Related Experiment Video
Updated: May 14, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
The MONitoring Dialysis Outcomes (MONDO) initiative
Len A Usvyat1, Yosef S Haviv, Michael Etter
1Renal Research Institute, New York, NY 10128, USA. lusvyat@rriny.com
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.
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