To summarize, this 14-year retrospective study is the first to document and analyze the choice of VA following a change in pediatric kidney transplantation priority allocation policy.
We observed a change in clinical practice:
for hemodialysis patients awaiting renal transplantation, our fistula-first center saw a shift toward a CVC-first center. For the medical team,shorter expected wait times implied a more flexible approach to VA placement in children with ESRD.