<p>Vascular access planning guidelines have shifted from a fistula-centered to a patient-centered approach. We advocate for expansion of the shared decision-making dyad between the nephrology team and patient to include other vascular access planning stakeholders. We propose earlier and consistent interprofessional collaboration facilitates more constructive discussions that could improve outcomes.</p>

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Expanding the scope of shared decision-making in vascular access planning for hemodialysis: a case for interprofessional collaboration

  • Andrea Yu-Ling Liu,
  • Mary Hammes,
  • Peter Angelos,
  • Neil Kondamuri,
  • Lauren Harriett,
  • Ashley Suah,
  • Ted Albert Skolarus

摘要

Vascular access planning guidelines have shifted from a fistula-centered to a patient-centered approach. We advocate for expansion of the shared decision-making dyad between the nephrology team and patient to include other vascular access planning stakeholders. We propose earlier and consistent interprofessional collaboration facilitates more constructive discussions that could improve outcomes.