QUALITY OF LIFE AND VASCULAR ACCESS IN HAEMODIALYSIS: AN INTEGRATIVE REVIEW
DOI:
https://doi.org/10.66104/3vbr9128Keywords:
Haemodialysis, Chronic kidney disease, Vascular access, Central venous catheterAbstract
Chronic kidney disease is associated with substantial physical, emotional and social burden, particularly among patients undergoing haemodialysis. Despite the growing literature on patient-reported outcomes in haemodialysis, the contribution of vascular access to quality-of-life perception remains inconsistently explored. This integrative review examined how vascular access, particularly central venous catheters, has been incorporated into studies evaluating quality of life in haemodialysis populations. Searches were conducted in PubMed, Scopus and SciELO, with complementary consultation of Google Scholar, between November and December 2025. The review followed the methodological stages proposed for integrative reviews, and PRISMA 2020 recommendations were used to guide study identification and screening procedures. Fourteen studies published between 2020 and 2025 were included. The analysed studies consistently described impairment in physical, psychosocial and functional dimensions of quality of life among haemodialysis patients. However, only a limited number of investigations directly evaluated vascular access as an analytical variable associated with patient-reported outcomes. Among the studies comparing access modalities, central venous catheters were generally associated with less favourable experiences than arteriovenous fistulae, including lower treatment satisfaction, greater psychosocial burden and increased perception of vulnerability. The findings indicate that vascular access remains insufficiently incorporated into analytical models investigating quality of life in haemodialysis. Although studies directly evaluating access modalities suggest less favourable experiences among catheter users, the available evidence remains methodologically heterogeneous and limited in its ability to establish causal interpretation. Further investigations using stratified analyses and adjustment for potential confounding factors may contribute to a more consistent understanding of how vascular access influences the haemodialysis experience.
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Copyright (c) 2026 Bianca Gato Pereira, Karen Vitória de Souza Caldas, Andressa Karla Vojta Sussuarana, Fernanda da Silva Lima, Andréa de Sousa Costa; Irlaine Maria Figueira da Silva, Jociléia da Silva Bezerra; Raquel Santos da Silva, Monica Karla Vojta Miranda; irineia simplicio
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