March 3, 2026Annals of Surgical Treatment and Research0 citationsOpen Access

Comparative outcomes of dialysis vascular access in kidney transplant patients: a propensity score-matched retrospective cohort study

MKMinyu KangYonsei University HKHwa-Hee KohYonsei University YYYoung Jin YooYonsei University

Key Points

Dialysis vascular access outcomes are similar for kidney transplant and non-kidney transplant patients, indicating KT status does not harm outcomes.
Key factors affecting management include low body mass index, diabetes mellitus, and use of steroid or mTOR inhibitors.
Analysis utilized propensity score matching to ensure balanced comparisons among groups in outcomes.
Effective management is crucial for vulnerable patient subsets to maintain positive vascular access outcomes.

Abstract

VA outcomes in KT patients with allograft failure were comparable to those of non-KT patients. While KT status itself does not adversely affect VA patency or infection rates, patients with low body mass index, diabetes mellitus, or who are receiving steroid or mTOR inhibitors should be carefully managed.

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