Association between Heights of Dialysis Patients and Outcomes: Results from a Retrospective Cohort Study of the International MONitoring Dialysis Outcomes (MONDO) Database Initiative

Samir Patel, Alice Topping, Xiaoling Ye, Hanjie Zhang, Bernard Canaud, Paola Carioni, Cristina Marelli, Adrian Guinsburg, Albert Power, Neill Duncan, Jeroen Kooman, Frank van der Sande, Len A. Usvyat, Yuedong Wang, Xiaoqi Xu, Peter Kotanko, Jochen G. Raimann*, MONDO Initiative

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)

Abstract

Background: Tall people have improved metabolic profiles and better cardiovascular outcomes, a relationship inverted in dialysis patients. We investigated the relationship between height and outcomes in incident hemodialysis (HD) patients commencing treatment in an analysis of the international Monitoring Dialysis Outcomes (MONDO) database. Methods: In this retrospective cohort study, we included incident HD patients commencing treatment between -January 1, 2006 and December 31, 2010 and investigated the association between height and mortality using the MONDO database. A 6-months baseline period preceded 2.5 years of follow-up, during which we recorded patient mortality. Patients were stratified in region-specific deciles of the respective database's population (Asia Pacific, North and South America, and Europe) and we developed Cox-proportional hazard models (additionally adjusted for age, gender, post-dialysis weight, eKt/V, albumin, interdialytic weight gain, phosphorus, and predialysis systolic blood pressure) for each database. Results: We studied 23,353 patients (62 +/- 15 years old, 42% female, body mass index 26 +/- 6 kg/m(2), height 165 +/- 10 cm). We found a trend of increasing hazard ratio of death (HR) with increasing height for Asia Pacific, Europe, and South America. In the fully adjusted models, for South America, we found a trend of increasing HR without significance among deciles >5. In Europe, deciles 8-10 had significantly increased HR. No clear trend was found in North America. Conclusion: We found an increasing risk of death with increasing height in all regions, except North America. While the reasons remain unclear, further research may be warranted. Video Journal Club 'Cappuccino with Claudio Ronco' at http://www.karger.com/? doi=485162. (c) 2018 S. Karger AG, Basel
Original languageEnglish
Pages (from-to)245-253
Number of pages9
JournalBlood Purification
Volume45
Issue number1-3
DOIs
Publication statusPublished - 1 Jan 2018
EventRenal-Research-Institute's 20th International Conference on Dialysis, Advances in Chronic Kidney Disease (CKD) - Lake Buena Vista, FL, Lake Buena Vista
Duration: 1 Jan 2018 → …

Keywords

  • Height
  • Outcomes
  • Dialysis
  • Intercontinental databases
  • Monitoring dialysis outcomes
  • PRACTICE PATTERNS
  • MORTALITY RISK
  • HEMODIALYSIS
  • DOPPS
  • SMOKING
  • GROWTH

Cite this