Congenital solitary kidney size at birth could predict reduced eGFR levels later in life
Objectives To evaluate the impact of congenital solitary functioning kidney (CSFK) length, measured early in life, on the eGFR levels during the follow-up. Study design We retrospectively selected 162 CSFK patients undergoing, within 60 days of life, renal length (RL) measurement by ultrasound. We d...
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| Veröffentlicht in: | Journal of perinatology 2019-01, Vol.39 (1), p.129-134 |
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| creator | Marzuillo, Pierluigi Guarino, Stefano Grandone, Anna Di Somma, Allegra Diplomatico, Mario Rambaldi, Pier Francesco Decimo, Fabio Miraglia del Giudice, Emanuele La Manna, Angela Polito, Cesare |
| description | Objectives
To evaluate the impact of congenital solitary functioning kidney (CSFK) length, measured early in life, on the eGFR levels during the follow-up.
Study design
We retrospectively selected 162 CSFK patients undergoing, within 60 days of life, renal length (RL) measurement by ultrasound.
We divided the population in:
Group 1 = RL ≥ 2 standard deviation score (SDS).
Group 2 = RL |
| doi_str_mv | 10.1038/s41372-018-0260-2 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2123716762</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A573323950</galeid><sourcerecordid>A573323950</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-5b439954c927ff5bb593117c3555c55fa545f7fb4b4571b901ffbc5953543ad33</originalsourceid><addsrcrecordid>eNp1kVFrFDEQx4Mo9qx-AF8kIEhftiabzOb2sRy2CgVBFHwL2eykl5rbnElWqJ--Wa5aK0oeBjK_GfLPj5CXnJ1yJtZvs-RCtQ3j64a1HWvaR2TFpeoaACkekxVTUjRrIbsj8izna8aWpnpKjgQTkkvGV-TrJk5XOPliAs0x1Jpu6Dc_TnhDs_-J1BQ6-FS21MY5jHSfcPS20FpmiyPFi_NPNOAPDJkGUzBRP9HgHT4nT5wJGV_c1WPy5fzd58375vLjxYfN2WVjpWKlgUGKvgdp-1Y5B8MAveBcWQEAFsAZkOCUG-QgQfGhZ9y5wUIPokY0oxDH5OSwd5_i9xlz0TufLYZgJoxz1i1vheKd6tqKvv4LvY5zmurrKgVq3XVire6pKxNQ-8nFkoxdluozUEK0ogdWqdN_UPWMuPM2Tuh8vX8w8OaPgS2aULb1w-fi45QfgvwA2hRzTuj0Pvld1aI504t2fdCuq3a9aNdLsld3yeZhh-PviV-eK9AegFxbVXi6j_7_rbe-X7ON</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2157866387</pqid></control><display><type>article</type><title>Congenital solitary kidney size at birth could predict reduced eGFR levels later in life</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Marzuillo, Pierluigi ; Guarino, Stefano ; Grandone, Anna ; Di Somma, Allegra ; Diplomatico, Mario ; Rambaldi, Pier Francesco ; Decimo, Fabio ; Miraglia del Giudice, Emanuele ; La Manna, Angela ; Polito, Cesare</creator><creatorcontrib>Marzuillo, Pierluigi ; Guarino, Stefano ; Grandone, Anna ; Di Somma, Allegra ; Diplomatico, Mario ; Rambaldi, Pier Francesco ; Decimo, Fabio ; Miraglia del Giudice, Emanuele ; La Manna, Angela ; Polito, Cesare</creatorcontrib><description>Objectives
To evaluate the impact of congenital solitary functioning kidney (CSFK) length, measured early in life, on the eGFR levels during the follow-up.
Study design
We retrospectively selected 162 CSFK patients undergoing, within 60 days of life, renal length (RL) measurement by ultrasound.
We divided the population in:
Group 1 = RL ≥ 2 standard deviation score (SDS).
Group 2 = RL < 2 SDS and showing RL ≥ 2 SDS during the follow-up.
Group 3 = RL < 2 SDS and showing RL < 2 SDS during the follow-up.
Primary outcome: development of eGFR below the range of normality.
Results
The median follow-up period of the overall population was 6.2 years (range 2–21.5 years). The cumulative proportion of patients free of primary outcome at 15 years of age was 96.4% in group 1, 64.6% in group 2, and 45.6% in group 3 (
p
= 0.03).
The RL > 2 SDS within 60 days of life was a significant protective factor (hazard ratio = 0.13; 95% C.I. 0.02–0.97) against development of primary outcome.
Conclusion
RL ≥ 2 SDS within 60 days of life could identify a population of CSFK with reduced risk of presenting reduced eGFR levels later in life.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-018-0260-2</identifier><identifier>PMID: 30341401</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/499 ; 692/699/1585/2762 ; Adolescent ; Aftercare - methods ; Aftercare - statistics & numerical data ; Age ; Blood pressure ; Child ; Child development ; Creatinine ; Enrollments ; Epidermal growth factor receptors ; Excretory system ; Female ; Glomerular Filtration Rate ; Health aspects ; Humans ; Hydronephrosis ; Hyperplasia ; Infant, Newborn ; Kidney ; Kidney diseases ; Kidney Function Tests - methods ; Kidneys ; Male ; Measurement ; Medicine ; Medicine & Public Health ; Normality ; Organ Size ; Patients ; Pediatric research ; Pediatric Surgery ; Pediatrics ; Physiological aspects ; Population ; Prognosis ; Protective Factors ; Retrospective Studies ; Risk factors ; Risk management ; Risk reduction ; Scintigraphy ; Solitary Kidney - diagnostic imaging ; Solitary Kidney - pathology ; Solitary Kidney - physiopathology ; Standard deviation ; Ultrasonic imaging ; Ultrasonography - methods ; Ultrasonography - statistics & numerical data ; Ultrasound ; Urogenital abnormalities</subject><ispartof>Journal of perinatology, 2019-01, Vol.39 (1), p.129-134</ispartof><rights>Springer Nature America, Inc. 2018</rights><rights>COPYRIGHT 2019 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-5b439954c927ff5bb593117c3555c55fa545f7fb4b4571b901ffbc5953543ad33</citedby><cites>FETCH-LOGICAL-c470t-5b439954c927ff5bb593117c3555c55fa545f7fb4b4571b901ffbc5953543ad33</cites><orcidid>0000-0003-4682-0170</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-018-0260-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-018-0260-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30341401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marzuillo, Pierluigi</creatorcontrib><creatorcontrib>Guarino, Stefano</creatorcontrib><creatorcontrib>Grandone, Anna</creatorcontrib><creatorcontrib>Di Somma, Allegra</creatorcontrib><creatorcontrib>Diplomatico, Mario</creatorcontrib><creatorcontrib>Rambaldi, Pier Francesco</creatorcontrib><creatorcontrib>Decimo, Fabio</creatorcontrib><creatorcontrib>Miraglia del Giudice, Emanuele</creatorcontrib><creatorcontrib>La Manna, Angela</creatorcontrib><creatorcontrib>Polito, Cesare</creatorcontrib><title>Congenital solitary kidney size at birth could predict reduced eGFR levels later in life</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objectives
To evaluate the impact of congenital solitary functioning kidney (CSFK) length, measured early in life, on the eGFR levels during the follow-up.
Study design
We retrospectively selected 162 CSFK patients undergoing, within 60 days of life, renal length (RL) measurement by ultrasound.
We divided the population in:
Group 1 = RL ≥ 2 standard deviation score (SDS).
Group 2 = RL < 2 SDS and showing RL ≥ 2 SDS during the follow-up.
Group 3 = RL < 2 SDS and showing RL < 2 SDS during the follow-up.
Primary outcome: development of eGFR below the range of normality.
Results
The median follow-up period of the overall population was 6.2 years (range 2–21.5 years). The cumulative proportion of patients free of primary outcome at 15 years of age was 96.4% in group 1, 64.6% in group 2, and 45.6% in group 3 (
p
= 0.03).
The RL > 2 SDS within 60 days of life was a significant protective factor (hazard ratio = 0.13; 95% C.I. 0.02–0.97) against development of primary outcome.
Conclusion
RL ≥ 2 SDS within 60 days of life could identify a population of CSFK with reduced risk of presenting reduced eGFR levels later in life.</description><subject>692/499</subject><subject>692/699/1585/2762</subject><subject>Adolescent</subject><subject>Aftercare - methods</subject><subject>Aftercare - statistics & numerical data</subject><subject>Age</subject><subject>Blood pressure</subject><subject>Child</subject><subject>Child development</subject><subject>Creatinine</subject><subject>Enrollments</subject><subject>Epidermal growth factor receptors</subject><subject>Excretory system</subject><subject>Female</subject><subject>Glomerular Filtration Rate</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hydronephrosis</subject><subject>Hyperplasia</subject><subject>Infant, Newborn</subject><subject>Kidney</subject><subject>Kidney diseases</subject><subject>Kidney Function Tests - methods</subject><subject>Kidneys</subject><subject>Male</subject><subject>Measurement</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Normality</subject><subject>Organ Size</subject><subject>Patients</subject><subject>Pediatric research</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Population</subject><subject>Prognosis</subject><subject>Protective Factors</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Risk management</subject><subject>Risk reduction</subject><subject>Scintigraphy</subject><subject>Solitary Kidney - diagnostic imaging</subject><subject>Solitary Kidney - pathology</subject><subject>Solitary Kidney - physiopathology</subject><subject>Standard deviation</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - methods</subject><subject>Ultrasonography - statistics & numerical data</subject><subject>Ultrasound</subject><subject>Urogenital abnormalities</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kVFrFDEQx4Mo9qx-AF8kIEhftiabzOb2sRy2CgVBFHwL2eykl5rbnElWqJ--Wa5aK0oeBjK_GfLPj5CXnJ1yJtZvs-RCtQ3j64a1HWvaR2TFpeoaACkekxVTUjRrIbsj8izna8aWpnpKjgQTkkvGV-TrJk5XOPliAs0x1Jpu6Dc_TnhDs_-J1BQ6-FS21MY5jHSfcPS20FpmiyPFi_NPNOAPDJkGUzBRP9HgHT4nT5wJGV_c1WPy5fzd58375vLjxYfN2WVjpWKlgUGKvgdp-1Y5B8MAveBcWQEAFsAZkOCUG-QgQfGhZ9y5wUIPokY0oxDH5OSwd5_i9xlz0TufLYZgJoxz1i1vheKd6tqKvv4LvY5zmurrKgVq3XVire6pKxNQ-8nFkoxdluozUEK0ogdWqdN_UPWMuPM2Tuh8vX8w8OaPgS2aULb1w-fi45QfgvwA2hRzTuj0Pvld1aI504t2fdCuq3a9aNdLsld3yeZhh-PviV-eK9AegFxbVXi6j_7_rbe-X7ON</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Marzuillo, Pierluigi</creator><creator>Guarino, Stefano</creator><creator>Grandone, Anna</creator><creator>Di Somma, Allegra</creator><creator>Diplomatico, Mario</creator><creator>Rambaldi, Pier Francesco</creator><creator>Decimo, Fabio</creator><creator>Miraglia del Giudice, Emanuele</creator><creator>La Manna, Angela</creator><creator>Polito, Cesare</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</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>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4682-0170</orcidid></search><sort><creationdate>20190101</creationdate><title>Congenital solitary kidney size at birth could predict reduced eGFR levels later in life</title><author>Marzuillo, Pierluigi ; Guarino, Stefano ; Grandone, Anna ; Di Somma, Allegra ; Diplomatico, Mario ; Rambaldi, Pier Francesco ; Decimo, Fabio ; Miraglia del Giudice, Emanuele ; La Manna, Angela ; Polito, Cesare</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-5b439954c927ff5bb593117c3555c55fa545f7fb4b4571b901ffbc5953543ad33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>692/499</topic><topic>692/699/1585/2762</topic><topic>Adolescent</topic><topic>Aftercare - methods</topic><topic>Aftercare - statistics & numerical data</topic><topic>Age</topic><topic>Blood pressure</topic><topic>Child</topic><topic>Child development</topic><topic>Creatinine</topic><topic>Enrollments</topic><topic>Epidermal growth factor receptors</topic><topic>Excretory system</topic><topic>Female</topic><topic>Glomerular Filtration Rate</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Hydronephrosis</topic><topic>Hyperplasia</topic><topic>Infant, Newborn</topic><topic>Kidney</topic><topic>Kidney diseases</topic><topic>Kidney Function Tests - methods</topic><topic>Kidneys</topic><topic>Male</topic><topic>Measurement</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Normality</topic><topic>Organ Size</topic><topic>Patients</topic><topic>Pediatric research</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Population</topic><topic>Prognosis</topic><topic>Protective Factors</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Risk management</topic><topic>Risk reduction</topic><topic>Scintigraphy</topic><topic>Solitary Kidney - diagnostic imaging</topic><topic>Solitary Kidney - pathology</topic><topic>Solitary Kidney - physiopathology</topic><topic>Standard deviation</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography - methods</topic><topic>Ultrasonography - statistics & numerical data</topic><topic>Ultrasound</topic><topic>Urogenital abnormalities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marzuillo, Pierluigi</creatorcontrib><creatorcontrib>Guarino, Stefano</creatorcontrib><creatorcontrib>Grandone, Anna</creatorcontrib><creatorcontrib>Di Somma, Allegra</creatorcontrib><creatorcontrib>Diplomatico, Mario</creatorcontrib><creatorcontrib>Rambaldi, Pier Francesco</creatorcontrib><creatorcontrib>Decimo, Fabio</creatorcontrib><creatorcontrib>Miraglia del Giudice, Emanuele</creatorcontrib><creatorcontrib>La Manna, Angela</creatorcontrib><creatorcontrib>Polito, Cesare</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest - 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Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marzuillo, Pierluigi</au><au>Guarino, Stefano</au><au>Grandone, Anna</au><au>Di Somma, Allegra</au><au>Diplomatico, Mario</au><au>Rambaldi, Pier Francesco</au><au>Decimo, Fabio</au><au>Miraglia del Giudice, Emanuele</au><au>La Manna, Angela</au><au>Polito, Cesare</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Congenital solitary kidney size at birth could predict reduced eGFR levels later in life</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>39</volume><issue>1</issue><spage>129</spage><epage>134</epage><pages>129-134</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objectives
To evaluate the impact of congenital solitary functioning kidney (CSFK) length, measured early in life, on the eGFR levels during the follow-up.
Study design
We retrospectively selected 162 CSFK patients undergoing, within 60 days of life, renal length (RL) measurement by ultrasound.
We divided the population in:
Group 1 = RL ≥ 2 standard deviation score (SDS).
Group 2 = RL < 2 SDS and showing RL ≥ 2 SDS during the follow-up.
Group 3 = RL < 2 SDS and showing RL < 2 SDS during the follow-up.
Primary outcome: development of eGFR below the range of normality.
Results
The median follow-up period of the overall population was 6.2 years (range 2–21.5 years). The cumulative proportion of patients free of primary outcome at 15 years of age was 96.4% in group 1, 64.6% in group 2, and 45.6% in group 3 (
p
= 0.03).
The RL > 2 SDS within 60 days of life was a significant protective factor (hazard ratio = 0.13; 95% C.I. 0.02–0.97) against development of primary outcome.
Conclusion
RL ≥ 2 SDS within 60 days of life could identify a population of CSFK with reduced risk of presenting reduced eGFR levels later in life.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>30341401</pmid><doi>10.1038/s41372-018-0260-2</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4682-0170</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of perinatology, 2019-01, Vol.39 (1), p.129-134 |
| issn | 0743-8346 1476-5543 |
| language | eng |
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| source | MEDLINE; SpringerLink (Online service) |
| subjects | 692/499 692/699/1585/2762 Adolescent Aftercare - methods Aftercare - statistics & numerical data Age Blood pressure Child Child development Creatinine Enrollments Epidermal growth factor receptors Excretory system Female Glomerular Filtration Rate Health aspects Humans Hydronephrosis Hyperplasia Infant, Newborn Kidney Kidney diseases Kidney Function Tests - methods Kidneys Male Measurement Medicine Medicine & Public Health Normality Organ Size Patients Pediatric research Pediatric Surgery Pediatrics Physiological aspects Population Prognosis Protective Factors Retrospective Studies Risk factors Risk management Risk reduction Scintigraphy Solitary Kidney - diagnostic imaging Solitary Kidney - pathology Solitary Kidney - physiopathology Standard deviation Ultrasonic imaging Ultrasonography - methods Ultrasonography - statistics & numerical data Ultrasound Urogenital abnormalities |
| title | Congenital solitary kidney size at birth could predict reduced eGFR levels later in life |
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