Related Experiment Video
Updated: Jul 8, 2026

5/6th Nephrectomy in Combination with High Salt Diet and Nitric Oxide Synthase Inhibition to Induce Chronic Kidney Disease in the Lewis Rat
Published on: July 3, 2013
Chronic renal failure in children of benin, Nigeria
Ibadin Okoegual Michael1, Ofovwe Egberue Gabreil
1Department of Child Health, University of Benin Teaching Hospital, Benin City, Nigeria.
Insights
Pediatric chronic renal failure is often caused by glomerulonephritis and posterior urethral valves. High mortality rates in children with kidney disease are linked to limited treatment options and delayed diagnosis.
Area of Science:
- Pediatric Nephrology
- Renal Disease Epidemiology
Background:
- Chronic renal failure (CRF) in children presents unique etiological and outcome challenges.
- Understanding these patterns is crucial for improving pediatric kidney care.
Purpose of the Study:
- To prospectively evaluate the etiology and outcomes of pediatric chronic renal failure.
- To identify common causes, presenting symptoms, and mortality rates in referred pediatric cases.
Main Methods:
- Prospective study of 24 children with renal disease (1997-2002).
- Analysis of etiological factors, clinical presentations, and patient outcomes.
- Calculation of incidence and prevalence rates.
Main Results:
- Leading causes: glomerulonephritis (58.3%) and posterior urethral valve (33.3%).
- Common symptoms included generalized and abdominal swelling, and paleness.
- High mortality rate of 58.3% observed.
- Late presentation and severely compromised renal function were frequent.
Conclusions:
- Increased mortality in pediatric renal disease is attributed to limited renal replacement therapy facilities, poverty, and late referrals.
- Urgent need for improved access to pediatric nephrology care and treatment options.
- Addressing socio-economic factors is vital for better outcomes in children with kidney disease.
Abstract:
To evaluate the patterns of chronic renal failure in children in our center, we studied prospectively the etiology and outcome of all the cases referred to us as renal disease between 1997-2002. There were 24 children;14 (58.3%) males and 10 (41.7%) females with a mean age of 11.2 + 0.97 years (range; 0.08-16.0 years). The estimated incidence was 1.7 new cases per million-child population and the prevalence was 4 per million populations. The leading causes of renal failure were glomerulonephritidis in 14 (58.3%) children and posterior urethral valve in 8 (33.3%). Most of the patients came from poor socio-economic background. Generalized body swelling 11 (45.8%), abdominal swelling 9 (37.5%) and paleness 7 (29.2%) were the commonest presenting complaints. Late presentation and severely compromised renal function were common features. The mortality rate was 58.3%. We conclude that there is an increased mortality rate in children with renal disease in our country due to the dearth of facilities for renal replacement therapy coupled with poverty and late referrals.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease III: Interprofessional Care
Dialysis
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute Kidney Injury III: Clinical Manifestations
Chronic Kidney Disease II: Clinical Manifestations
Acute Kidney Injury I: Introduction
