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Gregorio Marañon, Patrocinio Rodríguez Benítez Nefrologia H.U. Gregorio Marañon, Rosa Jofre Nefrologia H.U. Grego" "autores" => array:1 [ 0 => array:1 [ "nombre" => "Rafael Perez-Garcia Nefrologia H.U. Gregorio Marañon, Patrocinio Rodríguez Benítez Nefrologia H.U. Gregorio Marañon, Rosa Jofre Nefrologia H.U. 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THREE YEARS WORK OUTCOME" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "335" "paginaFinal" => "339" ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. García-Trío, M. Alonso, J. Saavedra, S. Cigarrán(*), J.M. Lamas" "autores" => array:1 [ 0 => array:1 [ "nombre" => "G. García-Trío, M. Alonso, J. Saavedra, S. Cigarrán(*), J.M. Lamas" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "GESTION INTEGRAL DEL ACCESO VASCULAR POR LOS NEFROLOGOS.RESULTADOS DE TRES AÑOS DE TRABAJO." ] ] "pdfFichero" => "P-E-S-A4493-EN.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec436311" "palabras" => array:3 [ 0 => "Hemodialisis" 1 => "Acceso vascular" 2 => "Gestion cirugia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec436312" "palabras" => array:4 [ 0 => "Vascular Access management" 1 => "AVF" 2 => "Hemodialysis" 3 => "Nephrologists" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "Delay in perform the arteriovenous fistula (AVF) to begin haemodialysis is a major problem in the renal units in our country. Two nephrologists initiated, to solve this problem in its own hospital, to perform AVF from December 2001 to December 31st, 2004. Results were compared to surgical service which performed AVF until December 2001. Reduction in surgical waiting time to perform AVF and percent of patients without AVF at time of initiate haemodialysis treatment are the main results in neprologists group. No technical differences are found between both groups. These differences come from integral management of AVF, with own and programmed surgical theatre, managed in the office, individualized the patients requirements, and a major surgical flux managed by nephrologists. We conclude that hospitals with a program similar to us with integral approach of AVF and vascular access coordinator, the vascular access could be managed in an efficacy way." ] "es" => array:1 [ "resumen" => "El retraso en la creación de las Fístulas arteriovenosas(FAVI) constituye el principal problema en las unidades de Hemodiálisis(HD) del país. Dos de los nefrólogos de la Unidad de Nefrología del Hospital do Meixoeiro, tratando de encontrar soluciones a este problema en su hospital, asumieron la realización de las Fístulas Arteriovenosas a partir de Diciembre de 2001 .Se comparan sus resultados (132 FAVI entre Diciembre de 2001 y Diciembre de 2004) con los del Servicio de Cirugía General (268 FAVI entre Noviembre de 1990 y Noviembre de 2001) que las venia realizando hasta esa fecha. Se demuestra una clara reducción en el tiempo de espera de la cirugía (21.5 vs 103 dias) y en el porcentaje de pacientes que inician HD sin FAVI (19 % vs 63%) en el grupo de pacientes tratados por los nefrólogos, no detectándose diferencias entre ambos grupos en los fallos primarios (21.3 % vs 24.6%) ni en la supervivencia de las FAVI a los 36 meses(75 % en ambos grupos). Se atribuye estas diferencias a la gestión integral de las FAVI por los nefrólogos, basada en la obtención de un espacio quirúrgico propio, en la gestión de la lista de espera según las necesidades del paciente determinadas en una consulta previa y en la mayor fluidez de la cirugía al ser realizada por los propios nefrólogos. Se concluye que en aquellos Hospitales que compartan una situación similar a la presentada en la comunicación, la gestión integral de las FAVI a través del establecimiento de un coordinador/unidad de acceso vascular puede ser muy efectiva en la resolución del problema." ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002700000003/v0_201502091552/X2013251407021347/v0_201502091552/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002700000003/v0_201502091552/X2013251407021347/v0_201502091552/en/P-E-S-A4493-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021347?idApp=UINPBA000064" ]
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