A Web-Based Platform to Collect Data from ESRD Patients Undergoing Dialysis: Methods and Preliminary Results from the Brazilian Dialysis Registry

Introduction. The methods and initial results of a web-based platform to collect data from patients receiving maintenance dialysis in Brazil are reported. Methods. Companies providing management software for dialysis centers adapted their system to comply with a formulary of the Brazilian Society of...

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Main Authors: Jocemir R. Lugon, Pedro A. Gordan, Fernando S. Thomé, Antonio A. Lopes, Yoshimi J. A. Watanabe, Carmen Tzanno, Ricardo C. Sesso
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.1155/2018/9894754
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author Jocemir R. Lugon
Pedro A. Gordan
Fernando S. Thomé
Antonio A. Lopes
Yoshimi J. A. Watanabe
Carmen Tzanno
Ricardo C. Sesso
author_facet Jocemir R. Lugon
Pedro A. Gordan
Fernando S. Thomé
Antonio A. Lopes
Yoshimi J. A. Watanabe
Carmen Tzanno
Ricardo C. Sesso
author_sort Jocemir R. Lugon
collection DOAJ
description Introduction. The methods and initial results of a web-based platform to collect data from patients receiving maintenance dialysis in Brazil are reported. Methods. Companies providing management software for dialysis centers adapted their system to comply with a formulary of the Brazilian Society of Nephrology. Baseline and follow-up individual patients’ data were transmitted via Internet on monthly bases to the coordinating center from 2011 to 2017. Results. 73 dialysis centers provided information of 24,930 patients: 57% were male, 28% were 64 years old or older, and 13% were overweight/obese. Median dialysis vintage was 28 months. Hemodialysis was the most frequent initial therapy (93%) with venous catheters used in 64% of cases. Conventional hemodialysis remained the main current therapy (90%). Seropositivity for hepatitis C, hepatitis B, and HIV was 2.7%, 1.1%, and 0.5%, respectively. Erythropoietin (53.9%), iron (35.1%), and sevelamer (23.4%) were the most used medications. Hemoglobin < 100 g/L and serum P > 1.74 mmol/L were present in 33.1% and 36.6% of the cases, respectively. The 5-year survival of incident cases (n=7,538) was 57%. Conclusion. The initiative represents an innovative strategy to collect clinical and epidemiologic data of dialysis patients which may be applied to other settings and provides information that can contribute to guiding clinical practice and health care policy.
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spelling doaj-art-6c113bcc3af94159b18f214cd6abf19b2025-02-03T07:25:02ZengWileyInternational Journal of Nephrology2090-214X2090-21582018-01-01201810.1155/2018/98947549894754A Web-Based Platform to Collect Data from ESRD Patients Undergoing Dialysis: Methods and Preliminary Results from the Brazilian Dialysis RegistryJocemir R. Lugon0Pedro A. Gordan1Fernando S. Thomé2Antonio A. Lopes3Yoshimi J. A. Watanabe4Carmen Tzanno5Ricardo C. Sesso6Universidade Federal Fluminense, Niterói, RJ, BrazilUniversidade Estadual de Londrina, Londrina, PR, BrazilUniversidade Federal do Rio Grande do Sul, Porto Alegre, RS, BrazilUniversidade Federal da Bahia, Salvador, BA, BrazilHospital São João de Deus, Divinópolis, MG, BrazilSociedade Brasileira de Nefrologia, São Paulo, SP, BrazilUniversidade Federal de São Paulo, São Paulo, SP, BrazilIntroduction. The methods and initial results of a web-based platform to collect data from patients receiving maintenance dialysis in Brazil are reported. Methods. Companies providing management software for dialysis centers adapted their system to comply with a formulary of the Brazilian Society of Nephrology. Baseline and follow-up individual patients’ data were transmitted via Internet on monthly bases to the coordinating center from 2011 to 2017. Results. 73 dialysis centers provided information of 24,930 patients: 57% were male, 28% were 64 years old or older, and 13% were overweight/obese. Median dialysis vintage was 28 months. Hemodialysis was the most frequent initial therapy (93%) with venous catheters used in 64% of cases. Conventional hemodialysis remained the main current therapy (90%). Seropositivity for hepatitis C, hepatitis B, and HIV was 2.7%, 1.1%, and 0.5%, respectively. Erythropoietin (53.9%), iron (35.1%), and sevelamer (23.4%) were the most used medications. Hemoglobin < 100 g/L and serum P > 1.74 mmol/L were present in 33.1% and 36.6% of the cases, respectively. The 5-year survival of incident cases (n=7,538) was 57%. Conclusion. The initiative represents an innovative strategy to collect clinical and epidemiologic data of dialysis patients which may be applied to other settings and provides information that can contribute to guiding clinical practice and health care policy.http://dx.doi.org/10.1155/2018/9894754
spellingShingle Jocemir R. Lugon
Pedro A. Gordan
Fernando S. Thomé
Antonio A. Lopes
Yoshimi J. A. Watanabe
Carmen Tzanno
Ricardo C. Sesso
A Web-Based Platform to Collect Data from ESRD Patients Undergoing Dialysis: Methods and Preliminary Results from the Brazilian Dialysis Registry
International Journal of Nephrology
title A Web-Based Platform to Collect Data from ESRD Patients Undergoing Dialysis: Methods and Preliminary Results from the Brazilian Dialysis Registry
title_full A Web-Based Platform to Collect Data from ESRD Patients Undergoing Dialysis: Methods and Preliminary Results from the Brazilian Dialysis Registry
title_fullStr A Web-Based Platform to Collect Data from ESRD Patients Undergoing Dialysis: Methods and Preliminary Results from the Brazilian Dialysis Registry
title_full_unstemmed A Web-Based Platform to Collect Data from ESRD Patients Undergoing Dialysis: Methods and Preliminary Results from the Brazilian Dialysis Registry
title_short A Web-Based Platform to Collect Data from ESRD Patients Undergoing Dialysis: Methods and Preliminary Results from the Brazilian Dialysis Registry
title_sort web based platform to collect data from esrd patients undergoing dialysis methods and preliminary results from the brazilian dialysis registry
url http://dx.doi.org/10.1155/2018/9894754
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