TY - JOUR
T1 - Report of the Standardized Outcomes in Nephrology–Hemodialysis (SONG-HD) Consensus Workshop on Establishing a Core Outcome Measure for Hemodialysis Vascular Access
AU - SONG-HD Vascular Access Workshop Investigators
AU - Viecelli, Andrea K.
AU - Tong, Allison
AU - O'Lone, Emma
AU - Ju, Angela
AU - Hanson, Camilla S.
AU - Sautenet, Benedicte
AU - Craig, Jonathan C.
AU - Manns, Braden
AU - Howell, Martin
AU - Chemla, Eric
AU - Hooi, Lai Seong
AU - Johnson, David W.
AU - Lee, Timmy
AU - Lok, Charmaine E.
AU - Polkinghorne, Kevan R.
AU - Quinn, Robert R.
AU - Vachharajani, Tushar
AU - Vanholder, Raymond
AU - Zuo, Li
AU - Hawley, Carmel M.
AU - Levin, Adeera
AU - Wang, Angela
AU - Porter, Anna
AU - Sautenent, Benedicte
AU - Reddy, Bharathi
AU - Hemmelgarn, Brenda
AU - Schiller, Brigitte
AU - Wheeler, David
AU - Harris, David
AU - Schatell, Dori
AU - Lacson, Eduardo
AU - Bavlovlenkov, Elena
AU - Caskey, Fergus
AU - Strippoli, Giovanni
AU - Feldman, Harold
AU - Apata, Ibironke
AU - Tordoir, Jan
AU - Flythe, Jennifer
AU - Gill, John
AU - Kusek, John
AU - Abbott, Kevin
AU - Dember, Laura
AU - Cervantes, Lilia
AU - Moist, Louise
AU - Poole, Lynn
AU - Tonelli, Marcello
AU - Gallieni, Maurizio
AU - Elliot, Meghan
AU - Klusmeyer, Michael
AU - McDonald, Stephen
N1 - Publisher Copyright:
© 2018 National Kidney Foundation, Inc.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Vascular access outcomes in hemodialysis are critically important for patients and clinicians, but frequently are neither patient relevant nor measured consistently in randomized trials. A Standardized Outcomes in Nephrology–Hemodialysis (SONG-HD) consensus workshop was convened to discuss the development of a core outcome measure for vascular access. 13 patients/caregivers and 46 professionals (clinicians, policy makers, industry representatives, and researchers) attended. Participants advocated for vascular access function to be a core outcome based on the broad applicability of function regardless of access type, involvement of a multidisciplinary team in achieving a functioning access, and the impact of access function on quality of life, survival, and other access-related outcomes. A core outcome measure for vascular access required demonstrable feasibility for implementation across different clinical and trial settings. Participants advocated for a practical and flexible outcome measure with a simple actionable definition. Integrating patients’ values and preferences was warranted to enhance the relevance of the measure. Proposed outcome measures for function included “uninterrupted use of the access without the need for interventions” and “ability to receive prescribed dialysis,” but not “access blood flow,” which was deemed too expensive and unreliable. These recommendations will inform the definition and implementation of a core outcome measure for vascular access function in hemodialysis trials.
AB - Vascular access outcomes in hemodialysis are critically important for patients and clinicians, but frequently are neither patient relevant nor measured consistently in randomized trials. A Standardized Outcomes in Nephrology–Hemodialysis (SONG-HD) consensus workshop was convened to discuss the development of a core outcome measure for vascular access. 13 patients/caregivers and 46 professionals (clinicians, policy makers, industry representatives, and researchers) attended. Participants advocated for vascular access function to be a core outcome based on the broad applicability of function regardless of access type, involvement of a multidisciplinary team in achieving a functioning access, and the impact of access function on quality of life, survival, and other access-related outcomes. A core outcome measure for vascular access required demonstrable feasibility for implementation across different clinical and trial settings. Participants advocated for a practical and flexible outcome measure with a simple actionable definition. Integrating patients’ values and preferences was warranted to enhance the relevance of the measure. Proposed outcome measures for function included “uninterrupted use of the access without the need for interventions” and “ability to receive prescribed dialysis,” but not “access blood flow,” which was deemed too expensive and unreliable. These recommendations will inform the definition and implementation of a core outcome measure for vascular access function in hemodialysis trials.
KW - Clinical research
KW - Standardized Outcomes in Nephrology–Hemodialysis (SONG-HD)
KW - consensus
KW - hemodialysis
KW - nephrology research
KW - outcome
KW - outcome measure
KW - patient-centered care
KW - shared decision making
KW - vascular access
UR - http://www.scopus.com/inward/record.url?scp=85042285453&partnerID=8YFLogxK
U2 - 10.1053/j.ajkd.2017.12.003
DO - 10.1053/j.ajkd.2017.12.003
M3 - Article
C2 - 29478866
AN - SCOPUS:85042285453
SN - 0272-6386
VL - 71
SP - 690
EP - 700
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 5
ER -