"publication_date":"2023-11-01","ids":{"openalex":"https://openalex.org/W4397040885","doi":"https://doi.org/10.1681/asn.20233411s1538c"},"language":"en","primary_location":{"id":"doi:10.1681/asn.20233411s1538c","doi":"https://doi.org/10.1681/asn.20233411s1538c","is_oa":false,"landing_page_url":"https://doi.org/10.1681/asn.20233411s1538c","pdf_url":null,"source":{"id":"https://openalex.org/S115693375","display_name":"Journal of the American Society of Nephrology","issn_l":"1046-6673","issn":["1046-6673","1533-3450"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315620","host_organization_name":"American Society of Nephrology","host_organization_lineage":["https://openalex.org/P4310315620"],"host_organization_lineage_names":["American Society of Nephrology"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Society of Nephrology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069910300","display_name":"Matthias Bergmann","orcid":"https://orcid.org/0000-0003-3338-6002","observed_orcids":["https://orcid.org/0000-0003-3338-6002"]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I3018163063","display_name":"St. Elizabeth's Medical Center","ror":"https://ror.org/00cr15z55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3018163063"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthias Bergmann","raw_affiliation_strings":["St Elizabeth's Medical Center, Brighton, MA;","Tufts University School of Medicine, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St Elizabeth's Medical Center, Brighton, MA;","institution_ids":["https://openalex.org/I3018163063"]},{"raw_affiliation_string":"Tufts University School of Medicine, Boston, MA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093087983","display_name":"Butros Fakhoury","orcid":"https://orcid.org/0000-0001-6909-6328","observed_orcids":["https://orcid.org/0000-0001-6909-6328"]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I3018163063","display_name":"St. Elizabeth's Medical Center","ror":"https://ror.org/00cr15z55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3018163063"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Butros Fakhoury","raw_affiliation_strings":["St Elizabeth's Medical Center, Brighton, MA;","Tufts University School of Medicine, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St Elizabeth's Medical Center, Brighton, MA;","institution_ids":["https://openalex.org/I3018163063"]},{"raw_affiliation_string":"Tufts University School of Medicine, Boston, MA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Tiago Costa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I3018163063","display_name":"St. Elizabeth's Medical Center","ror":"https://ror.org/00cr15z55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3018163063"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tiago Costa","raw_affiliation_strings":["St Elizabeth's Medical Center, Brighton, MA;","Tufts University School of Medicine, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St Elizabeth's Medical Center, Brighton, MA;","institution_ids":["https://openalex.org/I3018163063"]},{"raw_affiliation_string":"Tufts University School of Medicine, Boston, MA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074694483","display_name":"Bertrand L. Jaber","orcid":"https://orcid.org/0000-0003-0577-0605","observed_orcids":["https://orcid.org/0000-0003-0577-0605"]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I3018163063","display_name":"St. Elizabeth's Medical Center","ror":"https://ror.org/00cr15z55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3018163063"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bertrand L. Jaber","raw_affiliation_strings":["St Elizabeth's Medical Center, Brighton, MA;","Tufts University School of Medicine, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St Elizabeth's Medical Center, Brighton, MA;","institution_ids":["https://openalex.org/I3018163063"]},{"raw_affiliation_string":"Tufts University School of Medicine, Boston, MA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111198352","display_name":"Vaidyanathapuram S. Balakrishnan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I3018163063","display_name":"St. Elizabeth's Medical Center","ror":"https://ror.org/00cr15z55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3018163063"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vaidyanathapuram Balakrishnan","raw_affiliation_strings":["St Elizabeth's Medical Center, Brighton, MA;","Tufts University School of Medicine, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St Elizabeth's Medical Center, Brighton, MA;","institution_ids":["https://openalex.org/I3018163063"]},{"raw_affiliation_string":"Tufts University School of Medicine, Boston, MA","institution_ids":["https://openalex.org/I121934306"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.33489461,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"34","issue":"11S","first_page":"538","last_page":"539"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10291","display_name":"Dialysis and Renal Disease Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/arteriovenous-fistula","display_name":"arteriovenous fistula","score":0.953000009059906},{"id":"https://openalex.org/keywords/arteriovenous-graft","display_name":"arteriovenous graft","score":1.0},{"id":"https://openalex.org/keywords/hemodialysis-vascular-access","display_name":"hemodialysis vascular access","score":0.9580000042915344},{"id":"https://openalex.org/keywords/access-stenosis","display_name":"access stenosis","score":0.7720000147819519},{"id":"https://openalex.org/keywords/access-patency","display_name":"access patency","score":0.7329999804496765},{"id":"https://openalex.org/keywords/cannulation","display_name":"cannulation","score":0.5680000185966492}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7029844522476196},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6548595428466797},{"id":"https://openalex.org/C2776016174","wikidata":"https://www.wikidata.org/wiki/Q28502965","display_name":"Vascular access","level":3,"score":0.630740225315094},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5143247842788696},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4565836787223816},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3332412838935852},{"id":"https://openalex.org/C2778063415","wikidata":"https://www.wikidata.org/wiki/Q391744","display_name":"Hemodialysis","level":2,"score":0.07481145858764648},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1681/asn.20233411s1538c","doi":"https://doi.org/10.1681/asn.20233411s1538c","is_oa":false,"landing_page_url":"https://doi.org/10.1681/asn.20233411s1538c","pdf_url":null,"source":{"id":"https://openalex.org/S115693375","display_name":"Journal of the American Society of Nephrology","issn_l":"1046-6673","issn":["1046-6673","1533-3450"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315620","host_organization_name":"American Society of Nephrology","host_organization_lineage":["https://openalex.org/P4310315620"],"host_organization_lineage_names":["American Society of Nephrology"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Society of Nephrology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4393232064","https://openalex.org/W2792598703","https://openalex.org/W2056361898","https://openalex.org/W2098716528","https://openalex.org/W1984267125","https://openalex.org/W2099590365","https://openalex.org/W4417311161","https://openalex.org/W2803661499","https://openalex.org/W3154605372","https://openalex.org/W2804760568"],"abstract_inverted_index":{"Background:":[0],"Arterio-venous":[1],"fistula":[2],"(AVF)":[3,182],"or":[4],"graft":[5],"(AVG)":[6,185],"are":[7,232,244],"lifelines":[8],"for":[9,38,70,90,155,186,189,206],"most":[10],"hemodialysis":[11],"(HD)":[12],"patients.":[13],"Low":[14],"access":[15,24,84,111,156,174,202,221,228],"flow":[16,175,203],"rate":[17,204],"(AFR)":[18,177,205],"often":[19],"requires":[20],"intervention":[21,39,71,91,112,157,190,209,222],"to":[22,47,62,246],"prevent":[23],"failure.":[25],"This":[26],"study":[27],"examines":[28],"if":[29],"AFR,":[30],"measured":[31],"at":[32,254],"initial":[33,227],"AVF/AVG":[34,56,253],"cannulation,":[35],"predicts":[36],"need":[37,89,154,188],"in":[40,107,178],"the":[41,108],"first":[42,102,135,171],"year.":[43],"Methods:":[44],"From":[45],"2012":[46],"2021,":[48],"52":[49,79],"(30.7%)":[50],"of":[51,170,201,257],"169":[52],"patients":[53],"with":[54,110],"surgical":[55],"creation":[57],"had":[58],"AFR":[59,103,120,136,146,217,249],"measurements.":[60],"Up":[61],"three":[63],"values":[64],"were":[65,97],"collected":[66],"per":[67],"subject.":[68],"Need":[69],"within":[72,158,191,210,223],"one":[73,159,192,211,224],"year":[74,225],"was":[75,104,118],"documented.":[76],"Results:":[77],"Of":[78],"subjects,":[80],"28":[81],"(53.8%)":[82],"required":[83],"intervention.":[85],"After":[86],"stratification":[87],"by":[88,234],"(data":[92],"not":[93,98],"shown),":[94],"patient":[95],"characteristics":[96],"significantly":[99,105],"different.":[100],"However,":[101],"lower":[106],"group":[109],"(898\u00b1495":[113],"vs.":[114,122],"1471\u00b1777mL/min;":[115],"P=0.003),":[116],"as":[117],"average":[119,145,173],"(841\u00b1399":[121],"1506\u00b1700mL/min;":[123],"P<0.001).":[124],"Receiver-operating":[125],"characteristic":[126,164],"(ROC)":[127,165],"curve":[128,166],"analyses":[129],"(Figure1":[130],"and":[131,144,172,183,238],"Table1)":[132],"showed":[133],"that":[134,251],"(area-under-the-curve":[137],"[AUC]":[138],"0.743;":[139],"95%":[140,149],"CI":[141,150],"0.608,":[142],"0.877)":[143],"(AUC":[147],"0.775;":[148],"0.648,":[151],"0.903)":[152],"predicted":[153],"year.Figure":[160],"1.:":[161,194],"Receiver":[162],"operating":[163],"showing":[167],"diagnostic":[168,199],"performance":[169,200],"rates":[176],"new":[179],"arterio-venous":[180],"fistulas":[181],"grafts":[184],"predicting":[187,207],"year.Table":[193],"Area-under-the-curve":[195],"(AUC)":[196],"shows":[197],"good":[198],"patency-assisted":[208],"year.Conclusions:":[212],"In":[213],"HD":[214],"patients,":[215],"early":[216,258],"measurements":[218],"can":[219],"predict":[220],"after":[226],"cannulation.":[229],"Our":[230],"results":[231],"limited":[233],"single":[235],"center":[236],"setting":[237],"small":[239],"sample":[240],"size.":[241],"Further":[242],"studies":[243],"needed":[245],"determine":[247],"optimal":[248],"cut-offs":[250],"indicate":[252],"higher":[255],"risk":[256],"stenosis.":[259]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2024-05-19T00:00:00"}
