Classifications of haemodialysis vascular access stenosis: a scoping review
Objectives Vascular access (VA) stenoses play a significant role in the morbidity of the haemodialysed population. Classifications for diagnosis, assessment and proposal of treatment strategies can be useful clinical and methodological tools. This review aims to present a comprehensive summary and p...
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| Format: | Article |
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e088045.full |
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| author | Petr Waldauf Michael Corr Stephen O’neill Katerina Lawrie Jan Malik Libor Janousek Stepan Maly Jaroslav Chlupac |
| author_facet | Petr Waldauf Michael Corr Stephen O’neill Katerina Lawrie Jan Malik Libor Janousek Stepan Maly Jaroslav Chlupac |
| author_sort | Petr Waldauf |
| collection | DOAJ |
| description | Objectives Vascular access (VA) stenoses play a significant role in the morbidity of the haemodialysed population. Classifications for diagnosis, assessment and proposal of treatment strategies can be useful clinical and methodological tools. This review aims to present a comprehensive summary and propose further methodological approaches.Design A systematic review of the literature, evaluating classifications for dialysis-related VA stenosis.Data sources Web of Science, Scopus, PubMed, Google Scholar and the ClinicalTrials.gov registry were searched from inception to 7 December 2024.Eligibility criteria All articles containing classifications regarding dialysis VA were eligible, with no restrictions on the study type or language of the full text.Data extraction and synthesis Two independent researchers performed the search and initial screening. Four vascular surgeons assessed the included classifications using a modified Buchbinder’s critical appraisal tool to evaluate quality.Results From 4771 screened papers, 59 full-text papers were retrieved and 24 articles contained classifications. Three classifications were dedicated to VA stenosis, all based on the anatomical location of lesions. According to the modified Buchbinder’s appraisal, the classifications were assessed as moderate-to-good quality. The literature disposes of immense inconsistency in terms of the definition of significant stenosis indicated for treatment.Conclusions VA significant stenosis and its classification is a non-uniformly understood issue with many different criteria and categorisations. This basic methodological problem leads to inconsistent results. We recommend the unification of the criteria and their validation in prospective studies. |
| format | Article |
| id | doaj-art-4003f71fdd1f4707aff5714ff29b0a81 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-4003f71fdd1f4707aff5714ff29b0a812025-01-17T23:30:08ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-088045Classifications of haemodialysis vascular access stenosis: a scoping reviewPetr Waldauf0Michael Corr1Stephen O’neill2Katerina Lawrie3Jan Malik4Libor Janousek5Stepan Maly6Jaroslav Chlupac79 Department of Anaesthesia and Intensive Care Medicine, University Hospital Kralovske Vinohrady, Prague, Czech Republic3 Department of Transplant Surgery and Regional Nephrology Unit, Belfast City Hospital, Belfast, UK3 Department of Transplant Surgery and Regional Nephrology Unit, Belfast City Hospital, Belfast, UK2 Charles University Third Faculty of Medicine, Prague, Czech Republic5 Charles University First Faculty of Medicine, Prague, Czech Republic1 Department of Transplantation Surgery, Institute of Clinical and Experimental Medicine, Prague, Czech Republic1 Department of Transplantation Surgery, Institute of Clinical and Experimental Medicine, Prague, Czech Republic1 Department of Transplantation Surgery, Institute of Clinical and Experimental Medicine, Prague, Czech RepublicObjectives Vascular access (VA) stenoses play a significant role in the morbidity of the haemodialysed population. Classifications for diagnosis, assessment and proposal of treatment strategies can be useful clinical and methodological tools. This review aims to present a comprehensive summary and propose further methodological approaches.Design A systematic review of the literature, evaluating classifications for dialysis-related VA stenosis.Data sources Web of Science, Scopus, PubMed, Google Scholar and the ClinicalTrials.gov registry were searched from inception to 7 December 2024.Eligibility criteria All articles containing classifications regarding dialysis VA were eligible, with no restrictions on the study type or language of the full text.Data extraction and synthesis Two independent researchers performed the search and initial screening. Four vascular surgeons assessed the included classifications using a modified Buchbinder’s critical appraisal tool to evaluate quality.Results From 4771 screened papers, 59 full-text papers were retrieved and 24 articles contained classifications. Three classifications were dedicated to VA stenosis, all based on the anatomical location of lesions. According to the modified Buchbinder’s appraisal, the classifications were assessed as moderate-to-good quality. The literature disposes of immense inconsistency in terms of the definition of significant stenosis indicated for treatment.Conclusions VA significant stenosis and its classification is a non-uniformly understood issue with many different criteria and categorisations. This basic methodological problem leads to inconsistent results. We recommend the unification of the criteria and their validation in prospective studies.https://bmjopen.bmj.com/content/15/1/e088045.full |
| spellingShingle | Petr Waldauf Michael Corr Stephen O’neill Katerina Lawrie Jan Malik Libor Janousek Stepan Maly Jaroslav Chlupac Classifications of haemodialysis vascular access stenosis: a scoping review BMJ Open |
| title | Classifications of haemodialysis vascular access stenosis: a scoping review |
| title_full | Classifications of haemodialysis vascular access stenosis: a scoping review |
| title_fullStr | Classifications of haemodialysis vascular access stenosis: a scoping review |
| title_full_unstemmed | Classifications of haemodialysis vascular access stenosis: a scoping review |
| title_short | Classifications of haemodialysis vascular access stenosis: a scoping review |
| title_sort | classifications of haemodialysis vascular access stenosis a scoping review |
| url | https://bmjopen.bmj.com/content/15/1/e088045.full |
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