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Information Journal Paper

Title

THE ETIOLOGIES AND OUTCOME OF ESRD IN CHILDREN MEDICAL CENTER FROM 1988 TO 2003

Pages

  61-67

Abstract

 Background: Chronic renal failure defines as progressive and irreversible dysfunction of kidneys that could eventually terminated to end stage renal disease (GFR<10% NL).Because of therapeutic problem and high mortality and morbidity and it "s implication quality of life , ESRD is one of the important dilemma of pediatric medicine .Materials and Methods: In our study 216 patients evaluated . Results: Male to female ratio was 1.1 . The peak of the presenting age of ESRD was 10 years old (8-12 y). CONGENITAL UROLOGICAL MALFORMATION (30%) , GLOMERULOPATHIES (20%) , HEREDITARY NEPHROPATHIES (14.3%) , multisystem diseases (7%) and nephrolithiasis (6.2%) are the most common etiologies of ESRD . VUR in 21% and congenital obstructive disease in 8.5% are the etiology of ESRD. In patients with age five years old and lesser common causes of ESRD are congenital urologic malformation and glomerulopathies. In other age groups , urologic malformation is the most common cause of ESRD. In etiologic assessment of two separate 7 years interval , (1988-1993) and (1996-2003) , there was not any significant change in frequency of etiologies but frequency of congenital obstructive uropathy decreased from 10 % to 5.7%. Total amount of VUR (VUR ± Neuropathic bladder) has not any change but frequency of primary reflux nephropathy decreased from 14.2% to 8%. In this study , in 145 patients hemodialysis continued and 28 cases had unsuccessful renal transplant (13.8%) . 7.4 % of patients had successful renal replacement therapy (RRT) and mortality rate was 7.4% . B Conclusion: Based on that the most common cause of ESRD is all ages in congenital urologic malformations , early diagnosis and appropriate management of these cases are effective in decreasing incidence of ESRD and with respect to few cases of renal transplant and unsuccessful results in 65% of RRT , the approach of this problem should be revised.

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    APA: Copy

    MADANI, ABAS, SHAKIBA, MAJID, TAEI, N., ESFEHANI, T., & MOHSENI, P.. (2005). THE ETIOLOGIES AND OUTCOME OF ESRD IN CHILDREN MEDICAL CENTER FROM 1988 TO 2003. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 63(1), 61-67. SID. https://sid.ir/paper/38747/en

    Vancouver: Copy

    MADANI ABAS, SHAKIBA MAJID, TAEI N., ESFEHANI T., MOHSENI P.. THE ETIOLOGIES AND OUTCOME OF ESRD IN CHILDREN MEDICAL CENTER FROM 1988 TO 2003. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2005;63(1):61-67. Available from: https://sid.ir/paper/38747/en

    IEEE: Copy

    ABAS MADANI, MAJID SHAKIBA, N. TAEI, T. ESFEHANI, and P. MOHSENI, “THE ETIOLOGIES AND OUTCOME OF ESRD IN CHILDREN MEDICAL CENTER FROM 1988 TO 2003,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 63, no. 1, pp. 61–67, 2005, [Online]. Available: https://sid.ir/paper/38747/en

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