Arteriovenous fistula non-use: Insights from Thailand’s healthcare experience

Prior CVC use was associated with lower AVF non-use, reflecting better timing of AVF creation based on established dialysis need rather than CVC benefits. High preemptive AVF non-use often resulted from delayed dialysis initiation or changing preferences. These findings support kidney failure risk prediction tools and individualized ESRD life-planning to optimize AVF timing. For patients requiring urgent dialysis initiation, sequential CVC-to-AVF management may represent clinically appropriate care. Optimal results require individualized timing, ongoing reassessment, and strong multidisciplinary coordination.