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Published on: July 8, 2020
Characteristics of children with IgA nephropathy
Nan Zhou1,2,3, Hui Wang4,5,6,7, Xin-Yu Wang8
1Department 2 of Nephrology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 100045, Beijing, China.
Insights
The incidence of immunoglobulin A (IgA) nephropathy in children is higher in males and increases with age. Environmental and economic factors significantly influence IgA nephropathy, with age being crucial for chronic kidney disease development.
Area of Science:
- Pediatric Nephrology
- Clinical Epidemiology
Background:
- Investigated demographic and clinical characteristics of pediatric immunoglobulin A (IgA) nephropathy.
- Utilized electronic health records from 22 hospitals (2016-2018).
Purpose of the Study:
- Analyze gender and age distribution in pediatric IgA nephropathy.
- Characterize patients with acute kidney injury (AKI) and chronic kidney disease (CKD).
- Assess the impact of geography and economic status on IgA nephropathy incidence.
Main Methods:
- Retrospective analysis of 4006 pediatric IgA nephropathy cases.
- Collected data on demographics, infection, AKI, and CKD stages.
- Statistical analysis of incidence, complications, and influencing factors.
Main Results:
- Males showed a gradual increase in IgA nephropathy incidence with age.
- AKI occurred in 1.97% of patients; no significant gender or age difference found.
- CKD (0.72%) was associated with significantly older age (P < 0.0001).
- Lower incidence observed in less-developed areas (P = 0.0002).
Conclusions:
- Pediatric IgA nephropathy predominantly affects males, with incidence rising with age.
- Age is a critical factor for CKD development in pediatric IgA nephropathy.
- Environmental and economic status are linked to IgA nephropathy incidence.
Background:
We analyzed the demographic and clinical characteristics of children with immunoglobulin A (IgA) nephropathy using data in the first pages of electronic health records of 22 hospitals from 2016 to 2018.
Methods:
Information collected included gender, age, infection site, etiological infection, acute kidney injury (AKI), and chronic kidney disease (CKD) stages 2-5. We analyzed the gender and age distribution of children with IgA nephropathy, the characteristics of children complicated with AKI and CKD, and the influence of geographical distribution and economic status on the incidence of IgA nephropathy.
Results:
We included a total of 4006 patients with IgA nephropathy. Incidence in males gradually increased with age. Seventy-nine cases (1.97%) had AKI. We found no significant difference in gender (P = 0.19) or age (P = 0.07) between the AKI and non-AKI groups. Twenty-nine patients had CKD (0.72%), who were significantly older than those in the non-CKD group (P < 0.0001). The incidence of IgA nephropathy in less-developed areas was significantly lower than that in developed areas (P = 0.0002).
Conclusions:
The incidence of IgA nephropathy was high mainly in males. Age was an important factor affecting CKD. The disease was related to environment and economic status.
Impact:
We analyze the demographic and clinical characteristics of children with immunoglobulin A (IgA) nephropathy using data in the first pages of electronic health records. This is a large sample, multi-center study. The incidence of IgA nephropathy in males increased gradually with age. Age was an important factor affecting CKD. The disease was related to environment and economic status.
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