From: The vascular access questionnaire: a single centre UK experience
Reason | N (%) |
---|---|
Reasons for not considering fistula if current access is a CVC (N = 67) | |
Concern about physical aspects of the fistula | |
Pain from the fistula | 12 (18%) |
Appearance of fistula | 5 (7%) |
Bleeding from the fistula | 4 (6%) |
Lifespan of a fistula | 1 (1%) |
Concerned about amount of maintenance required | 1 (1%) |
Happy on a line/ feels a line is better for health | 17 (25%) |
Concern about having surgery | 10 (15%) |
Previous bad experience with fistula | 7 (10%) |
Surgical fatigue | 7 (10%) |
Holding out for a transplant | 3 (4%) |
Problems from fistula on dominant arm (N = 37) | |
Poorer function of dominant hand overall | 26 (70%) |
Decreased function of dominant hand whilst on dialysis | 10 (27%) |
Pain | 2 (5%) |
Inability to self cannulate | 1 (3%) |
Is there anything else you wish you had known before starting? (N = 108a) | |
More information in general/medical aspects dialysis | 28 (26%) |
More information on access choices: | |
In general | 13 (12%) |
Covering CVC as an option | 3 (3%) |
More information about fistulas: | |
In general | 4 (4%) |
Bleeding risk | 2 (2%) |
Failure to mature risk | 1 (1%) |
Risk of steal | 1 (1%) |
Appearance | 8 (7%) |
More information on mechanisms of dialysis | |
Difficulty in needling | 2 (2%) |
Need for needle rotation | 2 (2%) |
Size of needles | 1 (1%) |
Pain relating to cannulation | 10 (9%) |
More information on renal replacement choices | 11 (10%) |
Information regarding impact of access on Activities daily living | 7 (6%) |
Crash landed so different info needed/discussed | 6 (6%) |
The amount of nephrology input would decrease on dialysis | 3 (3%) |
Discussion about the finite nature of vascular access options | 2 (2%) |
Need for intervention to maintain access | 1 (1%) |
Procedure for CVC removal | 1 (1%) |
More peer education | 1 (1%) |
Information on timing of access placement | 1 (1%) |