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Published on: June 20, 2018
Childhood chronic renal failure in Qatar
1Department of Paediatrics, Hamad General Hospital, Doha, Qatar.
Insights
Most pediatric chronic renal failure (CRF) in Qatar stems from congenital or familial causes like obstructive uropathy. Early detection and treatment of these conditions can significantly improve outcomes for children with kidney disease.
Area of Science:
- Pediatric Nephrology
- Public Health
Background:
- Chronic renal failure (CRF) in children presents a significant health challenge.
- Understanding the aetiology of pediatric CRF is crucial for effective management and prevention.
Purpose of the Study:
- To investigate the causes of chronic renal failure in children under 12 in Qatar.
- To identify potentially treatable or preventable conditions contributing to pediatric CRF.
Main Methods:
- Retrospective study of 30 children under 12 diagnosed with chronic renal failure.
- Analysis of the underlying aetiologies, including congenital, familial, obstructive uropathy, and reflux nephropathy.
Main Results:
- 70% of pediatric CRF cases were linked to congenital or familial conditions.
- Obstructive uropathy, primarily posterior urethral valves, accounted for 53.3% of cases.
- Reflux nephropathy was identified in 13.3% of the studied children.
Conclusions:
- The majority of pediatric chronic renal failure in Qatar is attributed to potentially treatable or preventable causes.
- Antenatal ultrasonography and prompt management of urinary tract issues can reduce CRF morbidity and mortality.
Abstract:
Thirty children below the age of 12 with chronic renal failure (CRF) were studied. In 21 patients (70%) the renal failure was secondary to congenital or familial aetiology. Obstructive uropathy (53.3%), mostly due to posterior urethral valves (40%), comprised the majority of cases. Four cases (13.3%) were secondary to reflux nephropathy. It is concluded that the majority of cases of CRF in the state of Qatar are secondary to potentially treatable or preventable conditions. Use of antenatal ultrasonography combined with aggressive management of obstruction and urine infection may help reduce morbidity and mortality.
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