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Report of the Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) consensus workshop on establishing a core outcome measure for hemodialysis vascular access

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Abstract
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.
Keywords
FISH-OIL SUPPLEMENTATION, ARTERIOVENOUS-FISTULA, CLINICAL-TRIALS, ACHILLES-HEEL, PERSPECTIVES, MAINTENANCE, PATENCY, INTERVENTIONS, COMPLICATIONS, METAANALYSIS

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Chicago
Viecelli, Andrea K, Allison Tong, Emma O’Lone, Angela Ju, Camilla S Hanson, Benedicte Sautenet, Jonathan C Craig, et al. 2018. “Report of the Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) Consensus Workshop on Establishing a Core Outcome Measure for Hemodialysis Vascular Access.” American Journal of Kidney Diseases 71 (5): 690–700.
APA
Viecelli, A. K., Tong, A., O’Lone, E., Ju, A., Hanson, C. S., Sautenet, B., Craig, J. C., et al. (2018). Report of the Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) consensus workshop on establishing a core outcome measure for hemodialysis vascular access. AMERICAN JOURNAL OF KIDNEY DISEASES, 71(5), 690–700.
Vancouver
1.
Viecelli AK, Tong A, O’Lone E, Ju A, Hanson CS, Sautenet B, et al. Report of the Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) consensus workshop on establishing a core outcome measure for hemodialysis vascular access. AMERICAN JOURNAL OF KIDNEY DISEASES. 2018;71(5):690–700.
MLA
Viecelli, Andrea K, Allison Tong, Emma O’Lone, et al. “Report of the Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) Consensus Workshop on Establishing a Core Outcome Measure for Hemodialysis Vascular Access.” AMERICAN JOURNAL OF KIDNEY DISEASES 71.5 (2018): 690–700. Print.
@article{8569343,
  abstract     = {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 {\textacutedbl}uninterrupted use of the access without the need for interventions{\textacutedbl} and {\textacutedbl}ability to receive prescribed dialysis,{\textacutedbl} but not {\textacutedbl}access blood flow,{\textacutedbl} 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.},
  author       = {Viecelli, Andrea K and Tong, Allison and O'Lone, Emma and Ju, Angela and Hanson, Camilla S and Sautenet, Benedicte and Craig, Jonathan C and Manns, Braden and Howell, Martin and Chemla, Eric and Hooi, Lai-Seong and Johnson, David W and Lee, Timmy and Lok, Charmaine E and Polkinghorne, Kevan R and Quinn, Robert R and Vachharajani, Tushar and Vanholder, Raymond and Zuo, Li and Hawley, Carmel M and SONG-HD Vascular Access Workshop Investigators, on behalf of the and Van Biesen, Wim},
  issn         = {0272-6386},
  journal      = {AMERICAN JOURNAL OF KIDNEY DISEASES},
  language     = {eng},
  number       = {5},
  pages        = {690--700},
  title        = {Report of the Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) consensus workshop on establishing a core outcome measure for hemodialysis vascular access},
  url          = {http://dx.doi.org/10.1053/j.ajkd.2017.12.003},
  volume       = {71},
  year         = {2018},
}

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