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The EDTNA/ERCA survey of the management of vascular access was the first project organised through the Collaborative Research Programme. This paper reports in the first part, on the current policies for management of vascular access which were studied using centre‐based data collected with a computer based questionnaire. The survey included 103 European centres treating a total of 13,800 chronic haemodialysis patients. 75% of patients in the participating centres were dialysed using a native arteriovenous fistula, 10% had a synthetic graft and 15% had a catheter. In most centres, well‐established hygienic precautions were used. When handling catheters, hygiene was even better. We observed that many aspects of access management varied significantly from region to region as well as between centres. The second part of this paper will relate the large differences observed in centre policies of vascular access management to individual patients' outcome parameters.
Although the link between diabetes and anaemia has been firmly established in the renal world, patients with diabetes and healthcare workers in this field are clearly failing to recognise many of the common symptoms of anaemia, a key indicator for renal disease. By forging links and instigating an exchange of information, renal health care workers can work with their colleagues in diabetes to raise awareness of the important benefits arising from the early diagnosis and treatment of the anaemia related to kidney disease.
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