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December 16, 2008

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Zach

I may be wrong, but in Japan, many patients have the arteriovenous fistula created by their own nephrologists.

Dori

It is easier to have fistulas in Japan or Europe because DOPPS data show that the blood flow rates for dialysis in those countries are much lower--closer to 250 or 350 than the 500 commonly used in the U.S. So fistulas that work fine there would be "failures" here because US clinics insist on delivering quick, harsh treatments in 3 hours or so 3x/week. It's not just about the surgeons.

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