Practice of dialysis access interventional nephrology procedures in the Asia-Pacific region: Getting lay of the land

被引：0

作者：

Jasuja, Sanjiv ^{[1
,2
]}

Gallieni, Maurizio ^{[3
,4
]}

Jha, Vivekanand ^{[5
]}

Vachharajani, Tushar ^{[6
,7
]}

Bhalla, A. K. ^{[8
]}

Tan, Jackson ^{[9
,10
,11
]}

Tan, Cheih Suai ^{[12
]}

Basnet, Nabin Bahadur ^{[13
]}

Herath, Nalaka ^{[14
]}

An, Ha Phan Hai ^{[15
]}

Kim, Yong Soo ^{[16
]}

Kim, Yaeni ^{[16
]}

Sampathkumar, Krishnaswamy ^{[17
]}

Sahay, Manisha ^{[18
]}

Ramachandran, Raja ^{[19
]}

Alexander, Suceena ^{[20
]}

Bhargava, Vinant ^{[8
]}

Balasubramaniam, J. ^{[21
]}

Voss, David ^{[22
]}

Ogbac, Fredeick E. ^{[23
]}

Gunawan, Atma ^{[24
,25
]}

Goh, Bak Leong ^{[26
]}

Lin, Chih-Ching ^{[27
]}

Khan, Jamshaid ^{[28
]}

Shiham, Ibrahim ^{[29
]}

Ayub, Haroon ^{[30
]}

Hein, Min Aung ^{[31
]}

Iqbal, Sarwar ^{[32
,33
]}

Srisawat, Nattachai ^{[34
]}

Gao, Bihu ^{[35
]}

Sajiv, Cherian ^{[36
]}

Wilkinson, Catherine ^{[37
]}

Pichthida, Thim ^{[38
,39
]}

Rana, D. S. ^{[8
]}

Sagar, Gaurav ^{[2
]}

Bahl, Anupam ^{[2
]}

Tawakley, Samir ^{[2
]}

Gaur, Mragank ^{[2
]}

机构：

[1] Indraprastha Apollo Hosp, Dept Nephrol, New Delhi, India

[2] Indraprastha Apollo Hosp, New Delhi, India

[3] Univ Milan, DIBIC L Sacco, Milan, Italy

[4] Journal VA, Williamsburg, VA 23187 USA

[5] Fortis Kidney & Urol Inst, New Delhi, India

[6] John D Dingell Vet Affair Med Ctr, Detroit, MI USA

[7] Wayne State Univ, Detroit, MI USA

[8] Sir Ganga Ram Hosp, Delhi, India

[9] Rimba Dialysis Ctr, Simpang BE3119, Brunei

[10] Univ Brunei Darussalam, Bandar Seri Begawan, Brunei

[11] RIPAS Hosp, Bandar Seri Begawan, Brunei

[12] Singapore Gen Hosp, Singapore, Singapore

[13] Nepal Mediciti Hosp, Karyabinayak, Nepal

[14] Teaching Hosp, Kurunegala, Sri Lanka

[15] Hanoi Med Univ, Hanoi, Vietnam

[16] Catholic Univ Korea, St Marys Hosp, Coll Med, Seoul, South Korea

[17] Meenakshi Mission Hosp & Res Ctr, Madurai, India

[18] Osmania Gen Hosp, Hyderabad, India

[19] PGIMER, Chandigarh, India

[20] Christian Med Coll CMC, Vellore, India

[21] Kidney Care Ctr, Tirunelveli, Tamil Nadu, India

[22] Middlemore Hosp, Auckland, New Zealand

[23] Univ Brawijaya, Malang, Indonesia

[24] St Lukes Med Ctr, Quezon City, Philippines

[25] Dr Saiful Anwar Gen Hosp, Malang, Indonesia

[26] Hosp Serdang, Kajang, Malaysia

[27] Taipei Vet Gen Hosp, Taipei, Taiwan

[28] Jamhuriat Teaching Hosp, Kabul, Afghanistan

[29] Indira Gandhi Mem Hosp, Male, Maldives

[30] Hameed Latif Hosp, Lahore, Pakistan

[31] Def Serv Med Acad DSMA, Yangon, Myanmar

[32] BIRDEM Gen Hosp, Dhaka, Bangladesh

[33] Ibrahim Med Coll, Dhaka, Bangladesh

[34] Chulalongkorn Univ, Bangkok, Thailand

[35] Dalian Univ, Affiliated Zhongshan Hosp, Dalian, Peoples R China

[36] Alice Springs Hosp, The Gap, NT, Australia

[37] Cairns & Hinterland Hosp & Hlth Serv, Cairns North, Qld, Australia

[38] Int Univ, Sch Med, Phnom Penh, Cambodia

[39] Angkor Hosp Children, Siem Reap, Cambodia

来源：

NEPHROLOGY | 2023年 / 28卷 / 12期

关键词：

Asia-Pacific; dialysis access; interventional nephrology (IN); survey; tunnelled-central catheter; HEMODIALYSIS VASCULAR ACCESS; SURVEILLANCE; CARE;

D O I：

10.1111/nep.14236

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Aim: This cross-sectional survey aimed to determine the prevalence of Interventional Nephrology (IN) practice amongst nephrologists in the Asia-Pacific Region (APR), specifically related to dialysis access (DA).Methods: The Association of VA and intervenTionAl Renal physicians (AVATAR) Foundation from India conducted a multinational online survey amongst nephrologists from the Asia-Pacific to determine the practice of IN in the planning, creation, and management of dialysis access. The treatment modalities, manpower and equipment availability, monthly cost of treatment, specifics of dialysis access interventions, and challenges in the training and practice of IN by nephrologists were included in the survey.Results: Twenty-one countries from the APR participated in the survey. Nephrologists from 18 (85.7%) countries reported performing at least one of the basic dialysis access-related IN procedures, primarily the placement of non-tunnelled central catheters (n-TCC; 71.5%). Only 10 countries (47.6%) reported having an average of <4% of nephrologists performing any of the advanced IN access procedures, the most common being the placement of a peritoneal dialysis (PD) catheter (20%). Lack of formal training (57.14%), time (42.8%), incentive (38%), institutional support (38%), medico-legal protection (28.6%), and prohibitive cost (23.8%) were the main challenges to practice IN. The primary obstacles to implementing the IN training were a lack of funding and skilled personnel.Conclusion: The practice of dialysis access-related IN in APR is inadequate, mostly due to a lack of training, backup support, and economic constraints, whereas training in access-related IN is constrained by a lack of a skilled workforce and finances.

引用

页码：672 / 681

页数：10

共 33 条

[1]

Ahangar A., 2021, J HLTH RES REV, V8, P1

[2] Impact of National Economy and Policies on End-Stage Kidney Care in South Asia and Southeast Asia [J].

Alexander, Suceena ;

Jasuja, Sanjiv ;

Gallieni, Maurizio ;

Sahay, Manisha ;

Rana, Devender S. ;

Jha, Vivekanand ;

Verma, Shalini ;

Ramachandran, Raja ;

Bhargava, Vinant ;

Sagar, Gaurav ;

Bahl, Anupam ;

Mostafi, Mamun ;

Pisharam, Jayakrishnan K. ;

Tang, Sydney C. W. ;

Jacob, Chakko ;

Gunawan, Atma ;

Leong, Goh B. ;

Thwin, Khin T. ;

Agrawal, Rajendra K. ;

Vareesangthip, Kriengsak ;

Tanchanco, Roberto ;

Choong, Lina H. L. ;

Herath, Chula ;

Lin, Chih C. ;

Cuong, Nguyen T. ;

Haian, Ha P. ;

Akhtar, Syed F. ;

Alsahow, Ali ;

Rajapurkar, Mohan M. ;

Kher, Vijay ;

Mehta, Hemant ;

Bhalla, Anil K. ;

Khanna, Umesh B. ;

Ray, Deepak S. ;

Puri, Sonika ;

Jain, Himanshu ;

Lydia, Aida ;

Vachharajani, Tushar .

INTERNATIONAL JOURNAL OF NEPHROLOGY, 2021, 2021

[3] Current management of vascular access [J].

Allon, Michael .

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2007, 2 (04) :786-800

[4] Vascular Access for Hemodialysis Patients New Data Should Guide Decision Making [J].

Allon, Michael .

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2019, 14 (06) :954-961

[5] Hemodialysis vascular access monitoring: Current concepts [J].

Allon, Michael ;

Robbin, Michelle L. .

HEMODIALYSIS INTERNATIONAL, 2009, 13 (02) :153-162

[6]

[Anonymous], 2006, Am J Kidney Dis, V48, pS176, DOI DOI 10.1053/J.AJKD.2006.04.029

[7] The Hemodialysis Access Surveillance Controversy Continues [J].

Anvari, Evamaria ;

Vachharajani, Tushar J. .

KIDNEY INTERNATIONAL REPORTS, 2020, 5 (11) :1848-1850

[8] Hemodialysis vascular access: Percutaneous interventions by nephrologists [J].

Asif, A ;

Merrill, D ;

Briones, P ;

Roth, D ;

Beathard, GA .

SEMINARS IN DIALYSIS, 2004, 17 (06) :528-534

[9]

Beathard GA., 2004, KIDNEY INT, V66

[10] Globs Kidney Health Atlas: a spotlight on the Asia-Pacific sector [J].

Bharati, Joyita ;

Jha, Vivekanand .

KIDNEY RESEARCH AND CLINICAL PRACTICE, 2022, 41 (01) :22-30

← 1 2 3 4 →