Skip to main content

Table 4 Reasons for non-placement of vascular access

From: Vascular access placement in patients with chronic kidney disease Stages 4 and 5 attending an inner city nephrology clinic: a cohort study and survey of providers

Limiting Factors

Vascular Surgery Referral

AV Access placement

Nephrologist Survey

Observed by chart Review

p-value

Nephrologist Survey

Observed by chart review

p-value

Patients

88a%

15%

<0.001

41%

18%

0.01

Nephrologists

6%

51%

<0.001

6%

44%

<0.001

Health system problemsb

6%

2%

0.19

41%

11%

<0.001

Vascular surgeon

NA

NA

NA

0%

0%

NA

Stable GFRc

NA

27%

NA

NA

20%

NA

Others

NA

5%

NA

12d%

8%

0.5

  1. aPatient refusal (47%), patient non-compliance (29.4%) and patient not decided about modality of dialysis (11.8%); bHealth system problems include insurance problems and hospital system and appointment problems including time delay in waiting for surgery or appointment. cIt was not known to be a barrier at the time of survey hence was not included in survey; dActual answer: “I am not sure”; Abbreviation: NA-Not applicable