Abstract: 【Abstract】Objective The utilization of internal arteriovenous fistula (AVF) from the beginning of hemodialysis in end-stage renal disease (ESRD) patients was evaluated by using a meta analysis in order to provide scientific bases for the improvement of intervention measures. Methods We searched the Chinese and English databases. A total of 18 articles were found to meet the requirements. One-group rate meta-analysis was adopted, and Stata 12SE was used for statistical analysis. Results In the 4,738 patients included in the 18 observational studies, 795 patients used AVF from the beginning of hemodialysis. Meta analysis results showed that the combined rate of AVF from the beginning of hemodialysis in Chinese ESRD patients was 18.0% (95% CI=13.9～22.0%). Conclusion The utilization rate of AVF from the beginning of hemodialysis was lower in Chinese ESRD patients. Therefore, intervention should be carried out as early as possible to increase the rate of using AVF at the beginning of hemodialysis.

Key words: End stage of renal disease, Arteriovenous fistulas, Utilization rate, Meta analysis