Evidence map›Paper›PMID 26272070›Full record

ArticleBMC nephrology2015

Seasonal variations in mortality and clinical indicators in international hemodialysis populations from the MONDO registry.

Adrian M Guinsburg, Len A Usvyat, Michael Etter, Xiaoqi Xu, Stephan Thijssen, Daniele Marcelli, Bernard Canaud, Cristina Marelli, Claudia Barth, Yuedong Wang and 5 more

Abstract read
In one paragraph

Article in BMC nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Does Incident Solar Ultraviolet Radiation Lower Blood Pressure?Journal of the American Heart Association · 2020
    Observational
  13. Article
  14. Article
  15. Article
  16. Excess Deaths Attributable to Influenza-Like Illness in the ESRD Population.Journal of the American Society of Nephrology : JASN · 2019
    Article
  17. Review
  18. Observational
  19. Seasonal variations in transition, mortality and kidney transplantation among patients with end-stage renal disease in the USA.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Adrian M GuinsburgFresenius Latin America, Buenos Aires, Argentina. Adrian.Guinsburg@fmc-ag.com.
Len A UsvyatFresenius Medical Care, Waltham, MA, USA. Len.Usvyat@fmc-na.com.
Michael EtterFresenius Asia Pacific Limited, Hong Kong, Hong Kong. Michael.Etter@fmc-asia.com.
Xiaoqi XuFresenius Asia Pacific Limited, Hong Kong, Hong Kong. Xiaoqi.Xu@fmc-asia.com.
Stephan ThijssenRenal Research Institute, New York, NY, USA. Stephan.Thijssen@RRINY.COM.
Daniele MarcelliFresenius Medical Care, Bad Homburg, Germany. Daniele.Marcelli@fmc-ag.de.
Bernard CanaudFresenius Medical Care, Bad Homburg, Germany. Bernard.Canaud@fmc-ag.com.
Cristina MarelliFresenius Latin America, Buenos Aires, Argentina. Cristina.Marelli@fmc-ag.com.
Claudia BarthKuratorium für Dialyse und Nierentransplantation e.V., Neu-Isenburg, Germany. claudiabarth@aol.com.
Yuedong WangUniversity of California - Santa Barbara, Santa Barbara, CA, United States. yuedong@pstat.ucsb.edu.
Paola CarioniFresenius Medical Care, Bad Homburg, Germany. paola.carioni@fmc-ag.com.
Frank M van der SandeMaastricht University Medical Center, Maastricht, Netherlands. f.vander.sande@mumc.nl.
Peter KotankoRenal Research Institute, New York, NY, USA. Peter.Kotanko@RRINY.COM.
Jeroen P KoomanMaastricht University Medical Center, Maastricht, Netherlands. jeroen.kooman@mumc.nl.
Monitoring Dialysis Outcomes (MONDO) consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeasonal mortality differences have been reported in US hemodialysis (HD) patients. Here we examine the effect of seasons on mortality, clinical and laboratory parameters on a global scale.

methodsDatabases from the international Monitoring Dialysis Outcomes (MONDO) consortium were queried to identify patients who received in-center HD for at least 1 year. Clinics were stratified by hemisphere and climate zone (tropical or temperate). We recorded mortality and computed averages of pre-dialysis systolic blood pressure (pre-SBP), interdialytic weight gain (IDWG), serum albumin, and log C-reactive protein (CRP). We explored seasonal effects using cosinor analysis and adjusted linear mixed models globally, and after stratification.

resultsData from 87,399 patients were included (northern temperate: 63,671; northern tropical: 7,159; southern temperate: 13,917; southern tropical: 2,652 patients). Globally, mortality was highest in winter. Following stratification, mortality was significantly lower in spring and summer compared to winter in temperate, but not in tropical zones. Globally, pre-SBP and IDWG were lower in summer and spring as compared to winter, although less pronounced in tropical zones. Except for southern temperate zone, serum albumin levels were higher in winter. CRP levels were highest in winter.

conclusionSignificant global seasonal variations in mortality, pre-SBP, IDWG, albumin and CRP were observed. Seasonal variations in mortality were most pronounced in temperate climate zones.

Indexed as

SeasonsTropical ClimateAdultAgedAsiaBlood PressureC-Reactive ProteinEuropeFemaleHumansMaleMiddle AgedNorth AmericaOceaniaRegistriesRenal DialysisC-Reactive ProteinSerum Albumin

Identifiers

PMID26272070
PMCPMC4542126

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.