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Reducing Hemodialysis Catheter Use in Prevalent Hemodialysis Patients

D

Dr. Lisa Miller

Status and phase

Terminated
Phase 2

Conditions

Hemodialysis

Treatments

Other: Protocolized approach to convert dialysis catheter to fistula

Study type

Interventional

Funder types

Other

Identifiers

NCT01053117
B2008:101

Details and patient eligibility

About

To determine if a protocolized approach to converting hemodialysis central venous catheters (CVC) to arteriovenous fistulae will improve rates of functioning AVF and decrease CVC use.

Full description

In order to receive dialysis, patients require repeated access to their bloodstream. This access can be either via a central venous catheter (CVC) or a surgically created arteriovenous fistula (AVF) or graft (AVG). This is a pilot randomized control trial of prevalent hemodialysis patients with a central venous catheter (CVC), to determine if a systematic approach using an algorithm protocol to convert the CVC to an AVF (arteriovenous fistula) will improve rates of functioning AVF and decrease CVC use. The algorithm (intervention group) will be compared to current practice (control group), a non-standardized approach at the discretion of the caring nephrologist and/or surgeon.

Enrollment

3 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • > 18 years of age
  • Dialyzing with a CVC
  • Receiving hemodialysis three times weekly for > 3 months

Exclusion criteria

  • Awaiting peritoneal dialysis catheter insertion
  • Scheduled living donor transplant
  • Transient patients from out of province
  • Expected transfer to satellite dialysis unit within 6 months
  • Surgical plan for AVF (i.e. scheduled date)
  • Documented lack of suitable vasculature for AVF
  • Refusing AVF

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

3 participants in 2 patient groups

Protocolized approach
Experimental group
Description:
Protocolized approach to convert catheter to arteriovenous fistula
Treatment:
Other: Protocolized approach to convert dialysis catheter to fistula
Current Care Model
No Intervention group

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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