Simple renal cysts in the solitary kidney: Are they innocent in adult patients?
In patients with a solitary kidney; residual renal volume is an important prognostic factor for kidney survival. At present, the impact of renal cysts on solitary kidney survival is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients wi...
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| Veröffentlicht in: | Nephrology (Carlton, Vic.) Vic.), 2017-05, Vol.22 (5), p.361-365 |
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| creator | Tatar, Erhan Ozay, Emine Atakaya, Mehmet Yeniay, Pinar Kezban Aykas, Ahmet Okut, Gokalp Yonguc, Tarik Imamoglu, Cetin Uslu, Adam |
| description | In patients with a solitary kidney; residual renal volume is an important prognostic factor for kidney survival. At present, the impact of renal cysts on solitary kidney survival is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients with a solitary kidney.
Methods
This study included sixtyfive solitary kidney patients. The remaining kidneys after indication nephrectomy (IN) were evaluated with urinary system ultrasound. The primary outcome of the study is the progression of kidney failure during follow‐up which was defined as: 25% decrease in glomerular filtration rate (GFR) and / or the need for renal replacement therapy (RRT).
Results
The mean age of the patients was 55 ± 14 years and mean follow‐up was 53 ± 27 months. Renal cysts were present in 30.7% of patients. 33.8 percent of patients had kidney disease progression and 10.7 % required RRT. Those with progressive disease were older (61 ± 13, 52 ± 14; P = 0.011), had lower baseline GFR (30 ± 11, 39 ± 18; P = 0.035), higher proteiuria (2.84 ± 0.58, 2.47 ± 0.57; P = 0.031) and frequently harboring cysts in the solitary kidney (52.3%, 20.4%; P = 0.006). Progression to kidney failure and RRT requirement in cases with or without renal cysts was (60% vs. 22%; P = 0.004) and (20% vs. 6.6%; P = 0.123), respectively. Acquired cysts in solitary kidney was independently associated with progression to kidney failure and RRT respectively (Exp(B) 3.173; P = 0.01 and Exp(B) 12.35; P = 0.04).
Conclusion
Simple renal cysts in solitary kidney patients with impaired renal function is associated with poor renal outcome. Large‐scale studies are needed to clarify this issue.
Summary at a Glance
Kidney function affect by simple cyst is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients with a solitary kidney. This study included sixty five solitary kidney patients and the primary outcome is the progression of kidney failure during follow‐up with a 25% decrease GFR and / or the need for renal replacement therapy. Result showed that acquired simple cysts in solitary kidney was independently associated with progression to kidney failure and the need for renal replacement therapy. |
| doi_str_mv | 10.1111/nep.12778 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1891877159</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1920548442</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3868-a3c31cfa75e10ee8365aac1cdc0eac1227927243e1f05c6155029c4ca6e910ab3</originalsourceid><addsrcrecordid>eNqN0U1LwzAYB_Agis6Xg19ACl700C1P0rx5kTHmCwwnqOeSZc-ws2tr0yL99mZuehAEc3lC8uN_eP6EnALtQziDAqs-MKX0DulBktAYlFG74c4ZjQUX-oAcer-kFBSTsE8OmDSGasN7ZPqUraocoxoLm0eu842PsiJqXjHyZZ41tu6it2xeYHcVDWtcf3QBFKXDollLO2_zJqpsk4UHf31M9hY293iynUfk5Wb8PLqLJ9Pb-9FwEjuupY4tdxzcwiqBQBE1l8JaB27uKIbJmDJMsYQjLKhwEoSgzLjEWYkGqJ3xI3Kxya3q8r1F36SrzDvMc1tg2foUtAGtFAjzD8qklBSoDvT8F12WbR02E5RhVCQ6SVhQlxvl6tL7GhdpVWersKkUaLouJA2FpF-FBHu2TWxnK5z_yO8GAhhswEeWY_d3UvowftxEfgLlCpMX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1920548442</pqid></control><display><type>article</type><title>Simple renal cysts in the solitary kidney: Are they innocent in adult patients?</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Tatar, Erhan ; Ozay, Emine ; Atakaya, Mehmet ; Yeniay, Pinar Kezban ; Aykas, Ahmet ; Okut, Gokalp ; Yonguc, Tarik ; Imamoglu, Cetin ; Uslu, Adam</creator><creatorcontrib>Tatar, Erhan ; Ozay, Emine ; Atakaya, Mehmet ; Yeniay, Pinar Kezban ; Aykas, Ahmet ; Okut, Gokalp ; Yonguc, Tarik ; Imamoglu, Cetin ; Uslu, Adam</creatorcontrib><description>In patients with a solitary kidney; residual renal volume is an important prognostic factor for kidney survival. At present, the impact of renal cysts on solitary kidney survival is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients with a solitary kidney.
Methods
This study included sixtyfive solitary kidney patients. The remaining kidneys after indication nephrectomy (IN) were evaluated with urinary system ultrasound. The primary outcome of the study is the progression of kidney failure during follow‐up which was defined as: 25% decrease in glomerular filtration rate (GFR) and / or the need for renal replacement therapy (RRT).
Results
The mean age of the patients was 55 ± 14 years and mean follow‐up was 53 ± 27 months. Renal cysts were present in 30.7% of patients. 33.8 percent of patients had kidney disease progression and 10.7 % required RRT. Those with progressive disease were older (61 ± 13, 52 ± 14; P = 0.011), had lower baseline GFR (30 ± 11, 39 ± 18; P = 0.035), higher proteiuria (2.84 ± 0.58, 2.47 ± 0.57; P = 0.031) and frequently harboring cysts in the solitary kidney (52.3%, 20.4%; P = 0.006). Progression to kidney failure and RRT requirement in cases with or without renal cysts was (60% vs. 22%; P = 0.004) and (20% vs. 6.6%; P = 0.123), respectively. Acquired cysts in solitary kidney was independently associated with progression to kidney failure and RRT respectively (Exp(B) 3.173; P = 0.01 and Exp(B) 12.35; P = 0.04).
Conclusion
Simple renal cysts in solitary kidney patients with impaired renal function is associated with poor renal outcome. Large‐scale studies are needed to clarify this issue.
Summary at a Glance
Kidney function affect by simple cyst is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients with a solitary kidney. This study included sixty five solitary kidney patients and the primary outcome is the progression of kidney failure during follow‐up with a 25% decrease GFR and / or the need for renal replacement therapy. Result showed that acquired simple cysts in solitary kidney was independently associated with progression to kidney failure and the need for renal replacement therapy.</description><identifier>ISSN: 1320-5358</identifier><identifier>EISSN: 1440-1797</identifier><identifier>DOI: 10.1111/nep.12778</identifier><identifier>PMID: 26990893</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Adult ; Age ; Aged ; chronic kidney disease ; Cysts ; Disease Progression ; Female ; Glomerular Filtration Rate ; Humans ; Kidney - diagnostic imaging ; Kidney - physiopathology ; Kidney Diseases, Cystic - complications ; Kidney Diseases, Cystic - diagnosis ; Kidney Diseases, Cystic - physiopathology ; Kidney Diseases, Cystic - therapy ; Kidney transplantation ; Kidneys ; Longitudinal Studies ; Male ; Middle Aged ; Nephrectomy ; Nephrectomy - adverse effects ; renal cyst ; Renal failure ; Renal function ; Renal Insufficiency - diagnosis ; Renal Insufficiency - etiology ; Renal Insufficiency - physiopathology ; Renal Insufficiency - therapy ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - etiology ; Renal Insufficiency, Chronic - physiopathology ; Renal Insufficiency, Chronic - therapy ; renal outcome ; Renal Replacement Therapy ; Retrospective Studies ; Risk Factors ; solitary kidney ; Survival ; Time Factors ; Ultrasonography ; Ultrasound</subject><ispartof>Nephrology (Carlton, Vic.), 2017-05, Vol.22 (5), p.361-365</ispartof><rights>2016 Asian Pacific Society of Nephrology</rights><rights>2016 Asian Pacific Society of Nephrology.</rights><rights>2017 Asian Pacific Society of Nephrology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3868-a3c31cfa75e10ee8365aac1cdc0eac1227927243e1f05c6155029c4ca6e910ab3</citedby><cites>FETCH-LOGICAL-c3868-a3c31cfa75e10ee8365aac1cdc0eac1227927243e1f05c6155029c4ca6e910ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fnep.12778$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fnep.12778$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26990893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tatar, Erhan</creatorcontrib><creatorcontrib>Ozay, Emine</creatorcontrib><creatorcontrib>Atakaya, Mehmet</creatorcontrib><creatorcontrib>Yeniay, Pinar Kezban</creatorcontrib><creatorcontrib>Aykas, Ahmet</creatorcontrib><creatorcontrib>Okut, Gokalp</creatorcontrib><creatorcontrib>Yonguc, Tarik</creatorcontrib><creatorcontrib>Imamoglu, Cetin</creatorcontrib><creatorcontrib>Uslu, Adam</creatorcontrib><title>Simple renal cysts in the solitary kidney: Are they innocent in adult patients?</title><title>Nephrology (Carlton, Vic.)</title><addtitle>Nephrology (Carlton)</addtitle><description>In patients with a solitary kidney; residual renal volume is an important prognostic factor for kidney survival. At present, the impact of renal cysts on solitary kidney survival is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients with a solitary kidney.
Methods
This study included sixtyfive solitary kidney patients. The remaining kidneys after indication nephrectomy (IN) were evaluated with urinary system ultrasound. The primary outcome of the study is the progression of kidney failure during follow‐up which was defined as: 25% decrease in glomerular filtration rate (GFR) and / or the need for renal replacement therapy (RRT).
Results
The mean age of the patients was 55 ± 14 years and mean follow‐up was 53 ± 27 months. Renal cysts were present in 30.7% of patients. 33.8 percent of patients had kidney disease progression and 10.7 % required RRT. Those with progressive disease were older (61 ± 13, 52 ± 14; P = 0.011), had lower baseline GFR (30 ± 11, 39 ± 18; P = 0.035), higher proteiuria (2.84 ± 0.58, 2.47 ± 0.57; P = 0.031) and frequently harboring cysts in the solitary kidney (52.3%, 20.4%; P = 0.006). Progression to kidney failure and RRT requirement in cases with or without renal cysts was (60% vs. 22%; P = 0.004) and (20% vs. 6.6%; P = 0.123), respectively. Acquired cysts in solitary kidney was independently associated with progression to kidney failure and RRT respectively (Exp(B) 3.173; P = 0.01 and Exp(B) 12.35; P = 0.04).
Conclusion
Simple renal cysts in solitary kidney patients with impaired renal function is associated with poor renal outcome. Large‐scale studies are needed to clarify this issue.
Summary at a Glance
Kidney function affect by simple cyst is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients with a solitary kidney. This study included sixty five solitary kidney patients and the primary outcome is the progression of kidney failure during follow‐up with a 25% decrease GFR and / or the need for renal replacement therapy. Result showed that acquired simple cysts in solitary kidney was independently associated with progression to kidney failure and the need for renal replacement therapy.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>chronic kidney disease</subject><subject>Cysts</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Glomerular Filtration Rate</subject><subject>Humans</subject><subject>Kidney - diagnostic imaging</subject><subject>Kidney - physiopathology</subject><subject>Kidney Diseases, Cystic - complications</subject><subject>Kidney Diseases, Cystic - diagnosis</subject><subject>Kidney Diseases, Cystic - physiopathology</subject><subject>Kidney Diseases, Cystic - therapy</subject><subject>Kidney transplantation</subject><subject>Kidneys</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nephrectomy</subject><subject>Nephrectomy - adverse effects</subject><subject>renal cyst</subject><subject>Renal failure</subject><subject>Renal function</subject><subject>Renal Insufficiency - diagnosis</subject><subject>Renal Insufficiency - etiology</subject><subject>Renal Insufficiency - physiopathology</subject><subject>Renal Insufficiency - therapy</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - etiology</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>renal outcome</subject><subject>Renal Replacement Therapy</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>solitary kidney</subject><subject>Survival</subject><subject>Time Factors</subject><subject>Ultrasonography</subject><subject>Ultrasound</subject><issn>1320-5358</issn><issn>1440-1797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0U1LwzAYB_Agis6Xg19ACl700C1P0rx5kTHmCwwnqOeSZc-ws2tr0yL99mZuehAEc3lC8uN_eP6EnALtQziDAqs-MKX0DulBktAYlFG74c4ZjQUX-oAcer-kFBSTsE8OmDSGasN7ZPqUraocoxoLm0eu842PsiJqXjHyZZ41tu6it2xeYHcVDWtcf3QBFKXDollLO2_zJqpsk4UHf31M9hY293iynUfk5Wb8PLqLJ9Pb-9FwEjuupY4tdxzcwiqBQBE1l8JaB27uKIbJmDJMsYQjLKhwEoSgzLjEWYkGqJ3xI3Kxya3q8r1F36SrzDvMc1tg2foUtAGtFAjzD8qklBSoDvT8F12WbR02E5RhVCQ6SVhQlxvl6tL7GhdpVWersKkUaLouJA2FpF-FBHu2TWxnK5z_yO8GAhhswEeWY_d3UvowftxEfgLlCpMX</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Tatar, Erhan</creator><creator>Ozay, Emine</creator><creator>Atakaya, Mehmet</creator><creator>Yeniay, Pinar Kezban</creator><creator>Aykas, Ahmet</creator><creator>Okut, Gokalp</creator><creator>Yonguc, Tarik</creator><creator>Imamoglu, Cetin</creator><creator>Uslu, Adam</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>Simple renal cysts in the solitary kidney: Are they innocent in adult patients?</title><author>Tatar, Erhan ; Ozay, Emine ; Atakaya, Mehmet ; Yeniay, Pinar Kezban ; Aykas, Ahmet ; Okut, Gokalp ; Yonguc, Tarik ; Imamoglu, Cetin ; Uslu, Adam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3868-a3c31cfa75e10ee8365aac1cdc0eac1227927243e1f05c6155029c4ca6e910ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>chronic kidney disease</topic><topic>Cysts</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Glomerular Filtration Rate</topic><topic>Humans</topic><topic>Kidney - diagnostic imaging</topic><topic>Kidney - physiopathology</topic><topic>Kidney Diseases, Cystic - complications</topic><topic>Kidney Diseases, Cystic - diagnosis</topic><topic>Kidney Diseases, Cystic - physiopathology</topic><topic>Kidney Diseases, Cystic - therapy</topic><topic>Kidney transplantation</topic><topic>Kidneys</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nephrectomy</topic><topic>Nephrectomy - adverse effects</topic><topic>renal cyst</topic><topic>Renal failure</topic><topic>Renal function</topic><topic>Renal Insufficiency - diagnosis</topic><topic>Renal Insufficiency - etiology</topic><topic>Renal Insufficiency - physiopathology</topic><topic>Renal Insufficiency - therapy</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - etiology</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>renal outcome</topic><topic>Renal Replacement Therapy</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>solitary kidney</topic><topic>Survival</topic><topic>Time Factors</topic><topic>Ultrasonography</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tatar, Erhan</creatorcontrib><creatorcontrib>Ozay, Emine</creatorcontrib><creatorcontrib>Atakaya, Mehmet</creatorcontrib><creatorcontrib>Yeniay, Pinar Kezban</creatorcontrib><creatorcontrib>Aykas, Ahmet</creatorcontrib><creatorcontrib>Okut, Gokalp</creatorcontrib><creatorcontrib>Yonguc, Tarik</creatorcontrib><creatorcontrib>Imamoglu, Cetin</creatorcontrib><creatorcontrib>Uslu, Adam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Nephrology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tatar, Erhan</au><au>Ozay, Emine</au><au>Atakaya, Mehmet</au><au>Yeniay, Pinar Kezban</au><au>Aykas, Ahmet</au><au>Okut, Gokalp</au><au>Yonguc, Tarik</au><au>Imamoglu, Cetin</au><au>Uslu, Adam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simple renal cysts in the solitary kidney: Are they innocent in adult patients?</atitle><jtitle>Nephrology (Carlton, Vic.)</jtitle><addtitle>Nephrology (Carlton)</addtitle><date>2017-05</date><risdate>2017</risdate><volume>22</volume><issue>5</issue><spage>361</spage><epage>365</epage><pages>361-365</pages><issn>1320-5358</issn><eissn>1440-1797</eissn><abstract>In patients with a solitary kidney; residual renal volume is an important prognostic factor for kidney survival. At present, the impact of renal cysts on solitary kidney survival is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients with a solitary kidney.
Methods
This study included sixtyfive solitary kidney patients. The remaining kidneys after indication nephrectomy (IN) were evaluated with urinary system ultrasound. The primary outcome of the study is the progression of kidney failure during follow‐up which was defined as: 25% decrease in glomerular filtration rate (GFR) and / or the need for renal replacement therapy (RRT).
Results
The mean age of the patients was 55 ± 14 years and mean follow‐up was 53 ± 27 months. Renal cysts were present in 30.7% of patients. 33.8 percent of patients had kidney disease progression and 10.7 % required RRT. Those with progressive disease were older (61 ± 13, 52 ± 14; P = 0.011), had lower baseline GFR (30 ± 11, 39 ± 18; P = 0.035), higher proteiuria (2.84 ± 0.58, 2.47 ± 0.57; P = 0.031) and frequently harboring cysts in the solitary kidney (52.3%, 20.4%; P = 0.006). Progression to kidney failure and RRT requirement in cases with or without renal cysts was (60% vs. 22%; P = 0.004) and (20% vs. 6.6%; P = 0.123), respectively. Acquired cysts in solitary kidney was independently associated with progression to kidney failure and RRT respectively (Exp(B) 3.173; P = 0.01 and Exp(B) 12.35; P = 0.04).
Conclusion
Simple renal cysts in solitary kidney patients with impaired renal function is associated with poor renal outcome. Large‐scale studies are needed to clarify this issue.
Summary at a Glance
Kidney function affect by simple cyst is not clear. The aim of this study is to examine the association of cysts on progression of renal failure in patients with a solitary kidney. This study included sixty five solitary kidney patients and the primary outcome is the progression of kidney failure during follow‐up with a 25% decrease GFR and / or the need for renal replacement therapy. Result showed that acquired simple cysts in solitary kidney was independently associated with progression to kidney failure and the need for renal replacement therapy.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>26990893</pmid><doi>10.1111/nep.12778</doi><tpages>5</tpages></addata></record> |
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| ispartof | Nephrology (Carlton, Vic.), 2017-05, Vol.22 (5), p.361-365 |
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| subjects | Adult Age Aged chronic kidney disease Cysts Disease Progression Female Glomerular Filtration Rate Humans Kidney - diagnostic imaging Kidney - physiopathology Kidney Diseases, Cystic - complications Kidney Diseases, Cystic - diagnosis Kidney Diseases, Cystic - physiopathology Kidney Diseases, Cystic - therapy Kidney transplantation Kidneys Longitudinal Studies Male Middle Aged Nephrectomy Nephrectomy - adverse effects renal cyst Renal failure Renal function Renal Insufficiency - diagnosis Renal Insufficiency - etiology Renal Insufficiency - physiopathology Renal Insufficiency - therapy Renal Insufficiency, Chronic - diagnosis Renal Insufficiency, Chronic - etiology Renal Insufficiency, Chronic - physiopathology Renal Insufficiency, Chronic - therapy renal outcome Renal Replacement Therapy Retrospective Studies Risk Factors solitary kidney Survival Time Factors Ultrasonography Ultrasound |
| title | Simple renal cysts in the solitary kidney: Are they innocent in adult patients? |
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