This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

A randomized controlled trial and cost-effectiveness analysis of early cannulation arteriovenous grafts versus tunneled central venous catheters in patients requiring urgent vascular access for hemodialysis. J Vasc Surg 2017: 65: 766–774.

Published: 2nd August 2017

Authors: Aitken E, Thomson P, Bainbridge L, Kasthuri R, Mohr B, Kingsmore D et al.

Conclusion

One hundred and twenty-one patients were included. Early cannulation of the grafts was associated with a lower rate of bacteraemia (3.3 versus 16.4 per cent, P=0.02) and fewer deaths (5 versus 16 per cent, P=0.04), but costs were similar.

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