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EDITORIAL

Resolved: Fistulas are preferred to grafts as initial vascular access for dialysis. Pro

Anatole Besarab
Journal of the American Society of Nephrology: JASN 2008, 19 (9): 1629-31
18508963
There is growing concern that the Fistula First Initiative, KDOQI guidelines, and subsequent pressure from the Centers for Medicare and Medicaid Services lack reasonableness regarding likely success for fistula maturation in a heterogeneous, new-onset dialysis population. Here the various positions are examined from multiple perspectives.

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