Growth in children on renal replacement therapy: A shrinking problem?

Erum A. Hartung, Susan L. Furth

Research output: Contribution to journalArticle

Abstract

Growth failure has been almost inextricably linked with chronic kidney disease (CKD) and end-stage renal disease (ESRD) since initial reports of renal dwarfism dating back to the turn of the twentieth century. Growth failure in CKD has been associated with both increased morbidity and mortality. Growth failure in the setting of kidney disease is multifactorial and is related to poor nutritional status as well as comorbidities, such as anemia, bone and mineral disorders, and alterations in hormonal responses, as well as to aspects of treatment such as steroid exposure. In this issue of Pediatric Nephrology, Franke et al. report on the gains made in growth and maturation in pediatric patients with ESRD in recent decades, particularly in Germany. Through advances in the care of CKD and ESRD over recent decades, the prevalence of growth failure appears to be decreasing. These findings, along with a recent report demonstrating decreases in mortality in childhood ESRD in the United States Renal Data System (USRDS), suggest overall improvements in the outcomes of care, perhaps reflecting improvements in the quality of care for children with kidney disease worldwide.

Original languageEnglish (US)
Pages (from-to)1905-1908
Number of pages4
JournalPediatric Nephrology
Volume28
Issue number10
DOIs
StatePublished - Oct 2013
Externally publishedYes

Fingerprint

Renal Replacement Therapy
Chronic Kidney Failure
Chronic Renal Insufficiency
Growth
Kidney Diseases
Pediatrics
Kidney
Dwarfism
Nephrology
Mortality
Quality of Health Care
Nutritional Status
Information Systems
Minerals
Germany
Comorbidity
Anemia
Steroids
Morbidity
Bone and Bones

Keywords

  • Chronic kidney disease
  • CKD-MBD
  • Dialysis
  • Growth
  • Transplantation

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health

Cite this

Growth in children on renal replacement therapy : A shrinking problem? / Hartung, Erum A.; Furth, Susan L.

In: Pediatric Nephrology, Vol. 28, No. 10, 10.2013, p. 1905-1908.

Research output: Contribution to journalArticle

Hartung, Erum A. ; Furth, Susan L. / Growth in children on renal replacement therapy : A shrinking problem?. In: Pediatric Nephrology. 2013 ; Vol. 28, No. 10. pp. 1905-1908.
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