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Dialysis

'Catheter Last' not 'Fistula First' in elderly patients

New data suggest that arteriovenous fistulas compared with prosthetic grafts may not be a superior predialysis approach to vascular access for haemodialysis in patients aged ≥80 years. However, the use of catheters as the first vascular access was associated with significantly increased mortality in these patients and should be avoided.

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Correspondence to Christian Combe.

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Combe, C., Bérard, X. 'Catheter Last' not 'Fistula First' in elderly patients. Nat Rev Nephrol 9, 632–634 (2013). https://doi.org/10.1038/nrneph.2013.175

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