Medical and Orthopedic Conditions and Sports Participation

Diokno, Eugene C.; Rowe, Dale E.

doi:10.1016/j.pcl.2010.03.005

Cited by 1 publication

(1 citation statement)

References 38 publications

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“…According to a retrospective review of 49 651 trauma cases between 1995 and 2001 from 92 trauma centers in the National Pediatric Trauma Database, the incidence of kidney injury necessitating nephrectomy across all sport activities was 0.008% (Johnson et al, 2005). Another literature review showed that renal injury is rare in contact and collision sports (Diokno & Rowe, 2010). Whereas kidney injury is usually caused by motor vehicle accidents, falls, and bicycling, most nephrectomies are attributed to nonsports activities such as motor vehicle accidents and falls (Johnson et al, 2005; McAleer et al, 2002; Psooy, 2006, 2009; Wan et al, 2003a, 2003b; Wu & Gaines, 2007).…”

Section: Literature Reviewmentioning

confidence: 99%

Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer

Okada

Hockenberry

Koh

et al. 2015

J Pediatr Oncol Nurs

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Although traditional recommendations for mononephric childhood cancer survivors are to avoid contact sports in order to protect the remaining kidney, review of available evidence suggests that the majority of renal loss is caused by accidents not involving sports. An interdisciplinary team performed a review of the English literature published from 1999 to 2012 within the PubMed, Cochrane, Google Scholar, and National Guidelines Clearinghouse databases. The level of evidence and proposed recommendations were graded according to an established rubric and GRADE criteria. Our review found that kidney loss is most commonly caused by nonsports activities such as motor vehicle accidents and falls, implying that restrictions on sports-related activity in mononephric pediatric survivors are not well supported. This favors encouraging ordinary sports and related activities without restriction in mononephric childhood cancer survivors because the known benefits of exercise outweigh the exceedingly low risk of renal loss. Accordingly, activity recommendations for mononephric patients have been revised in the most current version of the Children’s Oncology Group Long-term Follow-Up Guidelines for Survivors of Childhood, Adolescent and Young Adult Cancers. This has important implications for this and similar populations who may now undertake individual and organized sports without undue regard for their mononephric status.

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