The MONitoring Dialysis Outcomes (MONDO) Initiative

L.A. Usvyat; Y. S. Haviv; M. Etter; J.P. Kooman; D. Marcelli; C. Marelli; A. Power; T. Toffelmire; Y. Wang; P. Kotanko

doi:10.1159/000345179

The MONitoring Dialysis Outcomes (MONDO) Initiative

L.A. Usvyat^*, Y. S. Haviv, M. Etter, J.P. Kooman, D. Marcelli, C. Marelli, A. Power, T. Toffelmire, Y. Wang, P. Kotanko

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: Systematic collection and analysis of global hemodialysis patient data may help to improve patient outcomes. Methods: The MONitoring Dialysis Outcomes (MONDO) initiative comprises data from eight dialysis providers worldwide. Data are combined into one repository. Extensive procedures are employed to merge data across countries and providers. Results: The MONDO database comprises longitudinal data of currently 128,000 hemodialysis patients from 26 countries on five continents. Here we report data from 62,345 incident hemodialysis patients. We found lower catheter rates in South-East Asia and Australia, lower hemoglobin levels in South-East Asia, and a higher prevalence of diabetes in North America. Longitudinal analyses suggest that there is a decline in interdialytic weight gain and serum phosphorus and an increasing neutrophil-to-lymphocyte ratio before death in all regions studied. Conclusions: While organizationally lean and low-cost, MONDO is the largest global dialysis database initiative to date, with a particular focus on high longitudinal data density and geographical diversity.

Original language	English
Pages (from-to)	37-48
Journal	Blood Purification
Volume	35
Issue number	1-3
DOIs	https://doi.org/10.1159/000345179
Publication status	Published - 1 Jan 2013

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10.1159/000345179

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title = "The MONitoring Dialysis Outcomes (MONDO) Initiative",

abstract = "Background: Systematic collection and analysis of global hemodialysis patient data may help to improve patient outcomes. Methods: The MONitoring Dialysis Outcomes (MONDO) initiative comprises data from eight dialysis providers worldwide. Data are combined into one repository. Extensive procedures are employed to merge data across countries and providers. Results: The MONDO database comprises longitudinal data of currently 128,000 hemodialysis patients from 26 countries on five continents. Here we report data from 62,345 incident hemodialysis patients. We found lower catheter rates in South-East Asia and Australia, lower hemoglobin levels in South-East Asia, and a higher prevalence of diabetes in North America. Longitudinal analyses suggest that there is a decline in interdialytic weight gain and serum phosphorus and an increasing neutrophil-to-lymphocyte ratio before death in all regions studied. Conclusions: While organizationally lean and low-cost, MONDO is the largest global dialysis database initiative to date, with a particular focus on high longitudinal data density and geographical diversity.",

author = "L.A. Usvyat and Haviv, {Y. S.} and M. Etter and J.P. Kooman and D. Marcelli and C. Marelli and A. Power and T. Toffelmire and Y. Wang and P. Kotanko",

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doi = "10.1159/000345179",

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T1 - The MONitoring Dialysis Outcomes (MONDO) Initiative

AU - Usvyat, L.A.

AU - Haviv, Y. S.

AU - Etter, M.

AU - Kooman, J.P.

AU - Marcelli, D.

AU - Marelli, C.

AU - Power, A.

AU - Toffelmire, T.

AU - Wang, Y.

AU - Kotanko, P.

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Background: Systematic collection and analysis of global hemodialysis patient data may help to improve patient outcomes. Methods: The MONitoring Dialysis Outcomes (MONDO) initiative comprises data from eight dialysis providers worldwide. Data are combined into one repository. Extensive procedures are employed to merge data across countries and providers. Results: The MONDO database comprises longitudinal data of currently 128,000 hemodialysis patients from 26 countries on five continents. Here we report data from 62,345 incident hemodialysis patients. We found lower catheter rates in South-East Asia and Australia, lower hemoglobin levels in South-East Asia, and a higher prevalence of diabetes in North America. Longitudinal analyses suggest that there is a decline in interdialytic weight gain and serum phosphorus and an increasing neutrophil-to-lymphocyte ratio before death in all regions studied. Conclusions: While organizationally lean and low-cost, MONDO is the largest global dialysis database initiative to date, with a particular focus on high longitudinal data density and geographical diversity.

AB - Background: Systematic collection and analysis of global hemodialysis patient data may help to improve patient outcomes. Methods: The MONitoring Dialysis Outcomes (MONDO) initiative comprises data from eight dialysis providers worldwide. Data are combined into one repository. Extensive procedures are employed to merge data across countries and providers. Results: The MONDO database comprises longitudinal data of currently 128,000 hemodialysis patients from 26 countries on five continents. Here we report data from 62,345 incident hemodialysis patients. We found lower catheter rates in South-East Asia and Australia, lower hemoglobin levels in South-East Asia, and a higher prevalence of diabetes in North America. Longitudinal analyses suggest that there is a decline in interdialytic weight gain and serum phosphorus and an increasing neutrophil-to-lymphocyte ratio before death in all regions studied. Conclusions: While organizationally lean and low-cost, MONDO is the largest global dialysis database initiative to date, with a particular focus on high longitudinal data density and geographical diversity.

U2 - 10.1159/000345179

DO - 10.1159/000345179

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SN - 0253-5068

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JO - Blood Purification

JF - Blood Purification

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