{"corpus_id":216223972,"paper_sha":"48bd5a53ae700f0c148e516de15aa1549eb84211","doi":"10.1053/j.ajkd.2019.12.001","arxiv_id":null,"pmid":32778223,"pmcid":null,"mag_id":3012497879,"dblp_id":null,"acl_id":null,"title":"KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update.","year":2020,"publication_date":"2020-04-01","venue":"American Journal of Kidney Diseases","journal":{"name":"American journal of kidney diseases : the official journal of the National Kidney Foundation","pages":"\n          S1-S164\n        ","volume":"75 4S2"},"journal_issn":null,"journal_title":null,"publication_types":[],"pubmed_pub_types":["Practice Guideline","Journal Article"],"s2_fields_of_study":["Medicine"],"reference_count":643,"citation_count":1929,"influential_citation_count":143,"is_open_access":true,"arxiv_categories":null,"arxiv_license":null,"arxiv_journal_ref":null,"mesh_headings":[{"d":"Humans","mj":false,"ui":"D006801"},{"d":"Kidney Failure, Chronic","mj":false,"qs":[{"q":"therapy","mj":true,"ui":"Q000628"}],"ui":"D007676"},{"d":"Nephrology","mj":true,"ui":"D009398"},{"d":"Renal Dialysis","mj":false,"qs":[{"q":"standards","mj":true,"ui":"Q000592"}],"ui":"D006435"},{"d":"Societies, Medical","mj":true,"ui":"D012955"},{"d":"Vascular Access Devices","mj":false,"qs":[{"q":"standards","mj":true,"ui":"Q000592"}],"ui":"D062666"}],"chemicals":null,"comments_corrections":null,"source_flags":5,"s2_open_access_pdf_url":"http://www.ajkd.org/article/S0272638619311370/pdf","s2_open_access_landing_url":"https://www.semanticscholar.org/paper/48bd5a53ae700f0c148e516de15aa1549eb84211","s2_open_access_license":null,"s2_open_access_status":"BRONZE","pmc_open_access_pdf_url":null,"pmc_open_access_landing_url":null,"pmc_open_access_license":null,"pmc_open_access_status":null,"unpaywall_open_access_pdf_url":null,"unpaywall_open_access_landing_url":null,"unpaywall_open_access_license":null,"unpaywall_open_access_status":null,"abstract":"The National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) has provided evidence-based guidelines for hemodialysis vascular access since 1996. Since the last update in 2006, there has been a great accumulation of new evidence and sophistication in the guidelines process. The 2019 update to the KDOQI Clinical Practice Guideline for Vascular Access is a comprehensive document intended to assist multidisciplinary practitioners care for chronic kidney disease patients and their vascular access. New topics include the end-stage kidney disease \"Life-Plan\" and related concepts, guidance on vascular access choice, new targets for arteriovenous access (fistulas and grafts) and central venous catheters, management of specific complications, and renewed approaches to some older topics. Appraisal of the quality of the evidence was independently conducted by using a Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach, and interpretation and application followed the GRADE Evidence to Decision frameworks. 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