A journey in reversing practice patterns: a multidisciplinary experience in implementing DOQI guidelines for vascular access

• Published in: Nephrology, dialysis, transplantation Vol. 20; no. 7; pp. 1450 - 1455
• Main Authors: Ackad, Alexandre, Simonian, Gregory T., Steel, Knight, Parisi, Christopher, Mancini, Sharon, Douglas, Claudia, Buckner, Darrell
• Format: Journal Article
• Language: English
• Published: Oxford Oxford University Press 01.07.2005; Oxford Publishing Limited (England)
• Subjects: Aged; Analysis. Health state; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Arteriovenous Anastomosis; Arteriovenous Shunt, Surgical - standards; Biological and medical sciences; Catheters, Indwelling; DOQI guidelines; Emergency and intensive care: renal failure. Dialysis management; Epidemiology; Female; General aspects; haemodialysis vascular access; Humans; Intensive care medicine; Kidney Failure, Chronic - therapy; Male; Medical sciences; Middle Aged; native arteriovenous fistulae; Practice Guidelines as Topic; practice pattern; Practice Patterns, Physicians' - standards; Program Evaluation; PTFE graft; Public health. Hygiene; Public health. Hygiene-occupational medicine; Renal Dialysis - standards; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; tunnelled haemodialysis catheter; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Kidney disease; Urinary system disease; PTFE graft; Hemodialysis; DOQI guidelines; practice pattern; Catheter; haemodialysis vascular access; Extrarenal dialysis; Renal failure; Graft; tunnelled haemodialysis catheter; native arteriovenous fistulae

Background. The National Kidney Foundation has established detailed guidelines due to increasing morbidity and costs related to haemodialysis vascular access in the end-stage renal disease population. Methods. A quality assurance multidisciplinary committee was formed to implement the Dialysis Outco...