WCN25-3663 EFFECTIVENESS OF ANGIOTENSIN-CONVERTING ENZYME INHIBITORS VERSUS ANGIOTENSIN RECEPTOR BLOCKERS OR THEIR COMBINATION ON MORTALITY IN MAINTENANCE DIALYSIS PATIENTS: A META-ANALYSIS OF 126,612 PATIENTS

Despite growing public awareness about chronic kidney disease (CKD) and HD, even among elective patients, 238 (81.8%) initiated their first HD using a central venous catheter (CVC), which highlights an area for improvement.These findings contrast with trends in other countries, where the use of arteriovenous (AV) fistulas at the time of first dialysis initiation is notably higher-84% in Japan, 58% in Europe, and 28% in the USA.The results indicate that while our vascular access practices are better than the national average, there is still room for improvement.Establishing a multidisciplinary team and dedicated vascular access coordinators could help enhance our current practices.Along with HD access greater importance must also be given for increasing the adequacy of the dialysis to decrease the uremic complication and decrease the mortality and morbidity.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.