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A Review of Pediatric Chronic Kidney Disease
C D W Kaspar1, R Bholah, T E Bunchman
1Virginia Commonwealth University, Division of Pediatric Nephrology, Richmond, VA, USA.
Insights
Chronic kidney disease (CKD) presents differently in children and adults. This review highlights key distinctions in causes, related conditions, and care transitions for pediatric CKD patients.
Area of Science:
- Nephrology
- Pediatric Nephrology
- Internal Medicine
Background:
- Chronic kidney disease (CKD) affects both pediatric and adult populations.
- Significant disparities exist in the presentation and management of CKD between these age groups.
Purpose of the Study:
- To delineate the distinct characteristics of pediatric versus adult chronic kidney disease.
- To identify unique challenges in pediatric CKD, including growth, quality of life, and adolescent-specific issues.
Main Methods:
- Comprehensive literature review focusing on pediatric and adult CKD.
- Comparative analysis of etiological factors, comorbidities, and treatment considerations.
Main Results:
- Etiology, comorbidities, and disease impact on growth and quality of life differ markedly between pediatric and adult CKD.
- Adolescent-specific issues and the transition to adult care present unique challenges.
- Congenital anomalies of the kidney and urinary tract require special transplantation considerations in pediatric patients.
Conclusions:
- Understanding the differences in pediatric and adult CKD is crucial for effective management.
- Addressing age-specific challenges and transition of care is vital for improving outcomes in young CKD patients.
- Specialized approaches are needed for transplantation in children with congenital kidney anomalies.
Abstract:
Chronic kidney disease is complex in both adults and children, but the disease is far from the same between these populations. Here we review the marked differences in etiology, comorbidities, impact of disease on growth and quality of life, issues unique to adolescents and transitions to adult care, and special considerations of congenital kidney and urinary tract anomalies for transplantation.
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