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Classifications of haemodialysis vascular access stenosis: a scoping review

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F25%3A43927883" target="_blank" >RIV/00064173:_____/25:43927883 - isvavai.cz</a>

  • Alternative codes found

    RIV/00023001:_____/25:00085353 RIV/00216208:11110/25:10490438 RIV/00216208:11120/25:43927883 RIV/00216208:11130/25:10490438 RIV/00064165:_____/25:10490438

  • Result on the web

    <a href="https://doi.org/10.1136/bmjopen-2024-088045" target="_blank" >https://doi.org/10.1136/bmjopen-2024-088045</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1136/bmjopen-2024-088045" target="_blank" >10.1136/bmjopen-2024-088045</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Classifications of haemodialysis vascular access stenosis: a scoping review

  • Original language description

    OBJECTIVES: Vascular access (VA) stenoses play a significant role in the morbidity of the haemodialysed population. Classifications for diagnosis, assessment and proposal of treatment strategies can be useful clinical and methodological tools. This review aims to present a comprehensive summary and propose further methodological approaches. DESIGN: A systematic review of the literature, evaluating classifications for dialysis-related VA stenosis. DATA SOURCES: Web of Science, Scopus, PubMed, Google Scholar and the ClinicalTrials.gov registry were searched from inception to 7 December 2024. ELIGIBILITY CRITERIA: All articles containing classifications regarding dialysis VA were eligible, with no restrictions on the study type or language of the full text. DATA EXTRACTION AND SYNTHESIS: Two independent researchers performed the search and initial screening. Four vascular surgeons assessed the included classifications using a modified Buchbinder&apos;s critical appraisal tool to evaluate quality. RESULTS: From 4771 screened papers, 59 full-text papers were retrieved and 24 articles contained classifications. Three classifications were dedicated to VA stenosis, all based on the anatomical location of lesions. According to the modified Buchbinder&apos;s appraisal, the classifications were assessed as moderate-to-good quality. The literature disposes of immense inconsistency in terms of the definition of significant stenosis indicated for treatment. CONCLUSIONS: VA significant stenosis and its classification is a non-uniformly understood issue with many different criteria and categorisations. This basic methodological problem leads to inconsistent results. We recommend the unification of the criteria and their validation in prospective studies.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • Project

    <a href="/en/project/LX22NPO5104" target="_blank" >LX22NPO5104: National Institute for Research of Metabolic and Cardiovascular Diseases</a><br>

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    BMJ Open

  • ISSN

    2044-6055

  • e-ISSN

    2044-6055

  • Volume of the periodical

    15

  • Issue of the periodical within the volume

    January

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    10

  • Pages from-to

    "e088045"

  • UT code for WoS article

    001400713400001

  • EID of the result in the Scopus database

    2-s2.0-85215440910