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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Despite clinical guidelines recommending arteriovenous fistula (AVF) as the optimal vascular access for hemodialysis, over 60% of Pakistani patients initiate dialysis via temporary catheters. This study investigates the patient-centered factors contributing to delayed AVF creation.
A cross-sectional study of 121 patients initiating hemodialysis via temporary access at a tertiary care center. Data collection included demographic characteristics, clinical parameters, and a 12-item questionnaire assessing beliefs about AVF creation. Multivariate regression analysis identified predictors of delayed AVF creation.
The cohort (mean age 45.2±14.8 years, 72.7% male) had strong theoretical agreement with early AVF creation (94.2%), yet experienced substantial delays (median: 17 months; mean: 36.8 months). Multivariate analysis revealed lower education level as the strongest predictor (graduate education: -43.9 months, p=0.005), followed by belief in alternative therapies (+35.6 months, p<0.001), perception of AVF as hopelessness (+16.9 months, p=0.018), and older age (+0.48 months/year, p=0.014). Symptomatic kidney stone disease predicted shorter delays (-32.4 months, p=0.013). Referral time showed weak correlation with AVF delay (r=0.26, p=0.004).
AVF creation delays are primarily driven by socioeconomic and psychological factors rather than clinical necessity. Targeted interventions addressing health literacy, misconceptions about alternative therapies, and psychological barriers are essential for improving vascular access outcomes.
