Effect of arteriovenous fistula and usage of arm with fistula on bone mineral density in hemodialysis patients.

Effect of arteriovenous fistula and usage of arm with fistula on bone mineral density in hemodialysis patients. Ren Fail. 2016 Feb 24;:1-6 Authors: Turk AC, Sahin F, Ozkurt S, Tomak L, Guray G Abstract We aimed to determine the incidence of osteoporosis in hemodialysis patients, to evaluate the differences due to arteriovenous fistula on bone mineral density (BMD) and to investigate whether usage of arm with fistula has an effect on BMD. In this cross-sectional study, 96 patients with chronic renal disease undergone to dialysis were included. Place of fistula (radial and brachial) and dominant hand were recorded. All patients were asked to complete Likert's scale in order to determine the frequency of their usage of arm with fistula. Patients were assigned in two groups: age >51 and < 50 years. Age-matched control group included 60 subjects. BMD measurements were done on lumbar vertebra, femur and both forearms. BMD measurement of proximal femur and total radius were significantly lower in patients >50 years compared to healthy controls and bone density measurement of lumbar vertebra, proximal femur, 1/3 distal and total radius were significantly lower in patients < 50 years compared to healthy controls (p < 0.05). BMD measurement was significantly lower in arms with fistula, especially with radial fistula, compared to both arms without fistula and healthy controls (p < 0.05). When all patients were...
Source: Renal Failure - Category: Urology & Nephrology Tags: Ren Fail Source Type: research