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Updated: Feb 10, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
[Chronic kidney disease in children up to 2 years of age - a single center data analysis]
Kinga Musiał1, Marta Sałamacha1, Sylwia Gralec1
1Medical University of Wrocław, Poland: Chair and Department of Pediatric Nephrology.
Insights
Urinary tract anomalies are the main cause of pediatric chronic kidney disease (CKD) across all ages. However, etiological factors like perinatal acute kidney injury in younger children and glomerulopathies in older children show age-related differences.
Area of Science:
- Pediatric Nephrology
- Renal Disease Etiology
- Chronic Kidney Disease (CKD)
Background:
- Urinary tract anomalies are the primary cause of chronic kidney disease (CKD) in children.
- Limited research exists on age-specific etiological differences in pediatric CKD.
Purpose of the Study:
- To compare the causes of CKD in hospitalized children.
- To analyze age and gender as factors influencing CKD etiology in pediatric patients.
Main Methods:
- Retrospective analysis of 174 pediatric patients (0-18 years) with CKD from 2011-2017.
- Patients were divided into two age groups: 0-2 years (Group A, n=45) and 2-18 years (Group B, n=129).
Main Results:
- Urinary tract anomalies were the leading cause of CKD in both groups (66.7% in Group A, 48.8% in Group B).
- In younger children (Group A), perinatal acute kidney injury (17.8%) and hereditary renal disorders (8.9%) were significant factors.
- In older children (Group B), glomerulopathies (16.3%) and hereditary renal disorders (15.5%) were the next most common causes after urinary tract anomalies.
Conclusions:
- Urinary tract anomalies are the predominant cause of pediatric CKD, regardless of age.
- Male predominance was observed only in children under 2 years old.
- Acute kidney injury, particularly perinatal, is a key factor in young children, while glomerulopathies and hereditary disorders are significant in older children.
Abstract:
Although anomalies in the urinary tract are the leading cause of chronic kidney disease (CKD) in the pediatric population, there are few studies focusing on etiological discrepancies between younger and older children.
Aim:
The aim of the study was to perform a comparative analysis of etiology of CKD in children hospitalized in the Department of Pediatric Nephrology at the Wrocław Medical University, with reference to the patients' age and gender.
Materials And Methods:
The retrospective analysis considered medical records of 174 patients aged 0-18 years, diagnosed with CKD, hospitalized in our Department in the years 2011-2017. The analyzed population was divided regarding the patients' age. Group A contained children up to 2 years of age (45 patients), group B - children aged 2-18 years (129 patients).
Results:
In younger children, boys prevailed, in older children gender distribution was equal. The most common causative factors of CKD in group A were: urinary tract anomalies (66,7%), perinatal acute kidney injury (17,8%) and hereditary renal disorders (8,9%). In children over 2 years of age, urinary tract anomalies were also the leading cause of CKD (48,8%), followed by glomerulopathies (16,3%) and hereditary renal disorders (15,5%).
Conclusions:
Anomalies within the urinary tract are the predominant cause of CKD in children, irrespective of age. Male predominance concerned only children up to 2 years of age. The second causative factor for CKD in the youngest children is acute kidney injury, mainly in the perinatal period. Glomerulopathies and hereditary renal disorders are significant etiological factors for CKD in older children.
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