Abstract
World Kidney Day 2016 focuses on kidney disease in childhood and the
antecedents of adult kidney disease that can begin in earliest
childhood. Chronic kidney disease (CKD) in childhood differs from that
in adults, as the largest diagnostic group among children includes
congenital anomalies and inherited disorders, with glomerulopathies
and kidney disease in the setting of diabetes being relatively
uncommon. In addition, many children with acute kidney injury will
ultimately develop sequelae that may lead to hypertension and CKD in
later childhood or in adult life. Children born early or who are small-for
date newborns have relatively increased risk for the development of
CKD later in life. Persons with a high-risk birth and early childhood history
should be watched closely in order to help detect early signs of kidney
disease in time to provide effective prevention or treatment. Successful
therapy is feasible for advanced CKD in childhood; there is evidence
that children fare better than adults, if they receive kidney replacement
therapy including dialysis and transplantation, while only a minority of
children may require this ultimate intervention Because there are
disparities in access to care, effort is needed so that those children with
kidney disease, wherever they live, may be treated effectively,
irrespective of their geographic or economic circumstances. Our hope
is that World Kidney Day will inform the general public, policy makers
and caregivers about the needs and possibilities surrounding kidney
disease in childhood.
Julie R Ingelfinger, Kamyarkalantar-Zadeh, Franz Schaefer. (2016) Averting the Legacy of Kidney Disease - Focus on Childhood, Pakistan Pediatric Journal, Volume 40, Issue 1.
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