Growth Retardation in Children with Chronic Renal Insufficiency

Fine, Richard Ν.

doi:10.1159/000190159

Cited by 7 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because of the differing growth velocity related to the pubertal growth spurt, Deurenberg et al [24] created age groups for sex-specific regression equations. In a cohort of pediatric dialysis patients, growth retardation [25] and delayed puberty [26] are common, which was confirmed by our patient measurements. Applying these measurements to age-related reference intervals produced an underestimation of hydration, and therefore we believe that BSA may serve as a more-suitable parameter.…”

Section: Discussionsupporting

confidence: 85%

Bioimpedance and inferior vena cava diameter for assessment of dialysis dry weight

Dietel

Filler

Grenda

et al. 2000

Pediatric Nephrology

View full text Add to dashboard Cite

It is essential to carry out a clinical assessment of dry body weight in dialysis-dependent children in order to develop a suitable dialysis prescription. Bioimpedance analysis and inferior vena cava diameter (IVCD) have been evaluated and utilized in adults as noninvasive parameters for the assessment of dry weight and extracellular volume. Since there are no data available for normal children, we performed a prospective study to establish reference standards for a pediatric population (111 females and 95 males, aged 6.8-16 years). We found strong correlations of both resistance and IVCD with age, height, weight, and, in particular, with body surface area. IVCD and resistance also correlated with each other. We also investigated 28 pediatric dialysis patients who showed growth retardation and delayed puberty. Applying age-related reference intervals to pediatric dialysis patients resulted in an underestimation of overhydration. The combination of both methods using body surface area-related reference limits with the clinical features of deviation of dry weight will serve as an adjunct to the assessment of post-dialysis dry weight.

show abstract

Section: Discussionsupporting

confidence: 85%

Bioimpedance and inferior vena cava diameter for assessment of dialysis dry weight

Dietel

Filler

Grenda

et al. 2000

Pediatric Nephrology

View full text Add to dashboard Cite

show abstract

“…However, more than 50% of the countries with a guideline for a diagnostic work up in children with short stature recommended evaluation of electrolytes, albumin and creatinine [36]. This agrees with the literature which shows that several renal diseases are in fact associated with short stature and that growth retardation can be present at diagnosis while other clinical symptoms are still absent [133][134][135]. When there are signs of undernutrition, a stool test for haemoglobin and infestations, and serum ferritin and prealbumin can be considered.…”

Section: The Diagnostic Processsupporting

confidence: 85%

Idiopathic short stature: Definition, epidemiology, and diagnostic evaluation

Wit

Clayton

Rogol

et al. 2008

Growth Hormone & IGF Research

210

179

View full text Add to dashboard Cite

“…More than 50% of the countries with guidelines for a diagnostic workup in children with short stature recommended that electrolytes, albumin and creatinine should be evaluated [1]. This agrees with the literature that shows that several renal diseases are in fact associated with short stature and that growth retardation is often present at diagnosis while other clinical symptoms are still absent [46,47,48,49]. An acid-base equilibrium measurement, an easy and cheap test to screen for kidney diseases such as renal acidosis, was only recommended in 32% of the countries with guidelines [1] and was seldom done in the hospitals familiar with the Dutch Consensus Guideline [50].…”

Section: Diagnostic Proceduressupporting

confidence: 75%

Diagnostic Approach in Children with Short Stature

et al. 2009

View full text Add to dashboard Cite

For early detection of pathological causes of growth failure proper referral criteria are needed, as well as a thorough clinical, radiological and laboratory assessment. In this minireview we first discuss the two consensus-based and one evidence-based guidelines for referral that have been published. The evidence-based guidelines result in a sensitivity of approximately 80% at a false-positive rate of 2%. Then, relevant clues from the medical history and physical examination are reviewed, and specific investigations based on clinical suspicion listed. In the absence of abnormal clinical findings, an X-ray of the hand/wrist and a laboratory screen are usually performed. Scientific evidence for the various components of laboratory screening is scarce, but accumulated experience and theoretical considerations have led to a list of investigations that may be considered until more evidence is available.

show abstract

Growth Retardation in Children with Chronic Renal Insufficiency

Cited by 7 publications

References 28 publications

Bioimpedance and inferior vena cava diameter for assessment of dialysis dry weight

Bioimpedance and inferior vena cava diameter for assessment of dialysis dry weight

Idiopathic short stature: Definition, epidemiology, and diagnostic evaluation

Diagnostic Approach in Children with Short Stature

Contact Info

Product

Resources

About