دورية أكاديمية

Insight into prevalence, etiology, and modalities of pediatric chronic dialysis: a comprehensive nationwide analysis.

التفاصيل البيبلوغرافية
العنوان: Insight into prevalence, etiology, and modalities of pediatric chronic dialysis: a comprehensive nationwide analysis.
المؤلفون: Alhasan, Khalid, Alsalmi, Amro Attaf, Almaiman, Weiam, Al Herbish, Adi J., Farhat, Afrah, Sandokji, Ibrahim, Aloufi, Majed, Faqeehi, Hassan Yahya, Abdulmajeed, Naif, Alanazi, Abdulkarim, AlHassan, Abdulaziz, Alshathri, Abdulaziz, Almalki, Abeer Mohammad, Bafageeh, Afaf Alawi, Aldajani, Ali M., AlMuzain, Ashraf, Almuteri, Faten Sudan, Nasser, Haydar Hassan, Al Alsheikh, Khalid, Almokali, Khamisa Mohamed
المصدر: Pediatric Nephrology; May2024, Vol. 39 Issue 5, p1559-1566, 8p
مصطلحات موضوعية: URINARY organ abnormalities, KIDNEY abnormalities, PERITONEAL dialysis, CROSS-sectional method, RESEARCH funding, HEMODIALYSIS, FOCAL segmental glomerulosclerosis, RETROSPECTIVE studies, CHRONIC kidney failure, GLOMERULONEPHRITIS, NEPHROTIC syndrome, RESEARCH methodology, MEDICAL records, ACQUISITION of data, DATA analysis software, CHILDREN
مصطلحات جغرافية: SAUDI Arabia
مستخلص: Background: This study aimed to determine the prevalence and etiology of kidney failure (KF) among children below 15 years of age receiving chronic dialysis in Saudi Arabia and describe their dialysis modalities. Methods: This cross-sectional descriptive study was conducted on 8 August 2022, encompassing all 23 pediatric dialysis centers in Saudi Arabia. Data gathered comprised patient demographics, causes of KF, and the dialysis methods employed. Collected data underwent analysis to determine prevalence of children undergoing chronic dialysis, discern underlying causes of KF, and evaluate distribution of patients across different dialysis modalities. Results: The prevalence of children on chronic dialysis is 77.6 per million children living in Saudi Arabia, equating to 419 children. The predominant underlying cause of KF was congenital anomalies of the kidneys and urinary tract (CAKUT), representing a substantial 41% of cases. Following this, others or unknown etiologies accounted for a noteworthy 25% of cases, with focal segmental glomerulosclerosis (FSGS) comprising 13%, glomerulonephritis at 11%, and congenital nephrotic syndrome contributing 10% to etiological distribution. Regarding dialysis modalities employed, 67% of patients were on peritoneal dialysis (PD), while the remaining 33% were on hemodialysis (HD). Conclusions: This first nationwide study of pediatric chronic dialysis in Saudi Arabia sheds light on the prevalence of children undergoing chronic dialysis and underlying causes of their KF, thereby contributing to our understanding of clinical management considerations. This research serves as a stepping stone for the development of national registries. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:0931041X
DOI:10.1007/s00467-023-06245-w