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April 12, 2026Seminars in Dialysis2 citationsOpen Access

Value‐Based Model for Vascular Access Management in the End‐Stage Kidney Disease Population

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DRDaniel RaskinTVTushar J. VachharajaniSPS. Partovi

Key Points

  • The aim is to develop a value-based model for managing vascular access in patients with end-stage kidney disease.
  • Prioritizing reduction of catheter exposure
  • Tailoring usage of AVF (arteriovenous fistula) and AVG (arteriovenous graft) based on patient risk
  • Integrating peritoneal dialysis where appropriate
  • Employing selective imaging and monitoring
  • Organizing multidisciplinary access teams focused on quality and cost
  • Enhanced patient-centered care through tailored vascular access solutions
  • Potential reduction in complications associated with catheter use
  • Improved efficiency and effectiveness in managing vascular access

Abstract

A value-based VA strategy for ESKD should prioritize minimizing catheter exposure, tailoring AVF versus AVG use to patient risk, integrating PD where feasible, using selective imaging and monitoring, matching site of service to case complexity, and organizing multidisciplinary access teams aligned with quality and cost metrics.

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Cite This Study

Raskin et al. (2026) studied this question.

synapsesocial.com/papers/69db37df4fe01fead37c5ed7https://doi.org/10.1111/sdi.70024
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