Key result
Shared decision-making and interprofessional communication support safe, equitable, and patient-centered hemodialysis vascular access care.
Structured interprofessional communication and shared decision-making are foundational for effective, patient-centered hemodialysis vascular access management as emphasized by the 2019 KDOQI guidelines.
Supports KDOQI-guided collaboration in access planning; leaves open prospective trials on outcome impact.
서 론 혈액투석 환자의 치료는 기계적 치료 행위가 아니라 복잡한 의학 적ㆍ사회적 조율의 결과물이다.그중에서 혈관 접근(vascular access) 은 투석 치료의 생명선이자, 장기 생존과 삶의 질을 결정하는 핵심 인프라이다.AVF (arteriovenous fistula), AVG (arteriovenous graft), 그 리고 중심정맥관(central venous catheter)을 포함한 다양한 접근 방식 중 어떤 것을 선택하고 어떻게 유지하느냐는 환자의 의학적 예후 및 삶의 질에 직접적인 영향을 미친다[1,2].하지만 현실적으로 혈관 접근은 계획, 시술, 유지, 재개통, 평가 의 생애주기(life cycle) 단계를 거치며, 쉼 없이 유지되고 각 단계마 다
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Heungman Jun (2025) conducted a review in Hemodialysis vascular access. Shared decision-making and interprofessional communication vs. Standard care (traditional physician-centered approach) was evaluated. Shared decision-making and interprofessional communication, emphasized by the 2019 KDOQI guidelines, are foundational for safe, equitable, and patient-centered hemodialysis vascular access care.
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