Frequency, etiology and treatment of childhood end-stage kidney disease in Australia and New Zealand
To describe the trends in end-stage kidney disease (ESKD) in children in Australia and New Zealand over time and across different ages, we analyzed data from the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA). A total of 1,485 children aged less than 18 years received renal rep...
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| Veröffentlicht in: | Pediatric nephrology (Berlin, West) West), 2009-09, Vol.24 (9), p.1719-1726 |
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| creator | Orr, Nigel I. T. McDonald, Stephen P. McTaggart, Steven Henning, Paul Craig, Jonathan C. |
| description | To describe the trends in end-stage kidney disease (ESKD) in children in Australia and New Zealand over time and across different ages, we analyzed data from the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA). A total of 1,485 children aged less than 18 years received renal replacement therapy (RRT) during the period from 1963 to 2006, of which children 55.6% were male. The incidence of ESKD increased over the first two decades but has been stable at 8 per million since the mid-1980s. The prevalence of ESKD continues to increase in all age groups, especially among older children, and is currently 50 per million in those aged less than 18 years. The cause of ESKD over the entire cohort was one-third each for glomerulonephritis (32.5%), structural anomalies (hypoplasia/dysplasia, posterior urethral valves or reflux nephropathy, 35.8%), and cystic disease or other conditions (31.7%). Proportionately, glomerulonephritis is becoming less common. Overall, 50% of children were commenced on peritoneal dialysis as the initial RRT modality, 30% were started on hemodialysis, and 20% underwent transplantation pre-emptively. The proportion of children receiving transplants has not increased over time. |
| doi_str_mv | 10.1007/s00467-009-1181-2 |
| format | Article |
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The cause of ESKD over the entire cohort was one-third each for glomerulonephritis (32.5%), structural anomalies (hypoplasia/dysplasia, posterior urethral valves or reflux nephropathy, 35.8%), and cystic disease or other conditions (31.7%). Proportionately, glomerulonephritis is becoming less common. Overall, 50% of children were commenced on peritoneal dialysis as the initial RRT modality, 30% were started on hemodialysis, and 20% underwent transplantation pre-emptively. 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T.</creatorcontrib><creatorcontrib>McDonald, Stephen P.</creatorcontrib><creatorcontrib>McTaggart, Steven</creatorcontrib><creatorcontrib>Henning, Paul</creatorcontrib><creatorcontrib>Craig, Jonathan C.</creatorcontrib><title>Frequency, etiology and treatment of childhood end-stage kidney disease in Australia and New Zealand</title><title>Pediatric nephrology (Berlin, West)</title><addtitle>Pediatr Nephrol</addtitle><addtitle>Pediatr Nephrol</addtitle><description>To describe the trends in end-stage kidney disease (ESKD) in children in Australia and New Zealand over time and across different ages, we analyzed data from the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA). A total of 1,485 children aged less than 18 years received renal replacement therapy (RRT) during the period from 1963 to 2006, of which children 55.6% were male. The incidence of ESKD increased over the first two decades but has been stable at 8 per million since the mid-1980s. The prevalence of ESKD continues to increase in all age groups, especially among older children, and is currently 50 per million in those aged less than 18 years. The cause of ESKD over the entire cohort was one-third each for glomerulonephritis (32.5%), structural anomalies (hypoplasia/dysplasia, posterior urethral valves or reflux nephropathy, 35.8%), and cystic disease or other conditions (31.7%). Proportionately, glomerulonephritis is becoming less common. Overall, 50% of children were commenced on peritoneal dialysis as the initial RRT modality, 30% were started on hemodialysis, and 20% underwent transplantation pre-emptively. The proportion of children receiving transplants has not increased over time.</description><subject>Adolescent</subject><subject>Age groups</subject><subject>Australia - epidemiology</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Chronic kidney failure</subject><subject>Congenital Abnormalities - epidemiology</subject><subject>Congenital Abnormalities - etiology</subject><subject>Congenital Abnormalities - therapy</subject><subject>Data collection</subject><subject>Demographic aspects</subject><subject>Diagnosis</subject><subject>Epidemiology</subject><subject>Etiology</subject><subject>Female</subject><subject>Glomerulonephritis - epidemiology</subject><subject>Glomerulonephritis - etiology</subject><subject>Glomerulonephritis - therapy</subject><subject>Health aspects</subject><subject>Hemodialysis</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Kidney diseases</subject><subject>Kidney Diseases, Cystic - epidemiology</subject><subject>Kidney Diseases, Cystic - etiology</subject><subject>Kidney Diseases, Cystic - therapy</subject><subject>Kidney Failure, Chronic - epidemiology</subject><subject>Kidney Failure, Chronic - etiology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Kidney transplants</subject><subject>Male</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>New Zealand - epidemiology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Peritoneal dialysis</subject><subject>Population</subject><subject>Registries</subject><subject>Renal Replacement Therapy</subject><subject>Teenagers</subject><subject>Trends</subject><subject>Urinary Tract - abnormalities</subject><subject>Urology</subject><issn>0931-041X</issn><issn>1432-198X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1ksFu1DAQhi0EokvhAbggi0NPuHhsJ3aOq4oCUgUXkCouljeeZF0Su8SJ0L49LlmpgIp88Mj-ZjT_zE_IS-DnwLl-mzlXtWacNwzAABOPyAaUFAwac_2YbHgjgXEF1yfkWc43nHNTmfopOYFGaqkatSH-csIfC8b28IbiHNKQ-gN10dN5QjePGGeaOtruw-D3KXmK0bM8ux7p9-AjHqgPGV1GGiLdLnme3BDc7wKf8Cf9hm4o8XPypHNDxhfH-5R8vXz35eIDu_r8_uPF9oq1SuuZKe0V3xn0FRgv0exE46pdWxnlKoUgvZaiK7HrNG8r33AOXceVN7UTGmopT8nZWvd2SkVUnu0YcotD6QHTkm2tK9XUhhfw9T_gTVqmWHqzQgipDaimQGyFejegDbFLRV3bY8QiMkXsQnneSiOggppD4c8f4MvxOIb2wYSzPxL2ZVbzPqdhKWuI-W8QVrCdUs4TdvZ2CqObDha4vXOCXZ1gixPsnROsKDmvjhKX3Yj-PuO4-gKIFcjlK_Y43c_g_1V_AYXbvBc</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Orr, Nigel I. 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T.</au><au>McDonald, Stephen P.</au><au>McTaggart, Steven</au><au>Henning, Paul</au><au>Craig, Jonathan C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency, etiology and treatment of childhood end-stage kidney disease in Australia and New Zealand</atitle><jtitle>Pediatric nephrology (Berlin, West)</jtitle><stitle>Pediatr Nephrol</stitle><addtitle>Pediatr Nephrol</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>24</volume><issue>9</issue><spage>1719</spage><epage>1726</epage><pages>1719-1726</pages><issn>0931-041X</issn><eissn>1432-198X</eissn><abstract>To describe the trends in end-stage kidney disease (ESKD) in children in Australia and New Zealand over time and across different ages, we analyzed data from the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA). A total of 1,485 children aged less than 18 years received renal replacement therapy (RRT) during the period from 1963 to 2006, of which children 55.6% were male. The incidence of ESKD increased over the first two decades but has been stable at 8 per million since the mid-1980s. The prevalence of ESKD continues to increase in all age groups, especially among older children, and is currently 50 per million in those aged less than 18 years. The cause of ESKD over the entire cohort was one-third each for glomerulonephritis (32.5%), structural anomalies (hypoplasia/dysplasia, posterior urethral valves or reflux nephropathy, 35.8%), and cystic disease or other conditions (31.7%). Proportionately, glomerulonephritis is becoming less common. Overall, 50% of children were commenced on peritoneal dialysis as the initial RRT modality, 30% were started on hemodialysis, and 20% underwent transplantation pre-emptively. The proportion of children receiving transplants has not increased over time.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>19373494</pmid><doi>10.1007/s00467-009-1181-2</doi><tpages>8</tpages></addata></record> |
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| ispartof | Pediatric nephrology (Berlin, West), 2009-09, Vol.24 (9), p.1719-1726 |
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| subjects | Adolescent Age groups Australia - epidemiology Care and treatment Child Child, Preschool Chronic kidney failure Congenital Abnormalities - epidemiology Congenital Abnormalities - etiology Congenital Abnormalities - therapy Data collection Demographic aspects Diagnosis Epidemiology Etiology Female Glomerulonephritis - epidemiology Glomerulonephritis - etiology Glomerulonephritis - therapy Health aspects Hemodialysis Hospitals Humans Infant Infant, Newborn Kidney diseases Kidney Diseases, Cystic - epidemiology Kidney Diseases, Cystic - etiology Kidney Diseases, Cystic - therapy Kidney Failure, Chronic - epidemiology Kidney Failure, Chronic - etiology Kidney Failure, Chronic - therapy Kidney transplants Male Medicine & Public Health Nephrology New Zealand - epidemiology Original Article Patients Pediatrics Peritoneal dialysis Population Registries Renal Replacement Therapy Teenagers Trends Urinary Tract - abnormalities Urology |
| title | Frequency, etiology and treatment of childhood end-stage kidney disease in Australia and New Zealand |
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