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Original Article

Turk J Vasc Surg. 2025; 34(3): 197-203


Association of serum uric acid/albumin ratio, C-reactive protein, and hemodynamic mismatch with arteriovenous fistula complications: A retrospective cohort study

Hakan Guven, Ayhan Muduroglu.



Abstract
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Aim: Arteriovenous fistula (AVF) complications remain a major challenge in hemodialysis patients. This study aimed to evaluate the relationship between the serum uric acid/albumin ratio (UAR), C-reactive protein (CRP), and the development of AVF complications.
Material and Methods: This retrospective cohort study included 358 hemodialysis patients with functioning AVFs, divided into complication (n=120) and no-complication (n=238) groups. UAR, CRP, and Doppler ultrasound findings were compared between groups. Receiver operating characteristic (ROC) curve analysis evaluated the predictive value of UAR and CRP.
Results: AVF complications occurred in 33.5% of patients. Median UAR was significantly higher in patients with complications compared to those without (1.99 [IQR: 1.65–2.35] vs. 1.76 [IQR: 1.47–2.06], p

Key words: Arteriovenous fistula, uric acid, serum albumin, C-reactive protein, renal dialysis





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