ANNA Advanced Practice Special Interest Group Project - American ...

Access Cost Comparison
• U.S. 2008 ESRD population 547,982
with total cost of $39.5 billion/year.
• Cost for all CKD patients is 23% of
total Medicare budget.
• Cost for vascular access: (per year)
AVF: $3,480
AVG: $8,683
Catheter: $6,402
Preparing the Patient
for Vascular Access
• Education about options and what to expect
early on
• Evaluate to make sure patient is well prepared
physically and psychologically for access
surgery
• Forward planning ensures that sufficient time
is available for the preservation of the access
site, its creation and maturation
• Early referral to vascular surgeon for vein
mapping and discussion of AVF placement
USRDS, 2010
Vascular Surgery
Intervention
• Referral when eGFR