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Chronic Kidney Disease in Iran: First Report of the National Registry in Children and Adolescences Publisher Pubmed



Ataei N1 ; Madani A1 ; Esfahani ST1 ; Otoukesh H2 ; Hooman N2 ; Hoseini R2 ; Fazel M3 ; Derakhshan A4 ; Gheissari A5 ; Sorkhi H6 ; Abbasi A1 ; Fahimi D7 ; Sharbaf FG8 ; Mortazavi F9 Show All Authors
Authors
  1. Ataei N1
  2. Madani A1
  3. Esfahani ST1
  4. Otoukesh H2
  5. Hooman N2
  6. Hoseini R2
  7. Fazel M3
  8. Derakhshan A4
  9. Gheissari A5
  10. Sorkhi H6
  11. Abbasi A1
  12. Fahimi D7
  13. Sharbaf FG8
  14. Mortazavi F9
  15. Falakaflaki B10
  16. Nikibakhsh AA11
  17. Bojd SS12
  18. Tabatabaei SMTH12
  19. Ghasemi K13
  20. Ahmadzadeh A14
  21. Yousefichaijan P15
  22. Asl AS16
  23. Safaeian B17
  24. Khazaei S18
  25. Hejazipour L1
  26. Zadeh AS19
  27. Ataei F1, 20
Show Affiliations
Authors Affiliations
  1. 1. Pediatric Chronic Kidney Disease Research Center, Department of Pediatric Nephrology, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Ali-Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Shiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  5. 5. Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Non-Communicable Pediatric Diseases Research Center, Department of Pediatric Nephrology, Amirkola Children Hospital, Babol University of Medical Sciences, Babol, Iran
  7. 7. Bahrami Children’s Hospital, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Sheikh Children’s Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
  9. 9. Department of Pediatrics, Tabriz University of Medical Sciences, Tabriz, Iran
  10. 10. Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
  11. 11. Urmia University of Medical Sciences, Urmia, Iran
  12. 12. Department of Pediatrics, Zahedan University of Medical Sciences, Zahedan, Iran
  13. 13. Department of Pediatrics Nephrology, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  14. 14. Abozar Hospital, Ahvaz Jondishapour University of Medical Sciences, Ahvaz, Iran
  15. 15. Amirkabir Hospital, Arak University of Medical Sciences, Arak, Iran
  16. 16. Department of Pediatrics, Guilan University of Medical Sciences, Guilan, Iran
  17. 17. Taleghani Pediatric Hospital, Golestan University of Medical Sciences, Gorgan, Iran
  18. 18. Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
  19. 19. Razi Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
  20. 20. Department of Nuclear Medicine, Valiasr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran

Source: Urology Journal Published:2021


Abstract

Purpose: Knowing the epidemiological aspects of chronic kidney disease (CKD) in children is crucial for early recognition, identification of reversible causes, and prognosis. Here, we report the epidemiological characteristics of childhood CKD in Iran. Materials and Methods: This cross-sectional study was conducted during 1991 – 2009. The data were collected using the information in the Iranian Pediatric Registry of Chronic Kidney Disease (IPRCKD) core dataset. Results: A total of 1247 children were registered. The mean age of the children at registration was 0.69 ± 4.72 years (range, 0.25 –18 years), 7.79 ± 3.18 years for hemodialysis (HD), 4.24 ± 1.86 years for continuous ambulatory peritoneal dialysis (CAPD), and 3.4±1.95 years for the children who underwent the renal transplantation (RT) (P < .001). The mean year of follow-up was 7.19 ± 4.65 years. The mean annual incidence of CKD 2–5 stages was 3.34 per million age-related population (pmarp). The mean prevalence of CKD 2–5 stages was 21.95 (pmarp). The cumulative 1-, 5-, and 10-year patients’ survival rates were 98.3%, 90.7%, and 84.8%, respectively. The etiology of the CKD included the congenital anomalies of the kidney and urinary tract (CAKUT) (40.01%), glomerulopathy (19.00%), unknown cause (18.28%), and cystic/hereditary/congenital disease (11.14%). Conclusion: The incidence and prevalence rate of pediatric CKD in Iran is relatively lower than those reported in Europe and other similar studies. CAKUT was the main cause of the CKD. Appropriate management of CAKUT including early urological intervention is required to preserve the renal function. Herein, the long-term survival rate was higher among the children with CKD than the literature. © 2021. All Rights Reserved.
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