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DOMINÓ Registry: study protocol on mineral and bone disease (DOença MINeral e Óssea) of chronic kidney disease in
Emília Maria Dantas Soeiro1,2,3, Maria Goretti Moreira Guimarães Penido4,5, Lucimary de Castro Sylvestre6,7
1Universidade Federal de Pernambuco, Recife, PE, Brazil.
Insights
The DOMINÓ study will describe mineral and bone disorders (CKD-MBD) in Brazilian children with chronic kidney disease (CKD). This research will offer crucial data on pediatric CKD-MBD in Brazil.
Area of Science:
- Nephrology
- Pediatrics
- Endocrinology
Background:
- Pediatric chronic kidney disease (CKD) is associated with mineral and bone disorders (CKD-MBD).
- Limited epidemiological data on pediatric CKD-MBD exists for Brazil.
- Understanding these outcomes is vital for improving patient care.
Purpose of the Study:
- To present the DOMINÓ study, a comprehensive epidemiological investigation.
- To describe the characteristics of CKD-MBD in Brazilian pediatric patients.
Main Methods:
- A retrospective and prospective, multicenter, observational cohort study.
- Data collection includes demographics, clinical, laboratory, and imaging findings.
- Includes pediatric patients (<18 years) with CKD stages 3-5D and kidney transplant recipients.
Main Results:
- The study is designed to collect data from 2024 onwards.
- Will analyze prevalent and incident cases of pediatric CKD-MBD.
- Data will encompass a wide range of clinical and laboratory parameters.
Conclusions:
- The DOMINÓ study will provide essential Brazilian data on pediatric CKD-MBD incidence, prevalence, and morbidity.
- Future analyses aim to identify treatment response predictors.
- The findings will contribute to enhanced care strategies for these patients.
Introduction:
Pediatric patients with chronic kidney disease (CKD) develop mineral and bone disorders (MBD). We do not have Brazilian data that evaluate these outcomes, which can be obtained through epidemiological records.
Objective:
To present the DOMINÓ study, which aims to describe CKD-MBD characteristics in Brazilian pediatric patients.
Methods:
Retrospective and prospective, multicenter, observational cohort. The retrospective study will analyze data from prevalent patients in 2024, and the prospective study will analyze data from 2025 onwards. Demographic, clinical, laboratory, imaging, and bone biopsy data will be collected from pediatric patients with CKD-MBD < 18 years old with CKD stage 3-5D and kidney transplant recipients. The Ethics Committees of the participating centers approved the study.
Discussion/Conclusion:
The DOMINÓ study will provide information on the incidence, prevalence, morbidity, treatment results, and mortality of this pediatric disease in Brazil. Future analyses will allow us to identify predictors of response to treatment and improve the care for these patients.
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