NN&I - April 2010
Vascular Accesswww.nephronline.comApril 2010 Nephrology News & Issues 41 promote timely referral and AVF placement. A doubling of the inci-dent AVF rate to 50%, achievable with Figure 2. CKD patients under the care of a nephrologist in the two years prior to ESRD, by age & race/ethnicityIncident ESRD patients, ages 67 and older at initiation; pre-ESRD nephrologist care identified through at least one physician/supplier claim with a physician specialty code of "nephrologist." For Hispanic patients we present data beginning in 1996, the first full year after the April 1995 introduction of the revised Medical Evidence form, which contains more specific questions on race and ethnicity.Source: 2007 USRDS ADR, Figure hp.9 effective system change, is the best path to reach a prevalent AVF rate of 66%. References1. Ethier J, Mendelssohn DC, Elder SJ, et al: Vascular access use and outcomes: an international perspective from the dialysis outcomes and practice patterns study. Nephrol Dial. Transplant 2008; 23: 3219-3226 2. National Kidney Foundation KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations, 2006 Updates: Vascular Access. Am J Kid Dis 2006; 48 (Suppl 1): S187-S307 3. Accessed at http://www.asnonline.org/edu- cation_and_meetings/renal_week/archives/ RW09Abstracts.pdf, page 477 4. Accessed at http://www.asnonline.org/edu-cation_and_meetings/renal_week/archives/ RW09Abstracts.pdf, page 6835. Lok CE, Allon M, Moist L, et al: Risk equa- tion in determining unsuccessful cannulation events and failure to maturation in arteriovenous fistulas (REDUCE FTM I). J Am Soc Nephrol 2006; 17: 3204-3212 This document was developed under CMS Contract #500-06-NW005C. The contents of this document do not neces-sarily reflect CMS policy. VascAccess_NNI0410_6.indd 41 3/19/10 8:08:45 AM
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