The European Society for Paediatric Nephrology study of pediatric renal care in Europe: comparative analysis 1998–2017

Prikhodina, Larisa; Ehrich, J. H. H.; Shroff, Rukshana; Topaloğlu, Rezan; Levtchenko, Elena

doi:10.1007/s00467-019-04378-5

Cited by 12 publications

(14 citation statements)

References 9 publications

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“…The prevalence of ESRD during the periods investigated was increasing, and in 2017, it exceeded the EU average reported by the ESPN/ERA-EDTA registry in 2011 by as much as two times and was similar to that of Iceland, Malta, and the United Kingdom [12]. A considerable prevalence of ESRD in Lithuania could be partly explained by timely diagnosis of endstage CKD and an increasing number of specialized pediatric nephrologists and better care so that in 2017, based on the ESPN data, it was 66.0 per million child population in Lithuania [21].…”

Section: Epidemiology Of Chronic Renal Failure During 1997-2017mentioning

confidence: 70%

Epidemiology of Chronic Kidney Disease in Children: A Report from Lithuania

et al. 2021

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Background and Objectives: The data on the prevalence of chronic kidney disease (CKD) in the pediatric population are limited. The prevalence of CKD ranges from 56 to 74.7 cases per million of the age-related population (pmarp). The most common cause of CKD among children is congenital anomalies of the kidney and urinary tract (CAKUT). With progressing CKD, various complications occur, and end-stage renal disease (ESRD) can develop. The aim of the study was to determine the causes, stage, prevalence, and clinical signs of CKD and demand for RRT (renal replacement therapy) among Lithuanian children in 2017 and to compare the epidemiological data of CKD with the data of 1997 and 2006. Materials and Methods: The data of 172 Lithuanian children who had a diagnosis of CKD (stage 2–5) in 1997 (n = 41), in 2006 (n = 65), and in 2017 (n = 66) were retrospectively analyzed. Physical development and clinical signs of children who had CKD (stage 2–5) in 2017 were assessed. Results: The prevalence of CKD stages 2–5 was 48.0 pmarp in 1997; 88.7 in 2006; and 132.1 in 2017 (p < 0.01). Congenital and hereditary diseases of the kidney in 1997 accounted for 66% of all CKD causes; in 2006, for 70%; and in 2017, for 79%. In 2017, children with CKD stages 4 or 5 (except transplanted children) had hypertension (87.5%) and anemia (50%) (p < 0.01). Children under ≤2 years with CKD were at a 3-fold greater risk of having elevated blood pressure (OR = 3.375, 95% CI: 1.186–9.904). Conclusions: There was no change in the number of children with CKD in Lithuania; however, the prevalence of CKD increased due to reduced pediatric population. CAKUT remains the main cause of CKD at all time periods. Among children with CKD stages 4 or 5, there were more children with hypertension and anemia. In children who were diagnosed with CKD at an early age hypertension developed at a younger age.

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Section: Epidemiology Of Chronic Renal Failure During 1997-2017mentioning

confidence: 70%

Epidemiology of Chronic Kidney Disease in Children: A Report from Lithuania

et al. 2021

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“…Muitos hábitos e regras nacionais foram identificados quando comparamos os procedimentos pediátricos padrão entre os países [11]. As grandes diferenças que existem nos serviços de atenção à saúde renal não eram tanto baseadas em descobertas científicas, mas no caráter nacional [12]. Presidentes de diferentes sociedades pediátricas nacionais tendiam a presumir que qualquer desvio do que eles percebiam…”

Section: Sistemas De Pensamentos Complexos Em Pediatriaunclassified

As implicações da complexidade, sistemas de pensamento e filosofia para pediatras

et al. 2021

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Os sistemas nacionais de cuidados de saúde infantil são caracterizados por sua diversidade e complexidade. Os serviços de atenção à saúde primários, secundários, terciários e quaternários criam redes complexas que abrangem subespecialidades pediátricas, psicologia, sociologia, econômicas e políticas. A pediatria pode existir sem filosofia? (Pediatras poderiam existir sem filosofia?) A ausência de perspectivas filosóficas integradoras na conceituação da assistência pediátrica contribui para deficiências nos sistemas de atendimento que estruturam a atenção ao cuidado da saúde da criança? A filosofia oferece novos modos de um sistema complexo de pensamento na pediatria científica e clínica. A filosofia pode melhorar as estratégias de enfrentamento em diferentes níveis quando se está lidando com ética em projetos de pesquisa, assistência ao cuidado de saúde individual da criança e crises dos sistemas de serviços de saúde. Situações limites e finais experenciadas por crianças severamente doentes requerem ajuda, esperança e resiliência. Pacientes e familiares, assim como pediatras e outros cuidadores, devem agir em conjunto. Todos podem se beneficiar com a consulta de um filósofo. O objetivo desse artigo é apontar o risco de uma separação estrita entre o discernimento científico e a experiencia sensorial, o que afeta o cuidado à saúde da criança na nossa sociedade moderna, que é dominada pela tecnologia, competição e falta de equidade e tempo.

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“…Pediatric kidney care maintains substantial disparities among European countries. Additionally, the requirements for qualification as a pediatric nephrologist vary from country to country [ 1 – 3 ]. Furthermore, a high degree of perceived workforce inadequacy and difficulty in recruiting pediatric nephrology trainees exists in most regions of the world.…”

Section: Introductionmentioning

confidence: 99%

“…Lack of interest, financial constraints, complexity of patients with kidney failure, and perceived pediatric nephrology workload are mentioned as dissuading factors by potential pediatric nephrology trainees [ 4 – 6 ]. These factors support the organization of effective training and education programs, both at the undergraduate and postgraduate level, aiming at transfer of knowledge and experience from the most resourced centers, connecting physicians in developing countries with high standard pediatric nephrology training centers, and building novel collaboration between groups of young nephrologists working across Europe and around the globe [ 3 , 7 ].…”

Section: Introductionmentioning

confidence: 99%