National Kidney and Urologic Diseases
Information Clearinghouse (NKUDIC)

A service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH)

apples walking checkup

Kidney Disease Research Updates
Summer 2011

NIH Videos Help Health Care Providers Answer Questions about Dialysis

First Series Focuses on Arteriovenous (AV) Fistula Surgery

Screen shot of the National Kidney Disease Education Program website.

Health care providers can now take advantage of a new video series to help them talk with patients about preparing for dialysis treatments. The eight short videos cover some of the most common questions patients ask about surgery to create an AV fistula, a connection between an artery and a vein in the arm that allows adequate blood flow for dialysis. The videos were produced by the National Kidney Disease Education Program (NKDEP) and the Fistula First Breakthrough Initiative (FFBI).

“We know that it is sometimes difficult for primary care providers to talk with patients about the different aspects of dialysis preparation,” said Andrew S. Narva, M.D., F.A.C.P., director of the NKDEP. “We hope these videos will help providers feel more comfortable discussing fistula placement so those important conversations can happen earlier in the disease process.”

A normal vein does not allow blood to flow rapidly enough to and from the dialysis machine, and repeated needle punctures would harm the vein. “We encourage patients to have a fistula placed in an arm several months before we anticipate they will need dialysis,” Narva said. Advance placement allows time for the fistula to heal, so it is ready for the first dialysis treatment.

“It is important for patients and their families to understand the need for permanent vascular access,” said Brandy Vinson, FFBI project manager. “Fistulas provide such access, so we are pleased to have developed this video series with NKDEP. It helps us carry out our mission to meet patient and provider needs.”

Each 1- to 2-minute video features Betty Garrison, an actual patient who is facing dialysis, and Narva, a board-certified nephrologist who answers her questions.

“Patients facing dialysis need to understand what is happening to them and to their bodies,” said Garrison. “I was still a little fearful after talking with Dr. Narva, but I had my surgery because I knew it would help me in the long run. My fistula will be ready when I need to start dialysis.”

The video series is featured on the NKDEP and FFBI websites. To access the videos on the NKDEP site, visit the AV Fistula Placement section of www.nkdep.nih.gov/professionals/providereducation/index.htm.

On the FFBI site, the videos are located at www.fistulafirst.org/ProviderEducationalVideos.aspxclick to view disclaimer page.

The NKDEP, an initiative of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), aims to raise awareness of the seriousness of kidney disease, the importance of testing those at high risk, and the availability of treatment to prevent or slow kidney disease. For more information about the NKDEP, see www.nkdep.nih.gov.

FFBI Coalition members include the Centers for Medicare & Medicaid Services, Medicare End-stage Renal Disease (ESRD) Networks, and a broad representation of other organizations from the renal community. The coalition works to ensure every suitable hemodialysis patient will receive the optimal form of vascular access—in most cases, an AV fistula. Learn more about the FFBI at www.fistulafirst.orgclick to view disclaimer page.

The National Kidney and Urologic Diseases Information Clearinghouse, part of the NIDDK, has fact sheets and easy-to-read booklets about kidney disease. For more information or to obtain copies, visit www.kidney.niddk.nih.gov.

 

[Top] [Next Article]


NIH Publication No. 11–4531
September 2011


 

The National Kidney and Urologic Diseases Information Clearinghouse is a service of the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health.

National Kidney and Urologic Diseases Information Clearinghouse
3 Information Way
Bethesda, MD 20892–3580
Phone: 1–800–891–5390
TTY: 1–866–569–1162
Fax: 703–738–4929
Email: nkudic@info.niddk.nih.gov
Internet: www.kidney.niddk.nih.gov

Department of Health and Human ServicesThe National Institutes of HealthThe National Institute of Diabetes and Digestive and Kidney DiseasesUSA.gov is the U.S. government's official web portal to all federal, state, and local government web resources and services. This website is certified by Health On the Net Foundation. Click to verify.

NIH...Turning Discovery Into Health ®

Privacy Statement | Disclaimers | Accessibility | PDF versions require the free Acrobat Reader click to view disclaimer page software for viewing.