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NDT Advance Access published online on July 17, 2007
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfm329
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

The UK Vascular Access Survey—Follow-up data and repeat survey (Chapter 5)

Richard Fluck1, Raman Rao2, Dirk van Schalkwyk2, David Ansell2 and Terry Feest2

1Derby City Hospital, Uttoxeter Rd, Derby and 2UK Renal Registry, Southmead Hospital, Bristol, UK

Correspondence and offprint requests to: Dr Richard Fluck, UK Renal Registry, Southmead Hospital, Southmead Road, Bristol, BS10 5NB. Email: richard.fluck{at}nhs.net



  Abstract

In the 2006 Vascular Access Survey, 51% of all patients commenced renal replacement therapy (RRT) using definitive access. Of patients commencing on haemodialysis HD, 37% commenced with definitive access (31% in the 2005 survey).

Of those known to the renal units for a year or more, only half started HD with definitive access. Around 4% of patients currently receiving HD were in-patients. Around 30% of staphylococcal line infections were methicillin resistant Staphylococcus aureus (MRSA), which was similar to the 2005 survey.

At 6 months after starting RRT, 76% of live patients were using definitive access [defined as the use of peritoneal dialysis (PD), transplant, arteriovenous fistula (AVF) or arteriovenous graft (AVG)] and at 12 months it was 80%.

Of the HD patients starting RRT in April 2005, 65% started using venous catheters, at 6 months this had fallen to 35% and at 12 months to 30%. The use of non-tunnelled lines was <1% by 6 months.

The proportion on PD had fallen slightly at 12 months (from 20% to 16%) by which time 11% had received a transplant, 1% had recovered and 18% had died.

Data returns for the 2006 survey were returned from 37/74 renal units compared with returns from 62 units in the 2005 survey.

Keywords: Chronic kidney disease; dialysis; end stage renal disease; epidemiology; incident patients; infection; prevalent patients; vascular access


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