Kidney Failure Risk Equation May Improve Vascular Access Planning

Using the kidney failure risk equation (KFRE) alongside estimated glomerular filtration rate (eGFR) for vascular access planning may help more patients start hemodialysis with arteriovenous fistula or grafts at appropriate times. A study of 2581 adults found that creating a fistula or graft within 2 years of hemodialysis initiation was more likely in patients with a KFRE score of 40% or higher. Utilizing a 2-year KFRE score threshold of over 40% also decreased premature creation of vascular access compared to the current system. However, 14% of patients with a KFRE score of 40% or less still required hemodialysis within 2 years. Further research is needed to validate these findings and improve vascular access creation referrals.

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