Expanding the scope of shared decision-making in vascular access planning for hemodialysis: a case for interprofessional collaboration.

Abstract

Vascular access planning guidelines have shifted from a fistula-centered to a patient-centered approach. We advocate for expansion of the shared decision-making dyad between the nephrology team and patient to include other vascular access planning stakeholders. We propose earlier and consistent interprofessional collaboration facilitates more constructive discussions that could improve outcomes.