Cochrane · systematic review · CD007013

Preoperative vascular access evaluation for haemodialysis patients

Kosa, SD, Al‐Jaishi, AA, Moist, L, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Kidney and TransplantAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 50%Low 2 · 50%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Preoperative vessel imaging by ultrasound mapping versus standard preoperative care for arteriovenous access creation in haemodialysis patients

Population: HD patients with arteriovenous fistulas
4 questions
OutcomeEffectEvidenceStatus / GRADE
Fistulas created Assessed by surgeon¹
Preoperative vessel imaging by ultrasound mapping vs standard preoperative care
RR 1.02 [0.94, 1.12]4 studies · 433 participantsVery low
Downgraded: risk of bias
Fistulas matured Clinical assessment by experienced HD nurse⁴
Preoperative vessel imaging by ultrasound mapping vs standard preoperative care
RR 1.11 [0.98, 1.25]3 studies · 356 participantsLow
Downgraded: risk of bias
Fistulas used for dialysis Clinical assessment by HD nurse
Preoperative vessel imaging by ultrasound mapping vs standard preoperative care
RR 1.12 [0.99, 1.28]2 studies · 286 participantsLow
Downgraded: risk of bias
Rate of interventions required to maintain patency (per 1000 patient‐days)
Preoperative vessel imaging by ultrasound mapping vs standard preoperative care
no estimate extracted1 study · 70 participantsVery low
Downgraded: risk of bias