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Proteinuria and progression of pediatric chronic kidney disease: lessons from recent clinical studies

Proteinuria in children with chronic kidney disease (CKD) is common and its etiology differs from that in adults. How proteinuria influences the rate of progression of CKD has been analyzed in multiple retrospective clinical studies and more recently in a few prospective ones. In this review I summa... Full description

Journal Title: Pediatric nephrology (Berlin West), 2016-06-27, Vol.32 (5), p.743-751
Main Author: Fathallah-Shaykh, Sahar A
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
ID: ISSN: 0931-041X
Link: https://www.ncbi.nlm.nih.gov/pubmed/27350622
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title: Proteinuria and progression of pediatric chronic kidney disease: lessons from recent clinical studies
format: Article
creator:
  • Fathallah-Shaykh, Sahar A
subjects:
  • Child
  • Clinical Trials as Topic
  • Disease Progression
  • Educational Review
  • Humans
  • Medicine
  • Medicine & Public Health
  • Nephrology
  • Pediatrics
  • Proteinuria - etiology
  • Proteinuria - physiopathology
  • Proteinuria - therapy
  • Renal Insufficiency, Chronic - complications
  • Renal Insufficiency, Chronic - drug therapy
  • Renal Insufficiency, Chronic - physiopathology
  • Renal Insufficiency, Chronic - therapy
  • Renin-Angiotensin System - drug effects
  • Urology
ispartof: Pediatric nephrology (Berlin, West), 2016-06-27, Vol.32 (5), p.743-751
description: Proteinuria in children with chronic kidney disease (CKD) is common and its etiology differs from that in adults. How proteinuria influences the rate of progression of CKD has been analyzed in multiple retrospective clinical studies and more recently in a few prospective ones. In this review I summarize the results, strengths and weaknesses of each of these studies. The findings of several retrospective studies in children with CKD have confirmed what we have learned from adult studies on the association between proteinuria and worsening kidney function. Larger prospective clinical studies have examined the effects of proteinuria on the rate of decline of kidney function and the risk of end-stage kidney disease. They have also considered children with glomerular and, more importantly, the more common, congenital causes of CKD. Current studies have important strengths but also a few weaknesses that limit the validity of the conclusions which can be drawn. There is still a need for large clinical trials that focus primarily on studying the influence of proteinuria on kidney function and on finding remedies that delay progression.
language: eng
source:
identifier: ISSN: 0931-041X
fulltext: no_fulltext
issn:
  • 0931-041X
  • 1432-198X
url: Link


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descriptionProteinuria in children with chronic kidney disease (CKD) is common and its etiology differs from that in adults. How proteinuria influences the rate of progression of CKD has been analyzed in multiple retrospective clinical studies and more recently in a few prospective ones. In this review I summarize the results, strengths and weaknesses of each of these studies. The findings of several retrospective studies in children with CKD have confirmed what we have learned from adult studies on the association between proteinuria and worsening kidney function. Larger prospective clinical studies have examined the effects of proteinuria on the rate of decline of kidney function and the risk of end-stage kidney disease. They have also considered children with glomerular and, more importantly, the more common, congenital causes of CKD. Current studies have important strengths but also a few weaknesses that limit the validity of the conclusions which can be drawn. There is still a need for large clinical trials that focus primarily on studying the influence of proteinuria on kidney function and on finding remedies that delay progression.
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subjectChild ; Clinical Trials as Topic ; Disease Progression ; Educational Review ; Humans ; Medicine ; Medicine & Public Health ; Nephrology ; Pediatrics ; Proteinuria - etiology ; Proteinuria - physiopathology ; Proteinuria - therapy ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - drug therapy ; Renal Insufficiency, Chronic - physiopathology ; Renal Insufficiency, Chronic - therapy ; Renin-Angiotensin System - drug effects ; Urology
ispartofPediatric nephrology (Berlin, West), 2016-06-27, Vol.32 (5), p.743-751
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abstractProteinuria in children with chronic kidney disease (CKD) is common and its etiology differs from that in adults. How proteinuria influences the rate of progression of CKD has been analyzed in multiple retrospective clinical studies and more recently in a few prospective ones. In this review I summarize the results, strengths and weaknesses of each of these studies. The findings of several retrospective studies in children with CKD have confirmed what we have learned from adult studies on the association between proteinuria and worsening kidney function. Larger prospective clinical studies have examined the effects of proteinuria on the rate of decline of kidney function and the risk of end-stage kidney disease. They have also considered children with glomerular and, more importantly, the more common, congenital causes of CKD. Current studies have important strengths but also a few weaknesses that limit the validity of the conclusions which can be drawn. There is still a need for large clinical trials that focus primarily on studying the influence of proteinuria on kidney function and on finding remedies that delay progression.
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pmid27350622
doi10.1007/s00467-016-3448-8