Causes of Chronic Kidney Disease in Iranian Children: A Meta-Analysis and Systematic Review

Shahdadi, Hosien; Sheyback, Mahmood; Rafiemanesh, Hosein; Balouchi, Abbas; Bouya, Salehoddin; Mahmoudirad, Gholamhossein

doi:10.5334/aogh.2391

Cited by 7 publications

(6 citation statements)

References 29 publications

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“…In another study by Madani et al in 2001, the prevalence of chronic renal failure was 10.24% (37). In the studies of Shahdadi (38), Sorkhi (39), Khajehdehi (40), Mahdavi-Mazdeh (41), and Najafi (42), the prevalence of CKD was 8.65%, 5.88%, 5.33%, 6.29%, and 5.14%, respectively, which was consistent with the values estimated by the Global Health Data Exchange website. Moreover, based on a systematic review and meta-analysis in 2018, the prevalence of CKD in the Iranian general population 7 to 86 years old was 8.24% (95% CI for effect size, 5.58%-10.9%), which is consistent with the values estimated by the GBD website (43).…”

Section: E P U B a H E A D O F P R I N Tsupporting

confidence: 78%

National trends and projection of chronic kidney disease incidence according to etiology from 1990 to 2030 in Iran: a Bayesian age-period-cohort modeling study

Shahbazi¹,

Doosti-Irani²,

Soltanian³

et al. 2023

Epidemiol Health

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Objectives: Chronic kidney disease (CKD) is a major public health problem worldwide. Predicting CKD incidence rates and case numbers at the national and global levels is vital for planning CKD prevention programs.Methods: Data on CKD incidence rates and case numbers in Iran from 1990 to 2019 were extracted from the Global Burden of Disease online database. The average annual percentage change was computed to determine the temporal trends in CKD age-standardized incidence rates from 1990 to 2019. A Bayesian age-period-cohort model was used to predict the CKD incidence rate and case numbers through 2030.Results: Nationally, CKD cases increased from 97,300 in 1990 to 315,500 in 2019. The age-specific CKD incidence rate increased from 168.52 per 100,000 to 382.98 per 100,000 during the same period. Between 2020 and 2030, the number of CKD cases is projected to rise to 423,300. The age-specific CKD incidence rate is projected to increase to 469.04 in 2030 (95% credible interval [CrI], 399.20-538.87). In all age groups and etiological categories, the CKD incidence rate is forecasted to increase by 2030. Conclusions: CKD case numbers and incidence rates are anticipated to increase in Iran through 2030. The high level of CKD incidence in people with diabetes mellitus, hypertension, and glomerulonephritis, as well as in older people, suggests a deficiency of attention to these populations in current prevention plans and highlights their importance in future programs for the national control of CKD.

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Section: E P U B a H E A D O F P R I N Tsupporting

confidence: 78%

National trends and projection of chronic kidney disease incidence according to etiology from 1990 to 2030 in Iran: a Bayesian age-period-cohort modeling study

Shahbazi¹,

Doosti-Irani²,

Soltanian³

et al. 2023

Epidemiol Health

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“…El grupo etario más frecuentemente afectado fue el de los niños mayores de 10 años, probablemente porque la mayoría ingresó en estadios tardíos, pero la ERC ocurre en cualquier grupo etario desde el nacimiento [13]. La causa más frecuente de ERC en nuestra serie fue por CAKUT, tal como se describe en otros reportes [6,7,[14][15][16][17][18]. En Pediatría, el tiempo de progresión de la ERC es variable: los niños con ERC secundaria a anomalías congénitas del riñón y las vías urinarias y con enfermedades hereditarias progresan más lentamente hacia la enfermedad renal crónica terminal (ERCT) que aquellos que presentan glomerulopatías adquiridas, las cuales pueden llegar a ser ERCT en meses [13].…”

Section: Discussionunclassified

Evolución y factores de riesgo de mortalidad en una cohorte pediátrica con enfermedad renal crónica en Paraguay: estudio multicéntrico

Troche

Samudio

2023

Rev. Colomb. Nefrol.

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Contexto: la enfermedad renal crónica (ERC) tiene una alta morbimortalidad y un alto costo de tratamiento. Entre sus causas principales en Pediatría se describen las anomalías congénitas del riñón y las vías urinarias (CAKUT, por sus siglas en inglés) Objetivo: determinar la evolución y los factores asociados a mortalidad de una cohorte pediátrica atendida en dos hospitales de referencia nacional, con el fin de elaborar estrategias para el manejo precoz y multidisciplinario de esta enfermedad y, de esa manera, optimizar los recursos para reducir la morbimortalidad de la enfermedad. Metodología: estudio de cohorte retrospectivo de pacientes de dos hospitales de referencia entre enero del 2000 y diciembre del 2020, en el cual se estudiaron: edad, sexo, seguro social, ingreso fijo, causa de la ERC, estadio de la ERC al ingreso y al final de estudio, requerimiento y tipo de diálisis, trasplante y óbito, donde el estadio de la ERC se clasificó según las guías K/DOQI (Kidney Disease Quality Iniciative). Por su parte, se relacionó óbito con edad, sexo, ingreso fijo, seguro social, estadio de ERC y requerimiento de diálisis. Se destaca que el análisis se realizó con el programa Epi Info (Atlanta), el cual usa estadística descriptiva y la prueba de chi cuadrado para establecer asociaciones con óbito a un nivel de significancia de 0,05. Resultados: se estudió a 187 pacientes de entre 2 y 17 años de edad, 96 mujeres y 91 varones, donde la mayoría eran mayores de10 años (44,9?%). Entre las causas de ERC más frecuentes se encuentran las anomalías congénitas (CAKUT) (54,5?%) y las indeterminadas (16,6?%); el estadio de ERC al ingreso estuvo repartido entre I (2,1?%), II (16?%), III (25,7?%), IV (8?%), y V (48,1?%); además, el 59,4?% requirió diálisis, el 87,3?% hemodiálisis, el 12,6?% diálisis peritoneal y 13,3?% recibieron un trasplante; por último, la mortalidad fue del 24,5?%, lo cual se asoció con el estadio de ERC al ingreso y el requerimiento de diálisis. Conclusiones: este estudio de cohorte demostró mejores resultados en la evolución de los niños con ERC diagnosticados en estadios tempranos . El diagnóstico y tratamiento precoces ayudan a mejorar la morbimortalidad.

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“…Preventing recurrent UTIs in patients with duplex collecting system is one of the most effective ways to prevent renal scarring which progress to end stage renal disease [13]. According to the North American Pediatric Renal Trials and Collaborative Studies (NAPRTCS) and Europe, the most common cause of CKD in children are CAKUT (48-58%) [14,15].…”

Section: Discussionmentioning

confidence: 99%

Duplex Collecting System of Right Kidney in 3-Year-Old Child: A Case Report

Riani¹,

Nilawati²,

Duarsa³

et al. 2022

AJP

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Background: The duplex collecting system is one of the congenital anomalies of kidney and urinary tract. It occurs in 0.2-2% of the general population. It can remain asymptomatic or become symptomatic. Affected children may present with urinary tract infections. Treatment options include pharmacological and surgical approaches. Case: We reported a 3-year-old male child, who was referred to Sanglah Hospital with recurrent fever. From the physical examination, we found positive costovertebral angle tenderness. Urinalysis showed high leukocyte sediments (1655/field of view), positive urine culture (Enterococcus gallinarum), and decreased glomerular filtration rate (68.75 ml/minute/1.73 m 2 ). Ultrasonography of the right kidney showed two pelvicalyceal systems with severe hydronephrosis of upper moiety. The intravenous pyelography showed the drooping lily sign in the right kidney. We diagnosed the patient with a complicated urinary tract infection caused by Enterococcus gallinarum, duplex collecting system of right kidney, chronic kidney disease stage II. Antibiotics were administered due to complicated UTI. Open heminephrectomy was done. The patient was discharged in stable condition. Conclusion: The duplex collecting system may cause recurrent urinary tract infection. It can be a risk factor for renal scarring and cause chronic kidney disease. Comprehensive diagnostic workup and multidisciplinary management are needed to promote a good clinical outcome.

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Causes of Chronic Kidney Disease in Iranian Children: A Meta-Analysis and Systematic Review

Cited by 7 publications

References 29 publications

National trends and projection of chronic kidney disease incidence according to etiology from 1990 to 2030 in Iran: a Bayesian age-period-cohort modeling study

National trends and projection of chronic kidney disease incidence according to etiology from 1990 to 2030 in Iran: a Bayesian age-period-cohort modeling study

Evolución y factores de riesgo de mortalidad en una cohorte pediátrica con enfermedad renal crónica en Paraguay: estudio multicéntrico

Duplex Collecting System of Right Kidney in 3-Year-Old Child: A Case Report

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