The vascular access questionnaire: a single centre UK experience

被引:16
作者
Field, M. [1 ]
Khawaja, A. Z. [1 ]
Ellis, J. [1 ]
Nieto, T. [1 ]
Hodson, J. [2 ]
Inston, N. [1 ]
机构
[1] Queen Elizabeth Hosp, Dept Renal Transplantat & Vasc Access Surg, Birmingham B15 2TH, W Midlands, England
[2] Queen Elizabeth Hosp, Inst Translat Med, Birmingham, W Midlands, England
关键词
Vascular access; Patient reported outcomes; Vascular access questionnaire; Patient experience; QUALITY-OF-LIFE; HEMODIALYSIS-PATIENTS; ASSOCIATION; COMPLICATIONS; SATISFACTION; PERSPECTIVES; FISTULA;
D O I
10.1186/s12882-019-1493-9
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
Background Haemodialysis is capable of prolonging life in patients with end stage renal disease, however this therapy comes with significant negative impact on quality of life. For patients requiring haemodialysis, the need for an adequately functioning vascular access (VA) is an everyday concern. The Vascular Access Questionnaire (VAQ) provides a mechanism for identifying and scoring factors in haemodialysis that impact on patients' quality of life and perception of their therapy. Methods Between April 2017-18 the VAQ was administered to prevalent haemodialysis patients at 10 units in the West Midlands via structured interviews. Results 749 of 920 potentially eligible patients completed the survey. The mean VAQ score was seen to improve significantly with age (7.7 in < 55 vs. 3.8 in 75+) and the duration of access (8.9 if less than 1 month old vs. 5.0 at a year). Better average scores were demonstrated for Arteriovenous fistulas (AVF) than other modalities (AVF 5.1 vs. AVG (arteriovenous grafts) 7.2 vs. CVC (central venous catheter) 6.6). There was no significant difference in scores between fistulas on non-dominant or dominant arms, with both having a mean of 5.2 (p = 0.341). Conclusions Overall, better satisfaction scores were seen in AVF. The presence of an AVF on the non-dominant arm was not a concern for the majority of patients and did not affect the VAQ score. A number of factors were identified that can influence VAQ satisfaction score.
引用
收藏
页数:13
相关论文
共 20 条
  • [1] Vascular access type, health-related quality of life, and depression in hemodialysis patients: a preliminary report
    Afsar, Baris
    Elsurer, Rengin
    Covic, Adrian
    Kanbay, Mehmet
    [J]. JOURNAL OF VASCULAR ACCESS, 2012, 13 (02) : 215 - 220
  • [2] A patient-centred approach to measuring quality in kidney care: patient-reported outcome measures and patient-reported experience measures
    Aiyegbusi, Olalekan L.
    Kyte, Derek
    Cockwell, Paul
    Anderson, Nicola
    Calvert, Melanie
    [J]. CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION, 2017, 26 (06) : 442 - 449
  • [3] Measurement properties of patient-reported outcome measures (PROMs) used in adult patients with chronic kidney disease: A systematic review
    Aiyegbusi, Olalekan Lee
    Kyte, Derek
    Cockwell, Paul
    Marshall, Tom
    Gheorghe, Adrian
    Keeley, Thomas
    Slade, Anita
    Calvert, Melanie
    [J]. PLOS ONE, 2017, 12 (06):
  • [4] Mode of questionnaire administration can have serious effects on data quality
    Bowling, A
    [J]. JOURNAL OF PUBLIC HEALTH, 2005, 27 (03) : 281 - 291
  • [5] Patients' Perspectives on Hemodialysis Vascular Access: A Systematic Review of Qualitative Studies
    Casey, Jordan R.
    Hanson, Camilla S.
    Winkelmayer, Wolfgang C.
    Craig, Jonathan C.
    Palmer, Suetonia
    Strippoli, Giovanni F. M.
    Tong, Allison
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2014, 64 (06) : 937 - 953
  • [6] Quality of life, clinical outcome, personality and coping in chronic hemodialysis patients
    D'Onofrio, Giuseppina
    Simeoni, Mariadelina
    Rizza, Paolo
    Caroleo, Mariarita
    Capria, Maria
    Mazzitello, Giovanni
    Sacco, Tiziana
    Mazzuca, Elena
    Panzino, Maria Teresa
    Cerantonio, Annamaria
    Segura-Garcia, Cristina
    Andreucci, Michele
    De Fazio, Pasquale
    Fuiano, Giorgio
    [J]. RENAL FAILURE, 2017, 39 (01) : 45 - 53
  • [7] Domenick Sridharan N, 2017, VASC SURG
  • [8] Renal Association Clinical Practice Guideline on Vascular Access for Haemodialysis
    Fluck, Richard
    Kumwenda, Mick
    [J]. NEPHRON CLINICAL PRACTICE, 2011, 118 : C225 - C240
  • [9] Brachiobasilic fistulae: an upper limb autologous option for everyone?
    Hameed, Harris
    Aitken, Emma
    Al-Moasseb, Zeyad
    Kingsmore, David
    [J]. RENAL FAILURE, 2016, 38 (04) : 636 - 642
  • [10] Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support
    Harris, Paul A.
    Taylor, Robert
    Thielke, Robert
    Payne, Jonathon
    Gonzalez, Nathaniel
    Conde, Jose G.
    [J]. JOURNAL OF BIOMEDICAL INFORMATICS, 2009, 42 (02) : 377 - 381