Review Article

Surveillance and Monitoring of Dialysis Access

Table 1

Randomized trials comparing surveillance and intervention versus usual clinical monitoring and intervention.

NameTotal no. of patientsControlStudy patientsSurveillance methods testedPrimary outcomeResult

Mayer et al., 1993 [57]703535Ultrasound evaluation of stenosisGraft survivalPositive
Sands et al., 1999 [49]1034162Access flow, static venous pressureAccess thrombosisPositive
Moist et al., 2003 [58]1125359Access flow, dynamic venous pressureAccess thrombosis, lossNegative
Ram et al., 2003 [62]1013467Access flow, stenosisAccess thrombosis, survivalNegative
Roca-Tey et al., 2004 [61]*1596594Access flowAccess thrombosisPositive
Malik et al., 2005 [56]1929297Ultrasound evaluation of stenosisCumulative patencyPositive
Plantinga et al., 2006 [53]*363185178MultipleMultiple outcomesPositive
Polkinghorne et al., 2006 [59]1376768Access flow>50% stenosisNegative
Robbin et al., 2006 [60]1266165Ultrasound evaluation of stenosisGraft survivalNegative

*Prospective nonrandomized studies.