Fistula First, K/DOQI and Documentation

  • Dheeraj K. Rajan


Fistula First represents a collaborative initiative between the Centers of Medicare and Medicaid Services (CMS), ESRD Networks, and relevant members of the renal community within the United States. Its origin is linked to the recognition that within the United States, most patients were not receiving the most optimal form of hemodialysis access, the hemodialysis fistula.


K/DOQI Fistula First Catheters AV fistulas AV grafts Angioplasty Tunneled cuffed Catheters Stents 


  1. 1.
    Vascular Access Work Group. Clinical practice guidelines for vascular access. Am J Kidney Dis. 2006;48 Suppl 1:S176–247.Google Scholar
  2. 2.
    National Kidney Foundation Kidney Diseases Outcomes Quality Initiative. Clinical practice guidelines for vascular access: update 2000. Am J Kidney Dis. 2001;37(1 Suppl 1):S137–81.Google Scholar
  3. 3.
    Sidawy AN, Gray R, Besarab A, et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603–10.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Division of Vascular & Interventional Radiology, Department of Medical ImagingUniversity of TorontoTorontoCanada

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