Table 4.

Reasons for starting HD with CVC according to the presentation mode (n=434)

No show, failure to attend scheduled clinic appointments for at least 3 months; Refusal of surgery, refusal to create a permanent access prior to start of HD; Change in modality from PD to HD, switch of modality from PD to HD in patients who were on PD before; Acute need of dialysis, unexpected need of dialysis because of rapid loss of GFR or development of severe uremic complications, such as uremia, pulmonary edema with hypoxia, hyperkalemia or metabolic acidosis; Rapid GFR loss, sudden drop in GFR that deviated from declining rate observed in preceding months; Poor maturation of the access, immature access despite at least 8 weeks of maturation; Delay in referral to a surgeon, more than 4 weeks of interval between selection of modality and referral to a surgeon by a nephrologist; Delay between referral and surgery, at least 3 weeks of delay between referral to a surgeon and access creation; Planning renal transplantation, a schedule to receive renal transplantation within 3 months after start of HD.

HD, hemodialysis; CVC, central venous catheter; PD, peritoneal dialysis.